{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T06:43:22Z","timestamp":1791009802358,"version":"4.1.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2000,2]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            \u2014Previous work indicated that patients within 1 month of parietal or posterior frontal damage are often abnormally slow or clumsy when using the ipsilateral hand for dexterity tasks. This article reports a 6-month follow-up study to assess recovery and the impact on functional outcome.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            \u2014Twenty-four patients (80%) were available for follow-up. They used the ipsilateral hand on a dexterity test that simulated everyday hand function. Weakness and ideomotor apraxia were also assessed. Performance was compared with that of healthy age-matched control subjects using the same hand. Rating scales for self-care and dexterity in everyday life were completed by patients and carers.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            \u2014Significant recovery had occurred on all measures, but patients with left hemisphere damage remained impaired on the dexterity test, with 7 patients (58%) scoring below the normal range. Five of these were apraxic. Reports of everyday functioning did not reflect this impairment, but there were inconsistencies in these reports, which raised doubts as to their accuracy.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014Ipsilateral dexterity shows recovery during the first 6 months, but there may be persistent impairment related to apraxia after left hemisphere stroke. It appears that the impact of this on functional outcome is typically small compared with the large effect of severity of contralateral paresis. It may be a significant factor in some cases, however, and direct observation of everyday functioning would be needed to clarify more subtle effects on outcome.\n          <\/jats:p>","DOI":"10.1161\/01.str.31.2.430","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"430-433","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":93,"title":["Recovery of Ipsilateral Dexterity After Stroke"],"prefix":"10.1161","volume":"31","author":[{"given":"Alan","family":"Sunderland","sequence":"first","affiliation":[{"name":"From the Division of Stroke Medicine, University of Nottingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.30.5.949"},{"key":"e_1_3_2_2_2","first-page":"170","volume":"52","year":"1971","unstructured":"Jebsen RH, Griffith ER, Long EW, Fowler R. Function of the \u201cnormal\u201d hand in stroke patients. Arch Phys Med Rehabil. 1971;52:170\u2013174.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_2_3_2","first-page":"419","volume":"69","year":"1988","unstructured":"Spaulding SJ, McPherson JJ, Strachota E, Kuphal M, Ramponi M. Jebsen hand function test: performance of the uninvolved hand in hemiplegia and in right-handed, right and left hemiplegic persons. Arch Phys Med Rehabil. 1988;69:419\u2013422.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.27.9.1564"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90261-0"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/112.1.113"},{"key":"e_1_3_2_7_2","first-page":"311","volume":"50","year":"1969","unstructured":"Jebsen RH, Taylor N, Trieschmann RB, Trotter MJ, Howard LA. An objective and standardised test of hand function. Arch Phys Med Rehabil. 1969;50:311\u2013319.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.7.530"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/97.1.337"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/026921558700100409"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/110.3.747"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.STR.31.2.430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:07:44Z","timestamp":1715551664000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.31.2.430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,2]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2000,2]]}},"alternative-id":["10.1161\/01.STR.31.2.430"],"URL":"https:\/\/doi.org\/10.1161\/01.str.31.2.430","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,2]]},"assertion":[{"value":"1999-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-11-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-02-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}