Bimanual hand use following stroke: evaluation of improvement prediction and recovery

Takeaway

  • Following stroke, bimanual activity performance improves over time at approximately the same trajectory as unimanual performance; the FMA-SAFE sum-score was the strongest univariate and multivariable predictor of outcome and recovery for both unimanual and bimanual performance.

Why this matters

  • The Adult Assisting Hand Assessment Stroke scale (Ad-AHA) has recently been used to measure and validate unimanual performance in the dominant hand following stroke, but bimanual performance is less well studied.

  • This study provides evidence that can offer reassurance to people recovering from stroke and their caregivers concerning bimanual performance recovery time and outcomes.