Task-oriented training for unilateral hand clumsiness characterized by inability to form tool oriented hand postures in a left hemisphere stroke patient:

A case study

Abstract

We describe a case of right hand impaired dexterity and an inability to grasp tools with both hands with precise ability to move her hand and fingers individually. Magnetic resonance brain imaging demonstrated acute left frontal and temporoparietal ischemic infarctions. Once she grasped a tool correctly, she could use it. In addition, the inability to grasp tools was mitigated upon being handed a tool or shifting the tool from one hand to the other. Right hand training with tools consisted of utilizing these compensatory strategies over a 14-day period, resulting in resumption of her being able to use tools with her right hand in daily life.