The physiotherapeutic context of loss of dominant arm function due to occupational accidents
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Department of Rheumatology and Rehabilitation, Poznań University of Medical Sciences, Poland
University of Computer Sciences and Skills Lodz, Poland
Corresponding author
Anna Kostiukow   

Department of Rheumatology and Rehabilitation, Poznań University of Medical Sciences, Poland
Ann Agric Environ Med. 2016;23(4):625-630
The study examines the problem of dominant arm function loss in rural adult patients due to work-related accidents. The types of risks involved in farmyard work include falling from a height, manually moving loads, overturning/accident whilst driving an agricultural tractor, noise and vibration, use of pesticides, and the risk of being cut or injured. The study focuses on adaptation of the non-dominant arm.

The main aim of the study was evaluation of visual-motor coordination on the basis of performance of the non-dominant hand in patients after the loss of function of the dominant arm.

Material and Methods:
The research sample consisted of 52 patients with a permanent or temporary loss of function or severely limited function of the dominant arm. The subjects were patients with arm amputations due to various occupational injuries sustained while operating agricultural and construction machinery and forestry equipment, following traumas or complicated medical surgeries of the arm, or due to car accidents. The following tests were applied in the analysis: I) Dufour cross-shaped apparatus test for assessing visual motor-coordination; II) paper-and-pencil tests and the Relay Baton motor fitness test; III) anthropometric measurements; IV) Edinburgh Handedness Inventory; and V) a questionnaire survey.

The results of the apparatus and motor tests indicate the same tendency: reaction to stimuli measured on the basis of performance of the non-dominant arm is longer in shorter and older patients.

Visual-motor coordination, as measured by the performance of the non-dominant arm, is significantly affected by the subject’s body height and arm length.

