Article

OBJECTIVE: To examine meal preparation ability after right or left hemisphere
damage (RHD, LHD) caused by stroke and whether cognitive (spatial abilities,
aphasia, limb apraxia) and motor deficits are differentially associated with meal
preparation. DESIGN: Observational cohort design. Primary care Veterans
Affair Medical Center and private medical center. PARTICIPANTS: Volunteer
right-handed sample of adults with LHD (n=30) or RHD (n=16) caused by stroke and
healthy demographically matched adults (n=63) (N=109). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Total completion time, number and type of
errors, and level of independence for a meal preparation task consisting of
making a hot beverage and toast, eating part of the meal, and clean-up. RESULTS:
Both stroke groups took significantly more time to complete the meal preparation
task than the control group. Total errors and level of independence were worse in
the group with LHD than other groups, but individual errors did not significantly
differ between the 2 stroke groups. While correlations should be interpreted
cautiously, especially in the relatively small RHD group, poorer ipsilesional
motor performance was associated with longer completion time in the RHD group,
and poorer contralesional motor performance and greater aphasia were associated
with less independence in the LHD group. CONCLUSIONS: These findings demonstrate
impaired meal preparation after LHD or RHD but greater impairment after LHD.
Poorer meal preparation is associated with different cognitive and motor deficits
in the 2 stroke groups.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS