Measuring change in arm hand skilled performance in persons with a cervical spinal cord injury: responsiveness of the Van Lieshout Test

Spooren, Annemie; Janssen-Potten, Yvonne; Post, Marcel W.M.; Kerckhofs, Eric; Nene, A.V.; Seelen, Henk

doi:10.1038/sj.sc.3101957

Cited by 40 publications

(37 citation statements)

References 24 publications

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“…The Van Lieshout test for Tetraplegia-short form is responsive to measure changes in AHSP during rehabilitation in people with a C-SCI. 17 The Spinal Cord Independence Measure (version III) 18 rates selfcare, respiration and sphincter management, mobility in the room and toilet and mobility indoors and outdoors (on even surface). It is reliable and valid for traumatic spinal cord injury.…”

Section: Measurementsmentioning

confidence: 99%

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Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

et al. 2015

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Study design: Prospective multiple case study. Objectives: To test (1) the feasibility of haptic robot technology (Haptic Master (HM)) use to improve arm-hand function (AHF) and arm-hand skill performance (AHSP) in persons with a cervical spinal cord injury (C-SCI), (2) inventory participants' motivation and expectation to work with the robot technology used and (3) to descriptively report the results in individual cases. Setting: Rehabilitation Centre. Methods: Five C-SCI patients were trained for 6 weeks, 3 days per week, 60 min per day. Therapists filled out the Usefulness, Satisfaction and Ease-of-use questionnaire (USE). The Intrinsic Motivational Inventory (IMI) and credibility and expectancy questionnaire (CEQ) were filled out by participants. Performance at activity level was gauged using the Van Lieshout test for AHF in Tetraplegia and the Spinal Cord Independence Measure. Function level was gauged using muscle strength testing and the International Classification for Surgery of the Hand in Tetraplegia. Results: As to the feasibility of the application of haptic robot technology, the mean USE score was 65%. Mean IMI and CEQ results were 67% and 60%, respectively. Participants were motivated to train with the HM. All participants rated credibility higher than expectations regarding the improvement. In the current patients, little progress was demonstrated at the International Classification of Functioning, Disability and Health function and the activity level. Conclusion: It is feasible to train C-SCI persons with the HM. Therapists report that working with the HM is easy to learn and easy to perform. Usability of the HM may be improved. Further research is needed to assess in which group of C-SCI and at which stage of rehabilitation HM training may be most beneficial.

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Section: Measurementsmentioning

confidence: 99%

“…15 Activity level. The Van Lieshout test for Tetraplegia-short form 16,17 was used to asses actual performance of arm-hand skills. Its 10 items each range between 0 and 5.…”

Section: Measurementsmentioning

confidence: 99%

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

et al. 2015

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“…It did not define whether it was related to the level of body function or activity, according to the International Classification of Functioning, Disability and Health (ICF) model. 11 To clarify this difference, Spooren et al 12 introduced the term 'arm hand skilled performance' (AHSP) which accurately describes the functional possibilities of the arm and hand. The Van Lieshout test (VLT) used in this study, is designed to objectively quantify the quality of movement of the upper extremity at the basic activities level in persons with CSCI.…”

Section: Introductionmentioning

confidence: 99%

Arm hand skilled performance in persons with a cervical spinal cord injury—long-term follow-up

