Evaluation of learning of asymmetrical bimanual tasks and transfer to converse pattern: Load, temporal and spatial asymmetry of hand movements

Upper extremity asymmetry due to nerve injuries or central neurologic conditions: a scoping review

BACKGROUND

Peripheral nerve injuries and central neurologic conditions can result in extensive disabilities. In cases with unilateral impairment, assessing the asymmetry between the upper extremity has been used to assess outcomes of treatment and severity of injury. A wide variety of validated and novel tests and sensors have been utilized to determine the upper extremity asymmetry. The purpose of this article is to review the literature and define the current state of the art for describing upper extremity asymmetry in patients with peripheral nerve injuries or central neurologic conditions.

METHOD

An electronic literature search of PubMed, Scopus, Web of Science, OVID was performed for publications between 2000 to 2022. Eligibility criteria were subjects with neurological conditions/injuries who were analyzed for dissimilarities in use between the upper extremities. Data related to study population, target condition/injury, types of tests performed, sensors used, real-world data collection, outcome measures of interest, and results of the study were extracted. Sackett's Level of Evidence was used to judge the quality of the articles.

RESULTS

Of the 7281 unique articles, 112 articles met the inclusion criteria for the review. Eight target conditions/injuries were identified (Brachial Plexus Injury, Cerebral Palsy, Multiple Sclerosis, Parkinson's Disease, Peripheral Nerve Injury, Spinal Cord Injury, Schizophrenia, and stroke). The tests performed were classified into thirteen categories based on the nature of the test and data collected. The general results related to upper extremity asymmetry were listed for all the reviewed articles. Stroke was the most studied condition, followed by cerebral palsy, with kinematics and strength measurement tests being the most frequently used tests. Studies with a level of evidence level II and III increased between 2000 and 2021. The use of real-world evidence-based data, and objective data collection tests also increased in the same period.

CONCLUSION

Adequately powered randomized controlled trials should be used to study upper extremity asymmetry. Neurological conditions other than stroke should be studied further. Upper extremity asymmetry should be measured using objective outcome measures like motion tracking and activity monitoring in the patient's daily living environment.

Participation of Soccer Training Improves Lower Limb Coordination and Decreases Motor Lateralization

Athletes, who display less lateralization, are considered to be more successful in their sports. Therefore, it is important to test the lateralization profiles of the athletes to determine future prospects. Soccer is one of the sports where lateralization plays an important role because performing the passes and kicks with either foot may increase the success rate. Improved lower limb coordination is also very essential to perform the soccer skills more efficiently. Thus, the purpose of this study was to investigate the motor lateralization profiles of youth soccer players and to compare the same lateralization to non-athletes. A total of 28 healthy youth (14 soccer players) aged between 14 and 16 years voluntarily participated in this study. All participants were right-footed and were asked to hit the targets with their either foot maintaining accuracy in a custom-made virtual reality interface. Final position error (FPE) and foot path deviation from linearity (FPDL) were calculated to test motor lateralization for each foot and group. Two-way Mixed Model ANOVA was conducted for each dependent variable. Results indicated significant differences for FPDL between groups, while there were no significant differences between groups and within feet for FPE. Nonathletes had significantly higher FPDL with their nondominant foot compared to their dominant foot, which was not observed among soccer players. Overall, nonathletes' movements were more curvature path compared to soccer players, thus, can be considered as less coordinated. As soccer players did not show a difference between their feet on FPDL and performed better than nonathletes, soccer participation can improve lower limb coordination as well as alter motor performance and lateralization.