scholarly journals Case Report: Good Prognosis of Mixed Alien Hand Syndrome by Verbal-Cue Rehabilitation Exercise

2021 ◽  
Vol 12 ◽  
Author(s):  
Kang Qu ◽  
Lin Gan ◽  
Wei Jiang ◽  
Peng Yu ◽  
Ming Dong

Mixed alien hand syndrome is a rare disease reported in the literature. The mixed callosal–frontal variant of alien hand syndrome is associated with uncoordinated hand movements, and patients may present with an involuntary grasp reflex and intermanual conflict. There are few videos in the existing literature on the comparison of patients' condition before and after recovery of the symptoms of mixed alien hand syndrome. We presented the prognosis of mixed alien hand syndrome in the form of a video. In addition, we have included some videos on the comparison of the condition of patients before and after recovery of the symptoms of mixed alien hand syndrome. A 57-year-old woman presented with left-handed intermanual conflict and right-handed involuntary grasp reflex due to infarction of the frontal lobe and corpus callosum. She was diagnosed with a mixed callosal–frontal variant of alien hand syndrome. Her left hand counteracted the purposeful movements of the right hand. However, the intermanual conflict disappeared after 3 months of therapy, including drug treatment and verbal-cue rehabilitation, and she regained normal coordination of her hand movements. Her prognosis was good despite the large corpus callosum lesions. The uncoordinated hand movements of the patient affected her daily life and caused psychological problems. Initiating rehabilitation early was important and necessary for her to regain coordination. It is possible that the verbal-cue training method played an important role in the recovery of the patient. Therefore, this method of rehabilitation deserves consideration and can be adopted in larger cohort studies as we presented only a single case. The possible mechanisms behind the verbal-cue exercise require further studies, and this patient had a good prognosis despite severe corpus callosum injury, which may merit further investigation.

2007 ◽  
Vol 1 (4) ◽  
pp. 418-421 ◽  
Author(s):  
Leonardo Caixeta ◽  
Patrícia Maciel ◽  
Juliana Nunes ◽  
Larissa Nazareno ◽  
Letícia Araújo ◽  
...  

Abstract Alien hand syndrome consists of an autonomous motor activity perceived as an involuntary yet purposeful movement, with a feeling of foreignness of the involved limb, commonly associated with a failure to recognize ownership of the limb in the absence of visual cues. A 41 year old left-handed woman, HIV positive, evolved with loss of control in the left hand. Her left hand presented extravolitional movements, as if having a will of its own, not responding to commands such as opening a door or holding an umbrella, but instead groping unneeded objects. She had talked to her hand and even fought it. In addition, other clinical presentations including recent memory loss, hemineglect and dysphoria were observed. Computed tomography revealed a hypodensity area in the right frontal-parietal region, with midline deviation. Considering clinical and epidemiological data, the diagnosis of Central Nervous System (CNS) toxoplasmosis was reached. No previous reports showing association among AIDS, toxoplasmosis and alien hand syndrome were found.


Author(s):  
D.V. Shtanagey ◽  
G.V. Korobeynikov ◽  
A.N. Kolumbet ◽  
L.Y. Dudorova

Purpose: determining peculiarities of speed characteristics of hand movements of female boxers with different functional asymmetry types during dynamic work performance. Material: 50 highly skilled female boxers (masters of sports of international class, masters of sports). The study of female boxer psychomotor functions was designed according to a certain scheme. The motor component of motor response was examined by means of tapping test. The time of a simple and two complex visual-motor responses was determined. The study was completed by determining the identification time for visual stimuli of various degrees of complexity without a motor response. It was assumed that this will allow to consider the visual-gnostic component in a "pure" form. Such a design of the study permitted to evaluate the contribution of each component of psychomotor response to the response speed of female boxers with different types of functional hemispheric asymmetry (FHA) profile. Results: For the first time, the psychophysiological indices of female boxers were obtained. Female boxers were conditionally divided into right-handers, left-handers and ambidexters. The differences of these groups of female athletes in psychophysiological indices were established. Conclusions: In convenient mode, ambidexters perform work at a high rate than right-handers. At that, their right hand is faster than the left. The total number of movements performed by left-handers is greater than that of right-handers and ambidexters (it concerns both hands). The speed characteristics of female boxers with different types of functional asymmetry in accelerated mode are the same. The pace stability of right-handers and left-handers is high, but less than that of ambidexters. Ambidexters who use the right-handed stance are at advantage than right-handers with right-handed stance. Left-handed female athletes perform movements with greater speed than right-handed ones. For right-handed and left-handed female athletes it is more difficult to maintain the optimal pace of the right than the left hand, whereas ambidexters have problems with maintaining the optimal pace of the left hand. Left-handed female athletes are faster than right-handed ones.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
A. Lunardelli ◽  
A. Sartori ◽  
P. Mengotti ◽  
R. I. Rumiati ◽  
V. Pesavento