et al. 2012

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Study design: Retrospective cohort study. Objective: To assess development of arm hand skilled performance (AHSP) during and after in-patient rehabilitation in persons with cervical spinal cord injury (CSCI) and to determine factors that influence the outcome. Setting: Eight rehabilitation centres in the Netherlands with specialised spinal cord injury departments. Methods: AHSP was assessed using the Van Lieshout test (VLT) in persons admitted with recent CSCI. Assessment was carried out at the beginning (t1), after 3 months (t2), at the end (t3) of in-patient rehabilitation, and 1 and 5 years thereafter (t4, t5). Multilevel regression analysis was performed to determine development of AHSP and associations between AHSP and age, gender, motor completeness, lesion level (high or low CSCI), motor scores of upper extremity (MSUE), and pain in the tested arm. Results: Fifty-five participants were included with mean age 38 years (range 18-64). There were 73% male, 80% had high CSCI (C3-C6) and 69% had motor complete lesion. Scores of VLT improved significantly during in-patient rehabilitation (mean: t1 ¼ 25; t3 ¼ 33) (P ¼ 0.005), scores remained unchanged at 1 year (t4 ¼ 32) and 5 years (t5 ¼ 32) (P ¼ 0.903) after in-patient rehabilitation. Motor completeness, MSUE and pain were significantly related to the VLT score (Po0.001, Po0.001, P ¼ 0.015, respectively). Age, gender and lesion level had no significant relationship. Conclusion: AHSP improved during in-patient rehabilitation. It was then stable during the next 5 years after discharge. Persons with an incomplete lesion, high MSUE and no pain in the tested arm perform best on the VLT.

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“…Such measures included the Grasp Release Test, 14 the Action Research Arm Test, 5 the Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP), 15 the Motor Capabilities Scale 16 and the Van Lieshout Test. 17 After outcome measures consensus was reached, the next challenge was to incorporate these measures into the usual hand clinic assessments. It was evident for the relevant health services that extra clinician time would be required for the measurements to be completed.…”

Section: Introductionmentioning

confidence: 99%

The development of the NZ-based international upper limb surgery registry

et al. 2014

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Study design: Implementation study. Objectives: To describe the development and potential value of the New Zealand (NZ) upper limb surgery registry and report the demographic and spinal cord injury characteristics of individuals with tetraplegia collated to date. Setting: Multi Center-coordinated from Burwood Spinal Unit, NZ. Methods: Following discussions with eight international units, clinical information and outcomes measures were agreed upon for use in this specific population. To implement this consensus, a web-based upper limb surgery registry was developed in NZ. Inclusion criteria included referral to a hand clinic for clinical assessment for suitability for tendon transfer surgery. Clinical data were collected regardless of acceptance of surgery thereby creating a self-selected control group. Twenty-eight years of retrospective NZ data was entered into the registry, as well as 3 years of prospective data collected in NZ. Results: From 1982 to 2013, a total of 357 persons with tetraplegia were assessed as suitable for surgery. Of those, 223 individuals underwent surgery and 134 declined the intervention(s). The prospective group currently comprises 55 assessments with 23 surgery individuals and 32 who have declined surgery to date. Conclusion: Clinical information is now available within a web-based registry for all individuals reviewed in hand clinics from when upper limb surgery was first introduced. A broad range of outcomes of interest can easily be reported directly from the registry. The self-selected control group will allow comparative studies to be explicitly linked to the specific interventions of interest. Spinal Cord (2014) 52, 611-615; doi:10.1038/sc.2014.57; published online 6 May 2014 INTRODUCTIONUpper limb reconstructive surgical procedures for individuals with tetraplegia were first described by Moberg 1 in the early 1970s and have since been adopted in many centers worldwide. 2,3 These procedures apply to a very specific group of persons with tetraplegia, usually with injuries at the spinal levels of C4 to C7, with explicit components of motor and sensory loss, 3 as assessed for suitability for surgery by clinician experts on the basis of available donor muscles. 4 Despite reports of positive results, 2,3 the effects of these interventions in comparison with more conventional rehabilitation have not yet been studied using comprehensive and comparative designs. Moreover, most studies were small and used a vast array of outcome measures, allowing little possibility for comparison between studies. 5 Consequently, knowledge about the effects of these interventions on levels of activities, participation and quality of life is largely lacking.Clinical data routinely collected in hand surgery centers is also largely unavailable, because data collection was frequently incomplete, measures collected at variable time points and clinical examinations were largely subjective with poor reproducability, and did not necessarily use internationally agreed upon classifications. 5 In addition, where mea...

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Measuring change in arm hand skilled performance in persons with a cervical spinal cord injury: responsiveness of the Van Lieshout Test

Cited by 40 publications

References 24 publications

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

Arm hand skilled performance in persons with a cervical spinal cord injury—long-term follow-up

The development of the NZ-based international upper limb surgery registry

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