Purdue Pegboard: Test-Retest Estimates

Reddon, John R.; Gill, David; Gauk, Stephen E.; Maerz, Marita D.

doi:10.2466/pms.1988.66.2.503

Cited by 89 publications

(46 citation statements)

References 24 publications

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“…Changes in the results of controls may be due to test practice effects and/or physiological maturation. The latter is more likely, because the applied hand function tests have high retest reliability (Taylor et al 1973, Reddon et al 1988.…”

Section: Discussionmentioning

confidence: 99%

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Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills

Kuhtz-Buschbeck

Hoppe

Gölge

et al. 2003

Develop Med Child Neuro

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The recovery of gait, gross motor proficiency, and hand function was examined in 23 children (13 males, 10 females; age 4 years 7 months to 15 years 10 months) with traumatic brain injury (TBI) over five months of in patient rehabilitation. We used gait analysis, the Gross Motor Function Measure, the Developmental Hand Function Test, and the Purdue Pegboard test. Brain injury had been severe (initial Glasgow Coma Scale GCS <8) in 17 children and moderate (GCS 8–10) in six children. Compared with healthy control children of the same age and sex, repeated gait analyses in ambulatory children with brain injury showed significant reductions of velocity, stride length and cadence, and impaired balance. Spatiotemporal gait variables were correlated with Gross Motor Function Measure scores. Hand function tests revealed deficits in fine motor skills, speed, and coordination. Degree of impairment increased with trauma severity. Despite significant improvements, differences in gait velocity, stride length, and hand function of children with brain injuries and controls were still present about 8 months after TBI. Hand motor skills improved less than gait. Young age at injury was not associated with better recovery.

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Section: Discussionmentioning

confidence: 99%

“…Hand dominance was rated with a questionnaire (Oldfield 1971). Normal data and methodical details of the Purdue Pegboard test and Developmental Hand Function Test, which both have a high retest reliability, have been published elsewhere (Taylor et al 1973, Gardner and Broman 1979, Reddon et al 1988). …”

Section: Hand Function Testsmentioning

confidence: 99%

Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills

Kuhtz-Buschbeck

Hoppe

Gölge

et al. 2003

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…To rule out a drug-induced generalized impairment such as sedation, two neuropsychological tests, a Purdue Pegboard test measuring motor dexterity and a D2 test evaluating attention capacities, were administered pre-and posttreatment with placebo or amantadine (Brickenkamp, 1981;Reddon et al, 1988). …”

Section: Neuropsychological Testsmentioning

confidence: 99%

Motor-learning Impairment by Amantadine in Healthy Volunteers

Tahar

Blanchet

Doyon

2003

Neuropsychopharmacol

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NMDA receptor antagonists impair learning and memory in animal models, presumably by inhibiting long-term potentiation in the motor cortex. Human studies are limited and restricted by the paucity of safe NMDA antagonists. Here, we investigated the contribution of glutamatergic neurotransmission to the capacity of acquiring motor-adaptation learning in humans. In a double-blind design, 200 mg of amantadine (a low-affinity NMDA receptor channel blocker) or a matching placebo were given orally to groups of 14 and 13 human healthy young volunteers, respectively. Blood samples were collected 3 h after treatment to assay plasma concentrations, and the subjects were then tested using a motor-adaptation paradigm consisting of an eight-target-pointing task. To rule out drug-related generalized impairments such sedation, tests measuring motor dexterity and attention were also administered pre-and post-treatment. Comparison of the mean performance levels on the motor-adaptation task revealed that subjects in the amantadine group performed at a lower level than those in the placebo group, but this difference did not reach significance. Interestingly, however, despite plasma amantadine concentrations being relatively low, ranging from 2.09 to 4.74 mM (mean ¼ 3.3 mM), they nevertheless correlated negatively with motor learning. Furthermore, when the amantadine group was divided into low-performance and high-performance subgroups, subjects in the former subgroup displayed mean amantadine concentrations 36% higher than the latter subgroup, and performed significantly worser than the placebo group. No change in performance was found on the motor-dexterity and attention tests. Altogether, our results lend support to the hypothesis that normal NMDA receptor function is necessary for the acquisition of motor adaptation.

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“…The test is typically scored as the total number of pegs placed in a given interval of time. Research has demonstrated that the test provides a measure of finger dexterity; however, some research cautions that care should be taken to ensure that scores are reliable [36]. In spite of this warning, this pegboard test and closely related variants have been studied as an objective measure of PD.…”

Section: Pegboardmentioning

confidence: 99%

“…Countless examples utilize pegboards [35,36,37,38,39], button tapping devices [40,41,42,38,39], torque and strain devices [43,44,12], keyboards [45,10,43,11,44,12], voice recorders, and accelerometers [41,42,12].…”

Section: Objective Measurement Toolsmentioning

confidence: 99%

Development of an Objective Motor Score for Monitoring the Progression and Severity of Parkinson's Disease

Albers

2000

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This thesis describes the development of an objective motor score (OMS) of Parkinson's disease that utilizes the Quantitative Motor Assessment Tool (QMAT) developed through efforts by the Intel Corporation and the Kinetics Foundation.Parkinson's disease (PD) is a movement disorder which is a member of a group of neurodegenerative diseases marked by the depletion or impairment of dopamineproducing cells in the brain. Since PD is chronic and degenerative, treatments are intended to either improve the quality of life for sufferers by superficially treating symptoms or slow and ultimately reverse the progression of the disease. No blood test or biomarker exists, so current assessment of the disease relies on a subjective tool called the Unified Parkinson's disease rating scale (UPDRS) which is a coarse scale that requires costly clinical administration and is subject to rater bias. The objective motor score described in this thesis exhibits excellent clinimetric properties, having demonstrated usability, validity, reliability, and responsiveness. It was calibrated to the motor section of the UPDRS, but in addition to high correlation with the motor UPDRS, it demonstrated an excellent ability to track deep brain stimulation treatment levels and to detect improvement in motor function of subjects due to dopaminergic treatment. With an excellent intraclass correlation coefficient, the OMS is a reliable measure and due to the objective nature of the test, it does not suffer from rater bias. Though these results come from the development phase, they suggest that confirmatory studies will firmly establish the excellent properties of the OMS.i While further studies are in motion to improve upon the sensitivity of the OMS by exploring metrics of voice recordings and paced tapping tests, the OMS presented here is a complete and usable tool for assessing the severity of PD-related symptoms. In conjunction with the QMAT, it is ready to be used in clinical trials, clinical practice, and even in the homes of patients who suffer from PD. This makes it an invaluable tool that could begin to replace the UPDRS for use in PD research, reducing costs and confounding factors in studies as well as extending their capabilities into the home.ii Acknowledgments

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Purdue Pegboard: Test-Retest Estimates

Cited by 89 publications

References 24 publications

Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills

Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills

Motor-learning Impairment by Amantadine in Healthy Volunteers

Development of an Objective Motor Score for Monitoring the Progression and Severity of Parkinson's Disease

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