Use of Jebsen Taylor Hand Function Test in evaluating the hand dexterity in people with Parkinson's disease

2015 ◽  
Vol 28 (4) ◽  
pp. 389-395 ◽  
Author(s):  
M.K.Y. Mak ◽  
E.T.L. Lau ◽  
V.W.K. Tam ◽  
C.W.Y. Woo ◽  
S.K.Y. Yuen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hand Function ◽  
Hand Dexterity ◽  
Function Test

scholarly journals FPL tendon thickness, tremor and hand functions in Parkinson’s disease

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hasan Toktas ◽  
Umit Dundar ◽  
Özge Yilmaz Kusbeci ◽  
Alper Murat Ulasli ◽  
Ozgur Toy ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Functional Performance ◽  
Hand Function ◽  
Hand Functions ◽  
Hand Grip ◽  
Function Test ◽  
Tendon Thickness ◽  
The Relationship ◽  
Nine Hole Peg Test

AbstractIntroductionIn Parkinson’s disease (PD), a resting tremor of the thumb may affect the flexor pollicis longus (FPL) and influence hand functions. We investigated the relationship between FPL tendon thickness and hand function in PD patients and compared these characteristics with those in healthy controls.MethodsThe hand grip and pinch strengths were measured. The participants completed the Duruöz hand index, the Sollerman’s hand function test, and the Nine Hole Peg Test. The thickness of the FPL tendon was measured using ultrasonographyResultsThe FPL tendon was thicker in PD patients but was not associated with tremor severity. In PD patients, despite functional performance of the hands are impaired and grip strength is decreased, pinch strengths are preserved. FPL thickness was not correlated with grip and pinch strengths.ConclusionThe thicker FPL tendon may be associated with greater pinch and grip strengths and manual dexterity in healthy individuals. The presence of tremor is associated with a thicker FPL tendon.

scholarly journals Fine motor skills in patients with Parkinsons disease: effect of auditory cueing

2021 ◽  
Vol 6 (9) ◽  
pp. 04-12
Author(s):  
Anchal Sandillya ◽  
Deepti Sharma ◽  
Praveen Gupta
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Skills ◽  
Hand Function ◽  
Fine Motor ◽  
Dominant Hand ◽  
Fine Motor Skills ◽  
Parkinsons Disease ◽  
Function Test ◽  
Auditory Cueing

Background and purpose - Parkinson’s disease with cardinal feature of bradykinesia is a movement disorder. The effect of cueing in disorders like parkinsons patients ,stroke, spinal cord injury for improving motor skills and gait and lower limb functions have long been investigated by the Researchers, but there are dearth of studies evaluating the effect of cueing on fine motor skills in patients with parkinson’s disease. Hence this study tries to investigate the effect of auditory cueing on fine motor skills in Parkinson’s disease. Methodology - 25 diagnosed Parkinson’s patients having primary level of education, with mean age 72±5 yrs in Hoehn and Yahr stages 1 to 3 of disease and MMSE score above 24 were included in the study. Two groups were formed; one group performing activities with auditory cueing and other group performing activities without auditory cueing. Scores were calculated using Jebsen Taylor Hand Function Test. Results - Mean values of pre and post intervention timings on Jebsen Taylor Hand Function Test were calculated. Group with auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation (58.51±2.69) seconds in dominant hand and (54.59±2.43) seconds in non-dominant hand, whereas, Group without auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation of (13.39±2.07) seconds in dominant hand and (13.52±1.96) seconds in non-dominant hand. Conclusion- Auditory cueing is proved to be an effective method in improving fine motor skills in patients with Parkinsons disease.

