Box and block test, hand grip strength and nine‐hole peg test: correlations between three upper limb objective measures in multiple sclerosis

2020 ◽  
Vol 27 (12) ◽  
pp. 2523-2530
Author(s):  
C. Solaro ◽  
R. Di Giovanni ◽  
E. Grange ◽  
M. Mueller ◽  
M. Messmer Uccelli ◽  
...  
2016 ◽  
Vol 215 ◽  
pp. 487-493 ◽  
Author(s):  
Vinod Chainani ◽  
Sameer Shaharyar ◽  
Kairavee Dave ◽  
Vivek Choksi ◽  
Sharmila Ravindranathan ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Emma J. Schneider ◽  
Louise Ada ◽  
Natasha A. Lannin

Abstract Background There is a need to provide a large amount of extra practice on top of usual rehabilitation to adults after stroke. The purpose of this study was to determine if it is feasible to add extra upper limb practice to usual inpatient rehabilitation and whether it is likely to improve upper limb activity and grip strength. Method A prospective, single-group, pre- and post-test study was carried out. Twenty adults with upper limb activity limitations who had some movement in the upper limb completed an extra hour of upper limb practice, 6 days per week for 4 weeks. Feasibility was measured by examining recruitment, intervention (adherence, efficiency, acceptability, safety) and measurement. Clinical outcomes were upper limb activity (Box and Block Test, Nine-Hole Peg Test) and grip strength (dynamometry) measured at baseline (week 0) and end of intervention (week 4). Results Of the 212 people who were screened, 42 (20%) were eligible and 20 (9%) were enrolled. Of the 20 participants, 12 (60%) completed the 4-week program; 7 (35%) were discharged early, and 1 (5%) withdrew. Participants attended 342 (85%) of the possible 403 sessions and practiced for 324 (95%) of the total 342 h. In terms of safety, there were no study-related adverse events. Participants increased 0.29 blocks/s (95% CI 0.19 to 0.39) on the Box and Block Test, 0.20 pegs/s (95% CI 0.10 to 0.30) on the Nine-Hole Peg Test, and 4.4 kg (95% CI 2.9 to 5.9) in grip strength, from baseline to end of intervention. Conclusions It appears feasible for adults who are undergoing inpatient rehabilitation and have some upper limb movement after stroke to undertake an hour of extra upper limb practice. The magnitude of the clinical outcomes suggests that further investigation is warranted and this study provides useful information for the design of a phase II randomized trial. Trial registration Australian and New Zealand Clinical Trial Registry (ACTRN12615000665538).


2018 ◽  
Vol 2 (3) ◽  
pp. 85-91 ◽  
Author(s):  
Hamid Arazi ◽  
◽  
Roghayeh Bavafa Birak Olia ◽  
Shahriar Nafissi ◽  
Nahid Beladi Moghadam ◽  
...  

2019 ◽  
Vol 77 (11) ◽  
pp. 792-796 ◽  
Author(s):  
Numan Bulut ◽  
Ipek Gürbüz ◽  
Öznur Yilmaz ◽  
Güllü Aydin ◽  
Ayşe Karaduman

ABSTRACT Duchenne muscular dystrophy (DMD) is a disease characterized by progressive loss of muscle fiber, gradually from proximal to distal. Although a few studies have investigated hand grip strength in non-ambulatory DMD patients, a lack of literature was found determining its relationship with functional capacity. Objective: The aim of this study was to determine the associations between hand grip strength and functional measures in non-ambulatory children with DMD. Methods: Hand grip strength was evaluated using a dynamometer in children with DMD. The children with DMD were evaluated with the Turkish version of the Egen Klassifikation Scale Version 2 (EK2) for global functional capacity, the Performance of Upper Limb (PUL) for upper limb functional performance and the ABILHAND-Kids for hand ability. Results: The mean age of 38 DMD children was 12.02 ± 1.99 years. Dominant hand grip strength of the children with DMD was higher than the non-dominant hand (p < 0.05). The EK2 was 13.02 ± 5.50, PUL was 49.86 ± 14.34 and ABILHAND-Kids was 26.81 ± 7.59. Hand grip strength was found to be correlated with the EK2 (p < 0.05). Conclusions: It is known that measuring functional ability and strength in very weak children with DMD has been difficult and complex for therapists/clinicians in the clinical environment. Although there is a moderate correlation, hand grip strength may be used in clinical practice as a practical assessment tool to have an immediate insight into the global functional capacity in non-ambulatory DMD children.


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