2023 Volume 42 Issue 6 Pages 780-787
Upper extremity function in stroke patients often positively correlates with frequency of paralyzed hand use. However, some studies indicate the possibility of a discrepancy between higher hand function and lower paretic arm use in daily living. Few studies have examined the effects of higher functional disability, and not many have reported that cognitive dysfunction leads to lower paretic arm use, although most research has focused on psycho-behavioral issues in patients. In the present study, we experienced a patient who had improved motor function after stroke, but still lacked lower paretic arm use in daily life. Neuropsychological examination revealed motor neglect and abulia. We hypothesized that these factors may have influenced his behavior using the paretic arm.