Using the Internet to assess activities of daily living and hand function in people with Parkinson's disease

2008 ◽  
Vol 23 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Tammy Hoffmann ◽  
Trevor Russell ◽  
Leah Thompson ◽  
Amy Vincent ◽  
Mark Nelson
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Hand Function ◽  
The Internet

scholarly journals Occupational Therapy for Parkinsonian Patients: A Retrospective Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Michele Franciotta ◽  
Roberto Maestri ◽  
Paola Ortelli ◽  
Davide Ferrazzoli ◽  
Federica Mastalli ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Occupational Therapy ◽  
Early Stage ◽  
Primary Outcome Measure ◽  
Poor Quality ◽  
Secondary Outcome ◽  
Advanced Stage ◽  
Finger Dexterity ◽  
Hand Dexterity

Background. Hand functionality and finger dexterity are impaired in patients with Parkinson’s disease (PD). These disturbances lead to a dependency in activities of daily living (ADL) and poor quality of life (QoL). Objective. We aimed to evaluate whether a specific occupational therapy (OT) program is effective in improving finger and hand dexterity and its impact on ADL in PD patients. Methods. We retrospectively studied PD patients, hospitalized for a 4-week multidisciplinary intensive rehabilitation treatment (MIRT) between January 2015 and June 2018. All patients underwent 1 h/day OT treatment, 5 days a week. The primary outcome measure was the O’Connor finger dexterity test; secondary outcome measures were the Minnesota dexterity test, UPDRS II, and Self-Assessment Parkinson’s Disease Disability Scale (SPDDS). These measures were assessed at admission (T0) and discharge (T1). Results. Based on the Hoehn and Yahr scale (H&Y), patients were divided into two groups: 262 subjects in H&Y stage <3 (early-stage PD patients) and 220 in H&Y stage ≥3 (medium-advanced stage PD patients). As expected, at baseline, all measures were worse in higher H&Y stages. After treatment, both groups experienced significant improvements in all outcomes. Significant differences between early-stage and medium-advanced stage PD patients were observed only for the changes in UPDRS II, with a better improvement in patients in H&Y stage ≥3. Conclusions. We showed that PD patients who underwent a rehabilitation protocol including OT experienced improvements in finger dexterity and hand functionality. Our results underline the relevance of OT in improving autonomy and QoL in PD patients.

Occupational Performance and Hand Function in People With Parkinson’s Disease After Participation in Lee Silverman Voice Treatment (LSVT) BIG®

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Barbara M. Doucet ◽  
Mark Blanchard ◽  
Francine Bienvenu
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Grip Strength ◽  
Physical Therapist ◽  
Hand Function ◽  
Performance Measure ◽  
Occupational Performance ◽  
Left Hand ◽  
Lee Silverman Voice Treatment ◽  
Voice Treatment

Importance: People with Parkinson’s disease (PD) experience motor and functional impairment that can negatively affect daily living and participation. Objective: To examine the occupational performance and hand function outcomes of people with PD who participated in a Lee Silverman Voice Treatment (LSVT) BIG® program. Design: Retrospective record review. Setting: Outcomes were extracted from patient charts at a hospital outpatient clinic. Participants: Sixty-six clinic outpatients with PD who completed the LSVT BIG program. Intervention: An occupational therapist and a physical therapist who were certified in LSVT BIG administration delivered the 16-session LSVT BIG program. Outcomes and Measures: The Canadian Occupational Performance Measure (COPM), grip strength, and Minnesota Manual Dexterity Test (MMDT) were administered before and after participation in LSVT BIG training. Results: For participant-identified COPM goals, pre–post changes were significant, ranging from 3 to 6 points for performance and satisfaction (p &lt; .001). Grip strength in both hands showed significant gains; median scores for the right hand increased from 55.0 lb (interquartile range [IQR] 41.0, 70.0) to 64.0 lb (IQR 46.0, 80.0; p &lt; .001) and for the left hand from 52.0 lb (IQR 39.0, 64.0) to 63.0 lb (IQR 44.5, 79.5; p &lt; .001). MMDT median scores for right to left also significantly improved, from 124.0 s (IQR 113.0, 181.0) to 119.5 s (IQR 105.5, 163.5; p = .014). Conclusions and Relevance: Participation in the LSVT BIG program can improve perceived occupational performance and satisfaction and produce gains in hand strength and dexterity for people with PD. What This Article Adds: This study is the first retrospective review of data on occupational performance and hand function outcomes after participation in the LSVT BIG program. The findings of beneficial outcomes support the use of LSVT BIG in occupational therapy services to increase functional abilities among people with PD.

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