4.5 Article

Effect of Training on Interlimb Transfer of Dexterity Skills in Healthy Adults

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0b013e3181fc7f6f

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Contralateral Hand Training; Jebsen-Taylor Hand Function Test; Hand Therapy; Hand Function

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Objective: To examine transference of dexterity skills to the contralateral hand after ipsilateral hand training, retention of skills at 1 mo, and the influence of hand dominance, sex, and age on interlimb transfer of these skills. Design: This is an interventional study involving 200 healthy adults in the age group of 20-30 yrs and >30 yrs, who were block randomized into experimental and control groups. Experimental group was further subdivided into dominant and nondominant hand training group and participants underwent 5 days unsupervised training on tasks aimed at improving precision and dexterity. Jebsen-Taylor hand function test was administered at baseline, postintervention, and 1-mo follow-up. Analysis was done by nonparametric tests of comparison. Results: One hundred sixty-nine subjects completed the study. Transfer effect was noted from the dominant to the nondominant hand (P <= 0.001) and vice versa (P = 0.003) on the total test scores. This effect was retained at 1-mo follow-up. Conclusions: Dexterity skills are not consistently transferred to the contralateral hand after ipsilateral hand training. However, transference of gross motor skills of hand function does occur with retention effects up to 1 mo. Transfer of skills differs based on the hand trained and age of the individual.

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