Evaluation of the graded redefined assessment of strength, sensibility and prehension (GRASSP) in children with tetraplegia

The Capabilities of Upper Extremity Test (CUE-T) is a spinal cord injury (SCI)-specific instrument based on the CUE Questionnaire (CUE-Q). To evaluate the psychometric properties of CUE-T in children with cervical SCI and determine the lowest age appropriate for test administration. In this repeated measures multicenter study, 39 youths, mean age 12.3 years and mean time post injury 5.14 years, completed two administrations of the CUE-T. Test-retest reliability, internal consistency, and known groups validity were measured. Concurrent and discriminant validity were measured against previously validated measures: CUE-Q, Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP), Spinal Cord Independence Measure (SCIM) III, SCIM III-Self Care (SCIM-SC), and SCIM-Mobility. The CUE-T scores demonstrated strong test-retest reliability (ICC ≥ 0.95), strong internal consistency (α ≥ 0.90), and acceptable individual item agreement (κ ≥ 0.49). The hand subscale had better scores ( < .05) for the motor incomplete versus complete known groups, and the arm, hand, and side subscales had better scores ( < .05) for higher versus lower strength groups. The CUE-T had strong concurrent validity with the CUE-Q ( = 0.85-0.87), GRASSP ( = 0.78-0.90), and SCIM-SC ( = 0.70) and moderate-to-weak correlation with the total SCIM ( = 0.65) and SCIM-Mobility ( = 0.51). Children older than 6 years with mature grasp patterns were able to complete the CUE-T. The CUE-T scores are reliable and valid for use in children with cervical SCI older than 6 years of age.

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Efficacy and prognosis of surgical treatment for burning hands syndrome patients

Liu,

Su,

Wang

et al. 2024

Preprint

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Purpose: Few reports have discussed surgical treatment of patients with burning hands syndrome, a mild variant of traumatic central spinal cord syndrome (TCCS). In this report, we characterized the role of surgical treatment for patients with burning hands syndrome. Methods: A total of 32 cases from August 2013 to August 2018 met the inclusion criteria, including 26 males and 6 females aged 55.7±10.8 years. All patients complained of burning, numbness, and tingling in hands after cervical hyperextension injury, and no sensory or motor dysfunction of the lower limbs. The graded redefined assessment of strength, sensibility, and prehension (GRASSP) scoring system was used to evaluate upper limb neurological function preoperatively, 1 week after surgery, and at the last follow-up. Results: All patients were followed up for more than 24 months, with an average follow-up of 50.4±18.4 months. The nerve function of the upper limbs had recovered significantly after 1 week and at the last follow-up. The percentage of patients showing improvement at 1 week after surgery was 44.7±2.6% for dorsal sensory function, 44.8±2.7% for palmar sensory function, 46.4±3.4% for strength, 44.3±4.1% for prehension ability, and 48.7±3.6% for prehension performance. The percentage of patients showing improvement at the last follow-up period was 90.2±2.5% for dorsal sensory function, 89.0±2.5% for palmar sensory function, 93.3±2.5% for strength, 91.3±2.8% for prehension ability, and 91.4±2.5% for prehension performance. Conclusions: Our results show that surgical decompression and internal fixation in patients with burning hands syndrome can achieve good neurological recovery.

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Evaluation of the graded redefined assessment of strength, sensibility and prehension (GRASSP) in children with tetraplegia

Cited by 3 publications

References 34 publications

Use of the Physical Abilities and Mobility Scale (PAMS) in Children Receiving Inpatient Rehabilitation for Spinal Cord Related Paralysis

Use of the Physical Abilities and Mobility Scale (PAMS) in Children Receiving Inpatient Rehabilitation for Spinal Cord Related Paralysis

Evaluation of the Capabilities of Upper Extremity Test (CUE-T) in Children With Tetraplegia

Efficacy and prognosis of surgical treatment for burning hands syndrome patients

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