We report a case of a 47-year-old woman with 35-year history of multiple sclerosis, who showed alien hand signs, a rare behavioural disorder that involves unilateral goal-directed movements that are contrary to the individual's intention. Alien hand syndrome has been described in multiple sclerosis (MS) only occasionally and is generally suggestive of callosal disconnection. The patient presented also with bilateral limb apraxia and left hand agraphia, raising the possibility of cortical dysfunction or disconnection, in addition to corpus callosum and white matter involvement. Her specific pattern of symptoms supports the role of the corpus callosum in interhemispheric communication for complex as well as fine motor activities and may indicate that it can serve as both an inhibitory and excitatory function depending on task demands.


2008 ◽  
Vol 107 (2) ◽  
pp. 497-506
Author(s):  
P. S. B. Sarma

The purpose of the study was to replicate findings of an earlier study of fourth grade boys manifesting mixed handedness with a sample. Among 32 mixed-handed boys in Grades 6 to 8, the right-handed writer, left-handed thrower group obtained low spelling scores (Normal Curve Equivalent Scores) on the California Achievement Test significantly more frequently than the left-handed writer, right-handed thrower group. These findings are consistent with data for Grade 4 boys in the earlier study. Findings strengthen the hypotheses that mixed handedness is not a unitary neuropsychological entity and that boys who write with the right hand and throw with the left hand might be at risk for certain academic deficits.


2017 ◽  
Vol 5 (6) ◽  
pp. 196
Author(s):  
Sezer S Yonca ◽  
Çelikel B Engin ◽  
Yücel A Serdar ◽  
Karadağ Mustafa ◽  
Savucu Yüksel

The aim of this research is to evaluate the change in the hand grip strength of the male arm wrestlers before and after a unit of exercise. The participants of the research consist of sportsmen (n=16) of Fırat University arm wrestling team in 18-25 age group.Within the scope of the research, all of the tests and measurements (age, length, body weight, sports age, hand grip strength) were carried out on the experimental group before they started training and the same tests were repeated just after the exercises. A unit of exercise program consisted of warm up, cool down, and 5 sets of weight lifting with 12 repetitions and intensity of 70% that were in that day’s plan and program applied by the trainer.While descriptive statistics were adopted in the statistical analysis, to identify the significance level between the hand grip strength before and after the exercise paired sample t-test analysis was used. The significance level was shown as α = 0.05 in the analyses. While the right hand grip strength of the sportsmen (n=16) was statistically significant at 51.1062 ± 1.69709 before and 49.0437 ± 1.71770 (p=0.000) after the exercise, the left hand grip strength was statistically significant at 46.9000 ± 1.16179 before and 45.8063 ± 1.30078 (p=0.000) after the exercise.In conclusion, it was observed that there is a statistically significant negative decline in the hand grip strength of the arm wrestling sportsmen after a unit of exercise and it can be said that it is because of the exhaustion expected after the exercise.


2022 ◽  
Vol 8 (1) ◽  
pp. 257-262
Author(s):  
Vionita Putri ◽  
Elda Irma Jeanne Joice Kawulur ◽  
Febriza Dwiranti ◽  
Sabarita Sinuraya ◽  
Sita Ratnawati

Human has a preference to use their hands for various manual activities. Left-handed preference is people who tend to use their left hand to perform various manual activities, while right-handed people tend to use right-handed. Any researches show that the left-handed preference for more creativity was influenced by the dominant use of the right brain and bigger corpus callosum. The research aims to determine the percentage of left-handed preference and their creativity in Universitas Papua, Manokwari Papua Barat. The method used in this research is the descriptive method. Data collection used a questionnaire to evaluate individual hand preference using Handedness Questionnaire and to determine individual creativity using Adjective Check List. The percentage of left-handed people in UNIPA were 9.3% or lower than right-handed and higher than ambidextrous. Our study supports the statement about selection in handedness in the traditional society which showed a higher percentage of left-hander as advantages related to using hand intensively.  The percentage of left-handed males and females was almost equal and strongly left-handed was higher in females. The percentage of creative people was higher in left-handed, especially in males


