Type of Article:  Original Research

Volume 7; Issue 4 (August 2019)

Page No.: 3135-3138

DOI: https://dx.doi.org/10.16965/ijpr.2019.141


Soumiya Selvarajan 1, Gajanan Bhalerao *2, Ashok K. Shyam 3, Parag Sancheti 4.

1 B.P.Th, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

2 M.P.Th, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

3 MS Ortho, Research Officer- Sancheti Institute for Orthopedics and Rehabilitation, Pune, Maharashtra, India.

4 MS Ortho, Chairman- Sancheti Institute for Orthopedics and Rehabilitation, Pune, Maharashtra, India.

Address for correspondence: Dr. Gajanan Bhalerao, Sancheti Institute College of Physiotherapy, Shivaji Nagar, Pune-5, Maharashtra, India.

E-Mail: gajanan­_bhalerao@yahoo.com


Objective: The aim of the study was to find how affected is the unaffected side of stroke population.

Methods: 20 participants were recruited who met the inclusion criteria of more than 3-month first time unilateral both male and female stroke patients of age group 40-60 years were assessed and evaluated for the 3 parameters using grip dynamometer, peg board and reaction time machine respectively and compared it to the normal healthy age, gender and dominance matched individuals.

Results: The unaffected side of stroke patients was significantly affected in gross motor strength, fine motor dexterity, reaction time audio and visual when compared to normal population.

Conclusion: There are significant motor deficits seen in the unaffected side of stroke patients.

Key Words: Hemiplegia, Gross Motor Strength, Fine Motor Strength, Reaction Time.


  1. Amytis Towfighi, Jeffrey L. Saver. Stroke Declines from Third to Fourth Leading Cause of Death in the United States. Stroke. Jul 2011;42:2351–2355.
  2. P.S. Pohl et al. Sensory-motor control in the ipsilesional upper extremity after stroke. NeuroRehabilitation 1997;9:57-69.
  3. Yelnik A, Bonan I, Debray M, Lo E, Gelbert F, Bussel B. Changes in the execution of a complex manual task after ipsilateral ischemic cerebral hemispheric stroke. Arch Phys Med Rehabil 1996;77:806-810.
  4. Dee LH, Van Allen MW. Speed of decision-making processes in patients with unilateral cerebral disease. Arch Neurol 1973;28:163-6.
  5. Elsass P, Hartelius H. Reaction time and brain disease: relations to location, etiology and progression of cerebral dysfunction. Acta Neurol Stand 1985;71:11-9.
  6. Vallar G, Bisiach E, Cerizza M, Rusconi ML. The role of the left hemisphere in decision-making. Cortex 1988;24:399-410.
  7. Bouska MJ, Kiwatny E. Manual for Application of the Motor-Free Visual Perceptual Test to the Adult Population. 6th ed. Philadelphia, Pa: 1983.
  8. Colarusso R, Hammill DD. MVPT. Motor Free Visual Perceptual Test. Novato, California: Academic Therapy Publication; 1972
  9. Mercier L, Hébert R, Gauthier L. Motor Free Visual Perceptual Test: impact of verbal answer card position on hemispatial visual neglect. Occup Ther J Res. 1995;15:223-236.
  10. Gauthier L, Dehaut F, Joanette Y. The Bell Test: a quantitative and qualitative test for visual neglect. Int J Clin Neuropsychol. 1989;11:49-54.
  11. Teng EL, Chui HC. The Modified Mini-Mental State (3MS) Examination. J Clin Psychiatry. 1987;48:314-318.
  12. Folstein MF, Folstein SE, McHugh PR. ‘Mini-Mental State’: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
  13. Hébert R, Bravo G, Girouard D. Validation de l’adaptation française du Modified Mini-Mental State (3MS). Rev Gériatrie. 1992;17:443-450.
  14. Jumpei Takahashi, Toru Nishiyama, Yoshimasa Matsushima. Does grip strength on the unaffected side of patients with hemiparetic stroke reflect the strength of other ipsilateral muscles? Phys. Ther. Sci. 2017;29:64–66.
  15. Suruliraj Karthikbabu, Mahabala Chakrapani. Hand-Held Dynamometer is a Reliable Tool to Measure Trunk Muscle Strength in Chronic Stroke. Journal of Clinical and Diagnostic Research. September 2017;11(9).
  16. Kim SH, Pohl PS, Luchies CW, StylianouAP, Won Y. Ipsilateral deficits of targeted movements after stroke. Arch Phys Med Rehabil 2003;84:719-24.
  17. Richard W Bohannon, Andrew Williams. Limb muscle strength is impaired bilaterally                                                          after stroke. J. Phys. Ther. Sci., 1995;10(7):1-7.
  18. Johanne Desrosiers, Daniel Bourbonnais, Gina Bravo, Pierre-Michel Roy, Manon Guay. Performance of the ‘Unaffected’ Upper Extremity of Elderly Stroke Patient. Stroke. September 1996;27:1564-1570.
  19. Nakayama H, Jorgensen HS, Raaschou HO, Olsen TS. Compensation in recovery of upper extremity function after stroke: the Copenhagen Stroke Study. Arch Phys Med Rehabil August 1994;75:852-7.
  20. Turton A, Wroe S, Trepte N, Fraser C, Lemon RN. Contralateral and ipsilateral EMG responses to transcranial magnetic stimulation during recovery of arm and hand function after stroke. Electroenceph clin Neurophysiol 1996;101:316–328.
  21. Netz J, Lammers T, Homberg V. Reorganization of motor output in the non-affected hemisphere after stroke. Brain 1997;120:1579–1586.
  22. Manganottia, S. Patuzzoa, F. Corteseb, A. Palermoa, N. Smaniaa, A. Fiaschi. Motor disinhibition in affected and unaffected hemisphere in the early period of recovery after stroke. Clinical Neurophysiology 2002;113:936–943.
  23. Heidi Johansen-Berg, Matthew F. S. Rushworth, Marko D. Bogdanovic, UdoKischka, Sunil Wimalaratna, Paul M. Matthews. The role of ipsilateral premotor cortex in hand movement after stroke. 2002;99(22):14518–14523.

Cite this article: Soumiya Selvarajan, Gajanan Bhalerao, Ashok K. Shyam, Parag Sancheti. IS THE UNAFFECTED SIDE OF STROKE PATIENTS ACTUALLY NORMAL?. Int J Physiother Res 2019;7(4):3135-3138. DOI: 10.16965/ijpr.2019.141