Measuring Spasticity and Fine Motor Control (Pinch) Change in the Hand After Botulinum Toxin-A Injection Using Dynamic Computerized Hand Dynamometry

Barden, Hannah Louise Holman; Baguley, Ian; Nott, Melissa; Chapparo, Christine

doi:10.1016/j.apmr.2014.05.017

Cited by 9 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1–4 The MHQ has been translated into ten languages and is used worldwide as a standardized instrument to assess outcomes for hand conditions and to evaluate the effectiveness of medical and surgical intervention, including those for trauma, nerve compression syndromes, arthritis, and inflammatory conditions. 5,6 Over 200 publications have used the MHQ to measure outcomes for disorders affecting the upper extremity from distal radius fractures (DRF) 7–9 and carpal tunnel syndrome (CTS) 10,11 to rheumatoid arthritis (RA) 12,13 and cerebral palsy 14 .…”

Section: Introductionmentioning

confidence: 99%

Normative Values of the Michigan Hand Outcomes Questionnaire for Patients with and without Hand Conditions

Nolte

Shauver

Chung

2017

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background The Michigan Hand Outcomes Questionnaire (MHQ) has been widely used for nearly twenty years to assess patients with a variety of hand and upper extremity conditions. However, normative data for this assessment has not previously been collected, limiting interpretation. Methods The MHQ was administered to 579 participants recruited from the general population. In addition to the six score domains of the MHQ, participants were asked to identify any problem affecting their hand(s), including trauma, hand disease/condition, systemic illness, or nonspecific symptoms. In addition, we collected comorbidities and demographic data for each respondent. Results Total MHQ score for healthy individuals was indicative of generally good hand function (95.2, 95% CI 94.3–96.1). Individuals with unilateral trauma had total MHQ score for their affected hand (90.3, 95% CI 87.9–92.6) that was lower than the score for their healthy hand (mean difference 5.7, 95% CI 3.2–8.3). For individuals with and without hand trauma, total MHQ score decreased with increasing number of comorbidities. Many of the differences in MHQ score between the problem hand and unaffected hand were smaller than the minimal clinically important difference (MCID) of 3.0 to 23.0 for known pathologies of the hand and upper extremity. Conclusion These normative data provide appropriate baseline information for individuals with and without underlying hand conditions. Most notably, our findings suggest that individuals with a unilateral problem establish new sub-normative values for both their affected and unaffected hand. This data will encourage an appropriate understanding of the results of future studies containing the MHQ.

show abstract