2011 ◽  
Vol 106 (6) ◽  
pp. 3157-3172 ◽  
Author(s):  
Jordan A. Taylor ◽  
Greg J. Wojaczynski ◽  
Richard B. Ivry

Studies of intermanual transfer have been used to probe representations formed during skill acquisition. We employ a new method that provides a continuous assay of intermanual transfer, intermixing right- and left-hand trials while limiting visual feedback to right-hand movements. We manipulated the degree of awareness of the visuomotor rotation, introducing a 22.5° perturbation in either an abrupt single step or gradually in ∼1° increments every 10 trials. Intermanual transfer was observed with the direction of left-hand movements shifting in the opposite direction of the rotation over the course of training. The transfer on left-hand trials was less than that observed in the right hand. Moreover, the magnitude of transfer was larger in our mixed-limb design compared with the standard blocked design in which transfer is only probed at the end of training. Transfer was similar in the abrupt and gradual groups, suggesting that awareness of the perturbation has little effect on intermanual transfer. In a final experiment, participants were provided with a strategy to offset an abrupt rotation, a method that has been shown to increase error over the course of training due to the operation of sensorimotor adaptation. This deterioration was also observed on left-hand probe trials, providing further support that awareness has little effect on intermanual transfer. These results indicate that intermanual transfer is not dependent on the implementation of cognitively assisted strategies that participants might adopt when they become aware that the visuomotor mapping has been perturbed. Rather, the results indicate that the information available to processes involved in adaptation entails some degree of effector independence.


1995 ◽  
Vol 80 (2) ◽  
pp. 671-674 ◽  
Author(s):  
Carl Gabbard ◽  
Susan Hart

Prior research has shown that right-handed adults perform better on a speed-tapping task with the right hand and right foot, while left-handers execute more rapidly with the left hand and right foot. Speculation is that environmental influence, most likely driving experience, may account for the right-foot bias. To examine this hypothesis further, 48 young right- and left-handed children were tested on a similar protocol. Analyses indicated no significant differences in foot performance within hand-preference groups. Since these findings do not complement reports for adults, factors such as experience or maturation might contribute to the difference. Were patterns similar, the effect of environmental influence would be assumed to be small. However, much more evidence is needed before an adequate explanation can be developed. The issue of possible environmental influence is discussed from various theoretical perspectives.


1989 ◽  
Vol 41 (2) ◽  
pp. 235-250 ◽  
Author(s):  
Mary M. Smyth ◽  
Lindsay R. Pendleton

Movement to spatial targets that can, in principle, be carried out by more than one effector can be distinguished from movements that involve specific configurations of body parts. The experiments reported here investigate memory span for a series of hand configurations and memory span for a series of hand movements to spatial locations. Spans were produced normally, or in conditions in which a suppression task was carried out on the right or the left hand while the movements to be remembered were presented. All movements were recalled using the right hand. There were two suppression tasks. One involved repeatedly squeezing a tube and so changing the configuration of the hand, and the other involved tapping a repeated series of spatial targets. The spatial tapping task interfered with span for spatial locations when it was presented on either the right or the left hand but did not affect span for movement pattern. The movement suppression task interfered with memory for movement pattern when it was presented on either the right or the left hand, but did not interfere with span for spatial locations. It is concluded that memory for movement configurations involves different processes from those used in spatial tasks and that there may be a need for a subsystem of working memory that is specific for movement configuration.


1992 ◽  
Vol 50 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Susana Camposano ◽  
Fernando Lolas

Left handers and women show less anatomical brain asymmetry, larger corpus callosum and more bilateral representation of specific functions. Sensory and cognitive components of cortical auditory evoked potentials (AEF) have been shown to be asymmetric in right handed males and to be influenced by stimulus intensity. In this study the influence of sex, handedness and stimulus intensity upon AEP components is investigated under basal conditions of passive attention. 14 right handed males, 14 right handed females, 14 left handed males, and 14 left handed females were studied while lying awake and paying passive attention to auditory stimulation (series of 100 binaural clicks, duration 1 msec, rate 1/sec, at four intensities). Cz, C3 and C4 referenced to linked mastoids and right EOG were recorded. Analysis time was 400 msec, average evoked potentials were based on 100 clicks. Stimulus intensity and gender affect early sensory components (P1N1 and N1P2) at central leads, asymmetry is influenced only by handedness, right handers showing larger P1N1 amplitudes over the right hemisphere.


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