Manual Muscle Strength Testing: Intraobserver and Interobserver Reliabilities for the Intrinsic Muscles of the Hand

Brandsma, J. Willem; Schreuders, Ton A.R.; Birke, J.A.; Piefer, Angelika; Oostendorp, R.A.B.

doi:10.1016/s0894-1130(12)80014-7

Cited by 132 publications

(78 citation statements)

References 25 publications

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“…Strength testing included muscles that had a strong representation at each anatomical neurological level (Moore, 1985), and multiple muscles per myotome were included. Traditional motor grading (Daniels and Worthington, 1995;Brandsma et al, 1995) was employed for the strength testing. Prehension was included to represent the influence of sensation and strength on goal-oriented upper limb tasks.…”

mentioning

confidence: 99%

The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity

Kalsi-Ryan

Beaton

Curt

et al. 2012

Journal of Neurotrauma

149

130

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mentioning

confidence: 99%

The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity

Kalsi-Ryan

Beaton

Curt

et al. 2012

Journal of Neurotrauma

149

130

View full text Add to dashboard Cite

“…Manual muscle testing was scored based on the MRC scale, adapted for assess-ment of hand muscles. 17,18 The details of the RIHM and the measurement protocol have been described elsewhere. 13,15 In short, during the RIHM measurements, patients were asked to hold the finger or thumb in the instructed position while the force was slowly increased until the subject would not be able to maintain the same position (break test).…”

mentioning

confidence: 99%

Dynamometry of intrinsic hand muscles in patients with Charcot–Marie–Tooth disease

Selles¹,

Ginneken²,

Schreuders³

et al. 2006

Neurology

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Abstract-Background: Several problems are associated with manual muscle testing and dynamometry in the hands of patients with Charcot-Marie-Tooth (CMT) disease. Objective: To evaluate the efficacy of the Rotterdam Intrinsic Hand Myometer (RIHM) to directly measure intrinsic hand muscle strength in CMT disease. Methods: We measured hand muscle strength and hand function in 41 patients with CMT disease. Results: RIHM measurement of intrinsic strength had excellent reliability. We found overlapping RIHM strength values in Medical Research Council grades 3 to 5. High grip and pinch strength could be found in patients with severe intrinsic muscle weakness. RIHM measurements were more strongly correlated with fine motor skills of the hand than grip and pinch strength. Conclusions: The Rotterdam Intrinsic Hand Myometer is a reliable instrument to measure intrinsic hand muscles strength in patients with CharcotMarie-Tooth disease, providing more detailed information than manual muscle testing and a more direct assessment of intrinsic muscle loss than grip and pinch dynamometers.

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“…Therefore we cannot provide the interobserver variability. However, the interobserver reliability of pinprick sensation was 81% [18] and 72% to 93% of the Lovett scale [4], according to previous studies.…”

Section: Methodsmentioning

confidence: 70%

Parecoxib Added to Ropivacaine Prolongs Duration of Axillary Brachial Plexus Blockade and Relieves Postoperative Pain

Liu

Zhao

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Cyclooxygenase (COX)-2 antagonist is widely used for intravenous postoperative pain relief. Recent studies reported COX-2 in the spinal dorsal horn could modulate spinal nociceptive processes. Epidural parecoxib in rats showed no neurotoxicity. These findings suggested applying a COX-2 antagonist directly to the central or peripheral nerve might provide better analgesia. Questions/purposes We therefore determined: (1) whether the addition of parecoxib to ropivacaine injected locally on the nerve block affected the sensory and motor block times of the brachial plexus nerve block; and (2) whether parecoxib injected locally on the nerve or intravenously had a similar analgesic adjuvant effect.Methods We conducted a randomized controlled trial from January 2009 to November 2010 with 150 patients scheduled for elective forearm surgery, using a multiplenerve stimulation technique. Patients were randomly allocated into one of three groups: Group A (n = 50) received ropivacaine 0.25% alone on the brachial plexus nerve; Group B (n = 50) received ropivacaine together with 20 mg parecoxib locally on the nerve block; and Group C (n = 50) received 20 mg parecoxib intravenously. We recorded the duration of the sensory and motor blocks, and the most severe pain score during a 24-hour postoperative period.

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Manual Muscle Strength Testing: Intraobserver and Interobserver Reliabilities for the Intrinsic Muscles of the Hand

Cited by 132 publications

References 25 publications

The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity

The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity

Dynamometry of intrinsic hand muscles in patients with Charcot–Marie–Tooth disease

Parecoxib Added to Ropivacaine Prolongs Duration of Axillary Brachial Plexus Blockade and Relieves Postoperative Pain

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