Esquenazi A. Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration. Disabil Rehabil. 2004 Jul 22-Aug 5; 26(14–15): 831–6.
Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States—2005 to 2050. Arch Phys Med Rehabil. 2008; 89: 422–429.
Owings M, Kozak LJ, National Center for Health S. Ambulatory and Inpatient Procedures in the United States, 1996. Hyattsville, Md.: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 1998.
HCUP Nationwide Inpatient Sample (NIS). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2009.
Pernot HFM, Winnubst GM, Cluitmans JJ, DeWitte LP. Amputees in Limburg: Incidence, morbidity and mortality, prosthetic supply, care utilization and functional level after one year. Prosthet Orthot Int. 2000; 24: 90 – 96.
Ministry of Health Malaysia. Conference of 2nd National Health and Morbidity Survey: Diabetes Mellitus among adults age 30 years and above. Pub Health Instit. 1997; 9: 81 – 89.
Porter R, Lemon R. Corticospinal function and voluntary movement. Oxford: Clarendon; 1993.
Jacobs S, Danielmeier C, Frey SH. Human anterior intraparietal and ventral premotor cortices support representations of grasping with the hand or a novel tool. J Cogn Neurosci. 2010; 22: 2594–2608.
Shabbott BA, Sainburg RL. Differentiating between two models of motor lateralization. J Neurophysiol. 2008; 100: 565–575.
Geschwind DH, Miller BL, DeCarli C, Carmelli D. Heritability of lobar brain volumes in twins supports genetic models of cerebral laterality and handedness. Proc Natl Acad Sci USA. 2002; 99: 3176–3181.
Siebner HR, Limmer C, Peinemann A, Drzezga A, Bloem BR, Schwaiger M, Conrad B. Long-term consequences of switching handedness: a positron emission tomography study on handwriting in “converted” left-handers. J Neurosci. 2002; 22: 2816–2825.
Klöppel S, Vongerichten A, van Eimeren T, Frackowiak RS, Siebner HR. Can left-handedness be switched? Insights from an early switch of handwriting. J Neurosci. 2007; 27: 7847–7853.
Philip BA, Frey SH. Compensatory changes accompanying chronic forced use of the nondominant hand by unilateral amputees. J Neurosci. 2014 Mar 5; 34(10): 3622–31.
Kwolek A. Rehabilitacja medyczna. (Medical rehabilitation). URBAN&PARTNER (Wrocław), 2003.
Waszkowska M, Dudek B. Aging and psychological assessment of motor vehicle driving capability. Med Pr. 2004; 55(6): 447–453.
Płotek W, Cybulski M, Kluzik A, Grześkowiak M, Jelonek J, Switała W, Janicki J, Drobnik L. Psychomotor functions and interval timing in patients receiving intravenous anaesthesia for endoscopic procedures: the pilot study. ScientificWorldJournal. 2012; Vol. 2012.
Rotter T. Metodyka psychologicznych badań kierowców, Instytut Transportu Samochodowego (Warszawa), 2003.
Preda C. Test of Visual-Motor Integration: Construct validity in a comparison with the Beery-Buktenica Developmental Test of Visual-Motor Integration. Percept Mot Skills. 1997; 84: 1439–1443.
Sortor JM, Kulp MT. Are the Results of the Beery-Buktenica Developmental Test of Visual-Motor Integration and Its Subtests Related to Achievement Test Scores? Opt Vis Sci. 2003; 80(11): 758–763.
Webb J, Abe K. Cross-Cultural Validity of the Developmental Test of Visual-Motor Integration. Percept Mot Skills. 1984; 58: 183–188.
Dankert HL, Davies PL, Gavin WJ. Occupational therapy effects on visual-motor skills in preschool children. Am J Occup Ther. 2003; 57(5): 542–9.
Campos TF. Silva SB, Fernandes MG, Araujo JF, Menezes AL. Diurnal Variation in Visual-Motor Coordination Test in Healthy Humans. Biol Rhyt Res. 2001; 32(2): 255–262.
Lewis GN, Byblow WD. Bimanual Coordination Dynamics in Poststroke Hemiparetics. J Mot Beh. 2004; 36(2): 174–188.
Drozdowski Z. Antropometria w wychowaniu fizycznym. Podręczniki Akademii Wychowania Fizycznego im. Eugeniusza Piaseckiego w Poznaniu, 1998; 24 (in Polish).
Oldfield RC. The assessment and analysis of handedness: The Edinburgh inventory. Neuropsychol. 1971; 9: 97–113.
Dane S, Yildirim S, Ozan E, Aydin N, Oral E, Ustaoglu N, Kirpinar I. Handedness, eyedness, and hand--eye crossed dominance in patients with schizophrenia: sex-related lateralisation abnormalities. Laterality. 2009; 14(1): 55–65.
Fasmer OB, Akiskal HS, Hugdahl K, Oedegaard KJ. Non-right-handedness is associated with migraine and soft bipolarity in patients with mood disorders. J Affect Disord. 2008; 108(3): 217–24.
Saltzman KM, Weems CF, Reiss AL, Carrión VG. Mixed lateral preference in posttraumatic stress disorder. J Nerv Ment Dis. 2006; 194(2): 142–4.
Hocherman S, Dimantb A, Schwartzc M. Visuo-motor coordination is normal in patients with major depression. Parkinsonism and Relat Disord. 2003; 9(6): 361–366.
Ramat S, Schmid R, Zambarbieri D. Eye-head coordination in darkness: Formulation and testing of a mathematical model. J Vestib Res. 2003; 13: 79–91.
Zambelis T, Tsivgoulis G, Karandreas N. Carpal tunnel syndrome: associations between risk factors and laterality. Eur Neurol. 2010; 63(1): 43–7.
Zuoza A, Skurvydas A, Mickeviciene D, Gutnik B, Zouzene D, Penchev B, Pencheva S. Behavior of dominant and non dominant hands during ballistic protractive target-directed movements. Fiziol Cheloveka. 2009; 35(5): 62–70.
Crandall CS, Fullerton L, Olson L, Sklar DP, Zumwalt R. Farm- related injury mortality in New Mexico, 1980–91. Accid Anal Prev. 1997; 29: 257–61.
Marucci-Wellman H, Leamon TB, Willetts JL, Binh TT, Diep NB, Wegman DH, Kriebel D. Occupational injuries in a commune in rural Vietnam transitioning from agriculture to new industries. Am J Public Health. 2011; 101(5): 854–60.
Pickett W, Hagel L, Dosman JA. Saskatchewan Farm Injury Study Team. Safety features on agricultural machines and farm structures in Saskatchewan. J Agromedicine. 2012; 17(4): 421–4.
Ozyürekoğlu T, Napolitano M, Kleinert JM. Hay baler injuries to the upper extremity. J Trauma 2007; 63: 62–9.
Brower MA, Earle-Richardson GB, May JJ, Jenkins PL. Occupational injury and treatment patterns of migrant and seasonal farmworkers. J Agromedicine. 2009; 14(2): 172–8.
Antonucci A, Siciliano E, Ladiana D, Boscolo P, Di Sivo M. Perception of occupational risk by rural workers in an area of central Italy. J Biol Regul Homeost Agents. 2012; 26(3): 439–45.
Işık D, Ceylan MF, Tekin H, Karadaş S, Güner S, Canbaz Y. Upper extremity injuries due to threshing machine. Ulus Travma Acil Cerrahi Derg. 2012; 18(1): 55–60.
Copuroglu C, Heybeli N, Ozcan M, Yilmaz B, Ciftdemir M , Copuroglu E. Major Extremity Injuries Associated with Farmyard Accidents. ScientificWorldJournal. 2012; 2012: 314038.
Zaloshnja E, Miller TR, Lawrence B. Incidence and Cost of Injury Among Youth in Agricultural Settings, United States, 2001–2006. Pediatrics. 2012; 129(4): 728–34.
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