Hand kinematics in osteoarthritis patients while performing functional activities

Gracia-Ibáñez, Verónica; Agost, María-Jesús; Bayarri-Porcar, Vicente; Granell, Pablo; Sancho-Bru, Joaquı́n L.

doi:10.1080/09638288.2022.2051082

Cited by 13 publications

(20 citation statements)

References 42 publications

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“…The proposed synergy-based methodology warranties the kinematics in terms of ranges of motion, velocities and strategies. The strategies found in each set of activities presented high similarity (µ(SD): 20 (9) degrees for healthy population, 25.5(5.96) degrees for HOA population). Note that these angles are between PCs/synergies.…”

Section: Discussionmentioning

confidence: 98%

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BE-UJI hand function activity set for the evaluation of the healthy and pathological hand

Jarque-Bou

Gracia-Ibáñez

Vergara

et al. 2022

Preprint

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Background. Hand kinematics during hand function tests based on the performance of activities of daily living (ADL) can provide objective data to determine patients’ functional loss. However, they are rarely used during clinical evaluation due to their long duration. Starting from the 20 tasks of the Sollerman Hand Function Test (SHFT), we propose to identify a smaller set of ADLs that provides similar kinematic information to the original full set, in terms of synergies, ranges of motion and velocities. Methods. We used an iterative method with the kinematics of 16 joints of the hand while performing the 20 ADLs of the SHFT. For each subject, the ADLs were ordered according to their influence on the synergies obtained by means of principal component analysis, and the minimum number of ADL that represented the original kinematic synergies (maximum angle of 30 degrees between synergies) and keeping the ranges of joint movements (85% of the original ones) were selected for each subject. Then, the set of the most frequently selected ADLs was verified to be representative of the SHFT ADLs in terms of motion strategies, ranges of motion and joint velocities, considering healthy subjects and Hand Osteoarthritis patients.Results. A set of 10 tasks, the BE-UJI activity set, was identified, ensuring a certain bounded synergy similarity (maximum mean angle between synergies of 25.5 degrees), functional joint ranges (maximum differences of 10 degrees) and joint velocities (maximum differences of 15 degrees per second). Tasks obtained are: Pick up coins from purses, lift wooden cubes, pick put nuts and turn them, write with pen, cut with a knife, lift telephone, unscrew lid of jars and pour water from a cup, a jar and a Pure-Pak. These activities warranty the use of the seven most common hand-grips in ADL.Conclusion. The BE-UJI activity set for the hand function assessment could be used in clinics as an alternative to the SHFT, reducing the time of the assessment while allowing clinicians to obtain objective kinematic data of motor strategies, range of motion and joint velocities used by patients.

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Section: Discussionmentioning

confidence: 98%

“…Hand kinematics data from twenty-seven healthy subjects while performing the 20 tasks of SHFT was used [9] (Figure 1). Each subject performed these 20 ADL under controlled laboratory conditions, using real objects and following the original test instructions [5].…”

Section: Experimental Studymentioning

confidence: 99%

BE-UJI hand function activity set for the evaluation of the healthy and pathological hand

Jarque-Bou

Gracia-Ibáñez

Vergara

et al. 2022

Preprint

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“… 30,50–52 At the same time, an impaired sense of smell often renders them unaware of oral halitosis 52 . Manual skills decline along with reduced hand strength and muscular coordination, especially when osteoarthritis is present 53 . Hence performing the necessary gestures for oral hygiene becomes a challenge 39 .…”

Section: Age‐related Reasons For Periodontal Infectionsmentioning

confidence: 99%

“…52 Manual skills decline along with reduced hand strength and muscular coordination, especially when osteoarthritis is present. 53 Hence performing the necessary gestures for oral hygiene becomes a challenge. 39 Oral hygiene tools can be adapted to the needs of elderly people experiencing reduced manual dexterity, hand strength, and/or vision, but the prevalence of these tools and awareness of their existence remains low.…”

Section: Age‐related Reasons For Periodontal Infectionsmentioning

confidence: 99%

Periodontitis and peri‐implantitis in elderly people experiencing institutional and hospital confinement

