Simple Foot Tapping Test as a Quantitative Objective Assessment of Cervical Myelopathy

Numasawa, Takuya; Ono, Atsushi; Wada, Kanichiro; Yamasaki, Yoshihito; Yokoyama, T.; Aburakawa, Shuichi; Takeuchi, Kazunari; Kumagai, Gentaro; Kudo, Hitoshi; Umeda, Takashi; Nakaji, Shigeyuki; Toh, Satoshi

doi:10.1097/brs.0b013e31821041f8

Cited by 38 publications

(24 citation statements)

References 22 publications

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“…The findings for these psychomotor indicators may reflect differences in development of the brain and nervous systems since finger-tapping is a marker of upper limb motor function including sensorimotor brain function 31 and foot-tapping is a marker of lower limb motor function controlled by the lateral descending system. 32 This is supported by the fact that faster tapping speed was related to better balance in midlife in NSHD. 7 The difference in findings between infant milestones and the adolescent indicators of motor performance may reflect differences between motor development in these 2 early life stages.…”

Section: Discussionmentioning

confidence: 90%

“…Finger‐ and foot‐tapping speeds have not previously been examined in relation to later LTPA. The findings for these psychomotor indicators may reflect differences in development of the brain and nervous systems since finger‐tapping is a marker of upper limb motor function including sensorimotor brain function and foot‐tapping is a marker of lower limb motor function controlled by the lateral descending system . This is supported by the fact that faster tapping speed was related to better balance in midlife in NSHD .…”

Section: Commentmentioning

confidence: 93%

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Motor performance in early life and participation in leisure‐time physical activity up to age 68 years

Elhakeem

Hardy

Bann³

et al. 2018

Paediatric Perinatal Epid

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BackgroundThis study examined associations between motor performance in early life and leisure‐time physical activity (LTPA) participation across adulthood, and whether these changed with age.MethodsData were from 2526 participants from the Medical Research Council National Survey of Health and Development. Motor indicators were mother‐reported ages at first standing and walking, teacher‐rated games ability at age 13, and finger‐ and foot‐tapping speed at age 15. LTPA was reported at ages 36, 43, 53, 60‐64, and 68 years and classed at each age as none, moderate (1‐4/mo), or regular (≥5/mo). Associations were examined using mixed‐effects Poisson regression models with robust error variance.ResultsBetter ability at games and faster tapping speed were associated with more frequent participation in LTPA across adulthood, for example, fully adjusted relative risk of regular LTPA across adulthood (vs none) for above‐average ability (vs below average or average) = 1.46 (95% CI 1.32, 1.61); and per 10‐unit higher number of finger‐taps/15 seconds = 1.04 (95% CI 1.02, 1.07). These associations did not vary by age (P ≥ .33 for interactions with age at LTPA). Ages at reaching motor milestones were not associated with LTPA (eg, fully adjusted relative risk of regular LTPA across adulthood for walking ≤10 and ≥18 months (vs 11‐17 months) were 1.01 (95% CI 0.86, 1.20) and 0.89 (95% CI 0.75, 1.06) respectively.ConclusionsBetter ability at games and faster tapping speed in adolescence were associated with greater participation in LTPA throughout adult life; from age 36 up to age 68. Childhood motor skill interventions may therefore have the potential to promote lifelong LTPA.

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Section: Discussionmentioning

confidence: 90%

Section: Commentmentioning

confidence: 93%

Motor performance in early life and participation in leisure‐time physical activity up to age 68 years

Elhakeem

Hardy

Bann³

et al. 2018

Paediatric Perinatal Epid

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“…Foot tapping test could be a possible addition to the clinical examination. Therefore, the task is performed mostly by distal muscles, which are related to voluntary, discrete and skilled movements (Numasawa et al 2012). So the importance of distal paresis needs further clinical evaluation.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of the bed cycling test

et al. 2016

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ObjectiveAdditionally to the forearm rolling test to detect mild unilateral upper limb dysfunction, the bed cycling test (BCT) for detection of mild to moderate lower limb dysfunction was developed, evaluated and compared to the leg holding test.MethodsIn a prospective observer‐blinded study, 60 patients with MRI/CT‐proven focal cerebral hemisphere lesions and a mild to moderate unilateral paresis of the lower limb (graduated MRC 3–4/5), and 60 control persons with normal imaging were examined and filmed. Nine observers blinded to the diagnosis evaluated these videos. The sensitivity, specificity and the positive and negative predictive values of the clinical tests were analyzed.ResultsThe observers gave a correct evaluation of BCT in 35.5% of all patients with focal cerebral lesions compared to 26.0% for the leg holding test. On the other hand, observers had false negative results in 29.1% of cases with BCT and 44.7% with leg holding test. In 36.7% of patients, only BCT was pathological while leg holding test was unremarkable. The sensitivity of the combination of both tests was 0.68 (95% CI 0.61–0.75). The BCT is more sensitive (64.3%) than leg holding test (46.2%) while the specificity of leg holding test (85.6%) is higher than of BCT (70.1%) to detect a cerebral lesion affecting the lower limb. The inter‐rater variability is high with no differences comparing different types of clinical experience.ConclusionsThe BCT is a useful additional clinical bedside test to detect subtle unilateral cerebral lesions. The BCT is easy to perform and can be added to the routine neurological examination.

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“…Many types of medical specialists are involved in this project, including orthopedic specialists, physicians, general surgeons, gynecologists, urologists, psychiatrists, dermatologists and dentists. To evaluate locomotor system function, orthopedic specialists of our department have collected biochemical and biomechanical data associated with knee OA, including that of the spine and hip joint …”

Section: Methodsmentioning

confidence: 99%

Low prevalence of knee chondrocalcinosis and its catabolic association with serum matrix metalloproteinase 3: A rural Japanese population study

et al. 2017

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Simple Foot Tapping Test as a Quantitative Objective Assessment of Cervical Myelopathy

Abstract: The FTT results correlated with those of other tests for cervical myelopathy, and the FTT scores were improved by surgery. The FTT is an easy and useful quantitative assessment method for lower extremity motor function in patients with cervical myelopathy, especially those who cannot walk.

Cited by 38 publications

References 22 publications

Motor performance in early life and participation in leisure‐time physical activity up to age 68 years

Motor performance in early life and participation in leisure‐time physical activity up to age 68 years

Clinical evaluation of the bed cycling test

Low prevalence of knee chondrocalcinosis and its catabolic association with serum matrix metalloproteinase 3: A rural Japanese population study

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