Performance-based outcome measures of dexterity and hand function in person with hands and wrist injuries: A scoping review of measured constructs

Yong, Joshua; MacDermid, Joy C.; Packham, Tara; Bobos, Pavlos; Richardson, Julie; Moll, Sandra

doi:10.1016/j.jht.2021.04.017

Cited by 7 publications

(3 citation statements)

References 48 publications

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“…3 There is no standard method to operationally define the degree of manual dexterity or to assess it clinically. 4 It is understood that dexterous hand movements require multi-component control of finger forces, 5 of movement timing, 6 of finger independence, 7,8 and of finger movement sequences. 9,10 Obtaining measures 11,12 that represent these components complies, partially, with recent recommendations for assessing post-stroke quality of manual dexterity.…”

Section: Introductionmentioning

confidence: 99%

“…13 Moreover, approximately half of stroke patients suffer from upper limb somatosensory deficits, such as impaired tactile sensation, proprioception, and haptic object recognition, 14 negatively impacting functional outcomes and quality of life. 4,[15][16][17] Proprioception is defined as the spatio-temporal awareness of limb position and movement arising from proprioceptors (muscle-, joint-, and skin-afferents). 18 Proprioceptive post-stroke deficits impact motor control negatively.…”

Section: Introductionmentioning

confidence: 99%

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Post-Stroke Impairments of Manual Dexterity and Finger Proprioception: Their Contribution to Upper Limb Activity Capacity

van Ravestyn,

Gerardin,

Térémetz

et al. 2024

Neurorehabil Neural Repair

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Background Knowing how impaired manual dexterity and finger proprioception affect upper limb activity capacity is important for delineating targeted post-stroke interventions for upper limb recovery. Objectives To investigate whether impaired manual dexterity and finger proprioception explain variance in post-stroke activity capacity, and whether they explain more variance than conventional clinical assessments of upper limb sensorimotor impairments. Methods Activity capacity and hand sensorimotor impairments were assessed using clinical measures in N = 42 late subacute/chronic hemiparetic stroke patients. Dexterity was evaluated using the Dextrain Manipulandum to quantify accuracy of visuomotor finger force-tracking (N = 36), timing of rhythmic tapping (N = 36), and finger individuation (N = 24), as well as proprioception (N = 27). Stepwise multivariate and hierarchical linear regression models were used to identify impairments best explaining activity capacity. Results Dexterity and proprioceptive components significantly increased the variance explained in activity capacity: (i) Box and Block Test was best explained by baseline tonic force during force-tracking and tapping frequency (adjusted R2 = .51); (ii) Motor Activity Log was best explained by success rate in finger individuation (adjusted R2 = .46); (iii) Action Research Arm Test was best explained by release of finger force and proprioceptive measures (improved reaction time related to use of proprioception; adjusted R2 = .52); and (iv) Moberg Pick-Up test was best explained by proprioceptive function (adjusted R2 = .18). Models excluding dexterity and proprioception variables explained up to 19% less variance. Conclusions Manual dexterity and finger proprioception explain unique variance in activity capacity not captured by conventional impairment measures and should be assessed when considering the underlying causes of post-stroke activity capacity limitations. URL: https://www.clinicaltrials.gov . Unique identifier: NCT03934073.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post-Stroke Impairments of Manual Dexterity and Finger Proprioception: Their Contribution to Upper Limb Activity Capacity

van Ravestyn,

Gerardin,

Térémetz

et al. 2024

Neurorehabil Neural Repair

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“…Analysing and providing descriptive values of postural kinematic parameters during the performance of tasks, such as median or extreme postures, may help to reveal which are the tasks that require more extreme postures. Furthermore, the analysis of velocity-related parameters, such as median or peak velocities, may provide indicators of the level of dexterity/manipulation ability required to perform a given task, as some literature reviews of measures of dexterity and hand function tests observed that 20% of these tests assessed speed and quality of movement, 10% just quality of movement, and 70% just velocity [223]. Moreover, descriptive data of both postural and velocity-related parameters obtained from a representative sample of healthy subjects while developing representative ADLs can be also used as normative data for clinical assessment.…”

Section: Introductionmentioning

confidence: 99%

Contributions to hand kinematics characterisation during product manipulation in activities of daily living

Sales¹

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The aim of this thesis is to contribute to the characterisation of hand kinematics during product manipulation in activities of daily living (ADLs), and it is the outcome of the research studies in which I have participated in the Biomechanics and Ergonomics Group of the Universitat Jaume I. This aim is composed of three main objectives: (i) validating the use of instrumented gloves as a motion capture system for recording hand kinematics during ADLs, (ii) characterising hand kinematics in ADLs using posture and velocity-related parameters, identifying task groups requiring extreme postures or velocities, and creating a large dataset of hand kinematic data during ADLs to this purpose, and (iii) analysing the effect of assistive devices (ADs) on hand and upper limb kinematics, both using qualitative and quantitative kinematic parameters. The results presented in this thesis can be useful for researchers devoted to hand kinematics, functional assessment, rehabilitation, product design, ADs design and prescription, or to artificial intelligence applications. Agraïments 17 AgraïmentsNo és gens fàcil expressar en unes línies tot l'agraïment que voldria transmetre a totes les persones que han estat donant-me suport durant tots aquests anys i que, d'alguna manera, formen part d'aquesta tesi.En primer lloc voldria agrair als meus directors de tesi, Ximo i Marga, tota la seua dedicació i paciència. El seu suport tant a nivell laboral com personal ha sigut imprescindible per poder dur a terme aquesta tesi. Gràcies per haver confiat en mi i haver-me donat l'oportunitat de formar-me al vostre costat. Així mateix, voldria donar les gràcies a tots els companys del Grup de Biomecànica i Ergonomia i de l'Àrea d'Expressió Gràfica en l'Enginyeria, especialment als meus companys Vero, Néstor, Vicent i Quique per haver estat sempre ahí per a tot, tant els dies bons com els no tant bons. Pels seus consells, per la seua ajuda i, sobre tot, pel seu suport a nivell anímic. Voldria agrair també a Sonia Buralla, Miguel Jiménez i Marina Cañadas la seva ajuda per a la realització dels experiments al laboratori, així com a totes les persones que van participar en els experiments de manera desinteressada.Gràcies també a Jon Sanford i a tots els membres del Center for Inclusive Design and Innovation del Georgia Institute of Technology per acollir-me durant el període en el qual vaig realitzar l'estada i permetre'm aprendre al seu costat. I, especialment, gràcies a Adriana Weinberg i Marc Esquerrà. La meva estada a Atlanta no haguera sigut el mateix sense ells dos.

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Brazilian version of the Jebsen Taylor Hand Function test: An observational cross-sectional study on standardization, reliability and normative data

Hilário

Caiano

Ricci

et al. 2023

Journal of Hand Therapy

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Performance-based outcome measures of dexterity and hand function in person with hands and wrist injuries: A scoping review of measured constructs

Cited by 7 publications

References 48 publications

Post-Stroke Impairments of Manual Dexterity and Finger Proprioception: Their Contribution to Upper Limb Activity Capacity

Post-Stroke Impairments of Manual Dexterity and Finger Proprioception: Their Contribution to Upper Limb Activity Capacity

Contributions to hand kinematics characterisation during product manipulation in activities of daily living

Brazilian version of the Jebsen Taylor Hand Function test: An observational cross-sectional study on standardization, reliability and normative data

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