The inconsistencies in the research findings looking to test for the Levy-Reid hypothesis on the relationship between hand posture and laterality have been accounted for in various ways. Some authors (Cohen, 1991; Weber and Bradshaw, 1981) have suggested that existing methodologies for experimentally establishing laterality of language functioning are unreliable. To overcome this constraint, we have taken Halsey, Blauenstein, Wilson, and Wills' (1980) suggestion of using cerebrovascular accident (CVA) patients in which laterality of expressive speech has been established incontrovertibly. We examined 74 CVA subjects assessing hand posture, handedness, and side of stroke. Our findings lend support for Levy-Reid, nevertheless further examination of the hypothesis using a cross-cultural sample underscores the impact education and culture have on hand posture.