Innovative evaluation of dexterity in pediatrics

Duff, Susan V.; Aaron, Dorit H.; Gogola, Gloria R.; Valero-Cuevas, Francisco J.

doi:10.1016/j.jht.2015.01.004

Cited by 20 publications

(18 citation statements)

References 46 publications

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“…Yet still others emphasize work limits (i.e., time to completion) such as the Nine Hole Peg test (NHPT; Oxford Grice et al, 2003 ) and the Functional Dexterity test (Mathiowetz et al, 1985b ; van Lankveld et al, 1996 ). While all of these outcome measures have shown utility, it is recognized that they offer limited information (Light et al, 1999 , 2002 ; Duff et al, 2015 ). As a result, new assessment tools were developed that include a battery of measures designed to assess a set of motor functional abilities like the Jebsen Taylor Hand Function (Jebsen et al, 1969 ) and TEMPA tests (Desrosiers et al, 1995 ).…”

Section: Introductionmentioning

confidence: 99%

Outcome measures for hand function naturally reveal three latent domains in older adults: strength, coordinated upper extremity function, and sensorimotor processing

Lawrence

Dayanidhi

Fassola

et al. 2015

Front. Aging Neurosci.

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Understanding the mapping between individual outcome measures and the latent functional domains of interest is critical to a quantitative evaluation and rehabilitation of hand function. We examined whether and how the associations among six hand-specific outcome measures reveal latent functional domains in elderly individuals. We asked 66 healthy older adult participants (38F, 28M, 66.1 ± 11.6 years, range: 45–88 years) and 33 older adults (65.8 ± 9.7 years, 44–81 years, 51 hands) diagnosed with osteoarthritis (OA) of the carpometacarpal (CMC) joint, to complete six functional assessments: hand strength (Grip, Key and Precision Pinch), Box and Block, Nine Hole Pegboard, and Strength-Dexterity tests. The first three principal components suffice to explain 86% of variance among the six outcome measures in healthy older adults, and 84% of variance in older adults with CMC OA. The composition of these dominant associations revealed three distinct latent functional domains: strength, coordinated upper extremity function, and sensorimotor processing. Furthermore, in participants with thumb CMC OA we found a blurring of the associations between the latent functional domains of strength and coordinated upper extremity function. This motivates future work to understand how the physiological effects of thumb CMC OA lead upper extremity coordination to become strongly associated with strength, while dynamic sensorimotor ability remains an independent functional domain. Thus, when assessing the level of hand function in our growing older adult populations, it is particularly important to acknowledge its multidimensional nature—and explicitly consider how each outcome measure maps to these three latent and fundamental domains of function. Moreover, this ability to distinguish among latent functional domains may facilitate the design of treatment modalities to target the rehabilitation of each of them.

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Section: Introductionmentioning

confidence: 99%

Outcome measures for hand function naturally reveal three latent domains in older adults: strength, coordinated upper extremity function, and sensorimotor processing

Lawrence

Dayanidhi

Fassola

et al. 2015

Front. Aging Neurosci.

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“…The peripheral device allowed to analyze the static and dynamic strength during the whole range of movement, as well as to measure grip strength for the handling of each object. The peripheral devices found in the literature measure strength, an ADL or perform only an analysis of the movements (Duff et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…The use of instruments for the strength and quantification of ROM has been a contribution in the search for 108/109 parameters in both strength and evolution of the ROM gain, according to their functionality (Duff et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Peripheral device to quantify grip and pinch capacity of children

et al. 2018

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Introduction: Grip and pinch movements are important to perform daily activities and to manipulate objects. In this paper we describe the development and evaluation of a peripheral device to quantify cylindrical grip, pulp-to-pulp pinch, pulp-to-side pinch strength and range of motion of children. Methods: Three objects were selected: a door handle, a switch, and a key, which were instrumented with force sensing resistors to analyse the strength. Potentiometers were used to verify the range of motion and micro switches to assure the correct position of the fingers during the movement execution. Thirty volunteers (8.77 ± 1.28), both male and female, were selected to test the peripheral device functionality. Results: The results determined the minimum necessary strength values for the object activation and maximum displacement, in which the values are 2.5N, 40°; 2.7N, 55°; and 2.8N, 100%, for door handle object, key object, and switch object, respectively. In the functionally tests, volunteers have shown a superior strength for activating each object and 73.33% of them have completed the range movement in the key object, 86.67% in the switch object, and 93.33% in the door handle object. Conclusion: The developed peripheral device enabled the measurement of range and static and dynamic strength of grip and pinch movements of children.

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“…This technique uses factors such as: the time it takes to fill the first line of holes, the total time, the number of cylinders that fell, and the number of cylinders placed to evaluate the user. This test has been used to measure dexterity in children [10] [19] and healthy adults [19].…”

Section: Methods or Techniques To Measure Motor Skill And In What Patmentioning

confidence: 99%

“…Studies have been conducted on children [10] and healthy adults [23], patients with schizophrenia [24], osteoarthritis [25] and chronic fatigue syndrome [26]. is performed with the hand most affected and with a certain grip pattern.…”

Section: Methods or Techniques To Measure Motor Skill And In What Patmentioning

confidence: 99%

Techniques and methods for monitoring the evolution of upper limb fine motor skills

Villamarín

Rodas

et al. 2019

ing. Solidar

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Introduction: This review article is the product of research on the methods, techniques and devices used in the measurement of fine motor skills of upper limbs and its respective evolution, developed at Universidad del Cauca in 2018. Problem: Objective measurement of the evolution of upper limb motor skills in the rehabilitation processes. Objective: To identify the conventional techniques and electronic devices used in the measurement of the evolution of upper limb motor ability. Methodology: Four scientific databases were reviewed in addition to the Google Scholar search engine. The keywords used for the search were: "fine motor skills", "hand measurement", "hand rehabilitation"and "hand function", among others. Results: Approximately 3840 articles related to the subject were found. When applying the exclusion criteria, the article number to be revised was reduced to 63, which were analyzed in the present review. Conclusions: The tools applied by health professionals are convenient due to their rapid execution and easy access, however they can be subject to human error since they depend on the experience of the user. Electronic systems present objective measurements, however, their complexity and cost are high. Originality: This work presents information on the therapeutic techniques and technological devices used, in certain pathologies, for the evaluation of upper limb motor ability. Limitations: Not all articles analyzed have a detailed description of the people in which the studies were conducted.

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Innovative evaluation of dexterity in pediatrics

Cited by 20 publications

References 46 publications

Outcome measures for hand function naturally reveal three latent domains in older adults: strength, coordinated upper extremity function, and sensorimotor processing

Outcome measures for hand function naturally reveal three latent domains in older adults: strength, coordinated upper extremity function, and sensorimotor processing

Peripheral device to quantify grip and pinch capacity of children

Techniques and methods for monitoring the evolution of upper limb fine motor skills

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