Müller

Srinivasan

Krause

et al. 2022

Periodontology 2000

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Between 1998 and2018, the number of hospitalizations for major osteoporotic fractures increased. After standardization for age, these numerical increases translated into a reduced incidence of hospitalizations for hip fractures and an increased incidence of hospitalizations for spine, proximal humerus, and distal radius fractures in both sexes. Introduction The longterm epidemiological trends of hospitalizations for major osteoporotic fractures (MOF) between 1998 and 2018 in Switzerland are unknown. Methods The absolute number of acute hospitalizations for MOF (hip fractures and fractures of the spine, proximal humerus, and distal radius) and related length of acute hospital stay were extracted from the medical database of the Swiss Federal Office of Statistics. Age-standardized incidence rates were calculated using 1998 as the reference year. Results Hospitalizations for MOF increased from 4483 to 7542 (+ 68.2%) in men and from 13,242 to 19,362 (+ 46.2%) in women. The age-standardized incidence of hospitalizations for MOF increased by 5.7% in men (p = 0.002) and by 5.1% in women (p = 0.018). The age-standardized incidence of hip fractures decreased by 15.3% in men (p < 0.001) and by 21.5% in women (p < 0.001). In parallel, the age-standardized incidence of MOF other than hip fractures increased by 31.8% in men (p < 0.001) and by 40.1% in women (p < 0.001). The mean length of acute hospital stays for MOF decreased from 16.3 to 8.5 days in men and from 16.9 to 8.1 days in women. Conclusion Between 1998 and 2018, the number of hospitalizations for MOF increased significantly by a larger extent than expected based on the ageing of the Swiss population alone. This increase was solely driven by an increased incidence of MOF other than hip fractures as incident hip fractures decreased over time in both sexes, more so in women than in men.

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“…Hand osteoarthritis (HOA) is a highly prevalent chronic disease that affects 67% of women and 55% of men aged over 55 years 16 . HOA symptoms include pain, stiffness and inflammation, which narrow ranges of movement 17 and reduce grasp force 18 in pinch and cylindrical grasps. HOA patients aged under 64 years develop significantly smaller maximal cylindrical force 18 compared to the values segregated by gender and age of Mathiowetz et al 2 , with a mean decrease of over 25% for patients (male and female) aged less than 60 years, of about 13% for female patients aged 60–64 years, and no significant decrease for patients (male and female) aged over 64 years.…”

Section: Introductionmentioning

confidence: 99%

Impact of hand osteoarthritis in women on maximal forces in six different grasp types

Gracia-Ibáñez,

Jarque-Bou,

Bayarri-Porcar

et al. 2023

Sci Rep

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This work aims to: (1) Provide maximal hand force data on six different grasp types for healthy subjects; (2) detect grasp types with maximal force significantly affected by hand osteoarthritis (HOA) in women; (3) look for predictors to detect HOA from the maximal forces using discriminant analyses. Thirty-three healthy subjects (37 ± 17 years, 17 women, 16 men) and 30 HOA patients (72 ± 9 years, all women) participated in the experiment. Participants were asked to exert their maximal force while performing six different grasp types 3 times. Two MANOVAs were conducted to detect if force depended on gender in healthy participants and if force significantly diminished in women with HOA. Finally, a linear discriminant analysis for detecting HOA was performed using forces of the grasp types that were significantly affected by HOA. Gender-disaggregated statistics are provided for healthy participants. Significant differences are obtained for all grasp types per gender. The women with HOA exerted significantly lower force values (p < 0.001) for all the grasp types than healthy ones. The discriminant analysis revealed that oblique grasp was the most significant one for detecting HOA. A discrimination equation was obtained with a specificity of 88.2% and a sensitivity of 83.3%. This work provides grip force data on six grasp types for healthy participants and for women with HOA. HOA women present reduced strength in all grasps due to pathology. Three of these grasps are a novelty. Oblique grasp strength may suffice to discriminate a patient with HOA, which might help non-invasive HOA detection.

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Hand kinematics in osteoarthritis patients while performing functional activities

Cited by 13 publications

References 42 publications

BE-UJI hand function activity set for the evaluation of the healthy and pathological hand

BE-UJI hand function activity set for the evaluation of the healthy and pathological hand

Periodontitis and peri‐implantitis in elderly people experiencing institutional and hospital confinement

Impact of hand osteoarthritis in women on maximal forces in six different grasp types

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