Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia

Background: The manual muscle test (MMT) is the traditional method to assess the intrinsic hand muscle test. However, this test is qualitative and subjective. A device capable of rapidly measuring motor output along a linear scale may be of value in the evaluation of hand recovery from any neurologi...

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Main Authors: Nuray Yozbatiran, Mary Beth Russell, Radha Korupolu, Robert Grossman, Elizabeth Toups, Gerard E Francisco
Format: Article
Language:English
Published: Wolters Kluwer Health - Lippincott Williams Wilkins 2021-01-01
Series:The Journal of the International Society of Physical and Rehabilitation Medicine
Subjects:
Online Access:http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=1;spage=34;epage=39;aulast=
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author Nuray Yozbatiran
Mary Beth Russell
Radha Korupolu
Robert Grossman
Elizabeth Toups
Gerard E Francisco
author_facet Nuray Yozbatiran
Mary Beth Russell
Radha Korupolu
Robert Grossman
Elizabeth Toups
Gerard E Francisco
author_sort Nuray Yozbatiran
collection DOAJ
description Background: The manual muscle test (MMT) is the traditional method to assess the intrinsic hand muscle test. However, this test is qualitative and subjective. A device capable of rapidly measuring motor output along a linear scale may be of value in the evaluation of hand recovery from any neurological impairment. Objective: To demonstrate inter-rater reliability of the Peg Restrained Intrinsic Muscle Evaluator (PRIME) device for measuring intrinsic hand muscle strength in adults with impaired hand functions. Methods: 16 subjects (2 female, 14 male, mean age=47±15 years) with cervical spinal cord injury were enrolled. Intrinsic hand muscle strength of adults were performed by two-tester with use of PRIME device and manual muscle testing, within the same session. Inter-tester correlation was tested by Pearson's correlation and Intraclass correlation coefficient (ICC). Results: Intraclass correlation coefficients for hypothenar, first dorsal interosseous, abductor pollicis brevis and opponence pollicis muscles ranged from 0.7 to 0.8 with hypothenar muscle test being lowest ICC=0.7 and thumb opposition highest, ICC=0.81. Conclusion: Results from this study suggest that PRIME device demonstrates good reliability within testers for quantified measuring of intrinsic hand muscle strength. Further use of PRIME in clinic will aid in diagnostics, medical decision making and evaluation of rehabilitation progress in patients with cervical spinal cord injury.
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spelling doaj.art-0b3ad0a4167749158ae121366aa7abd12024-03-02T09:01:53ZengWolters Kluwer Health - Lippincott Williams WilkinsThe Journal of the International Society of Physical and Rehabilitation Medicine2589-94572021-01-0141343910.4103/jisprm.jisprm_27_20Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegiaNuray YozbatiranMary Beth RussellRadha KorupoluRobert GrossmanElizabeth ToupsGerard E FranciscoBackground: The manual muscle test (MMT) is the traditional method to assess the intrinsic hand muscle test. However, this test is qualitative and subjective. A device capable of rapidly measuring motor output along a linear scale may be of value in the evaluation of hand recovery from any neurological impairment. Objective: To demonstrate inter-rater reliability of the Peg Restrained Intrinsic Muscle Evaluator (PRIME) device for measuring intrinsic hand muscle strength in adults with impaired hand functions. Methods: 16 subjects (2 female, 14 male, mean age=47±15 years) with cervical spinal cord injury were enrolled. Intrinsic hand muscle strength of adults were performed by two-tester with use of PRIME device and manual muscle testing, within the same session. Inter-tester correlation was tested by Pearson's correlation and Intraclass correlation coefficient (ICC). Results: Intraclass correlation coefficients for hypothenar, first dorsal interosseous, abductor pollicis brevis and opponence pollicis muscles ranged from 0.7 to 0.8 with hypothenar muscle test being lowest ICC=0.7 and thumb opposition highest, ICC=0.81. Conclusion: Results from this study suggest that PRIME device demonstrates good reliability within testers for quantified measuring of intrinsic hand muscle strength. Further use of PRIME in clinic will aid in diagnostics, medical decision making and evaluation of rehabilitation progress in patients with cervical spinal cord injury.http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=1;spage=34;epage=39;aulast=handintrinsic musclestrengthtetraplegia
spellingShingle Nuray Yozbatiran
Mary Beth Russell
Radha Korupolu
Robert Grossman
Elizabeth Toups
Gerard E Francisco
Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
The Journal of the International Society of Physical and Rehabilitation Medicine
hand
intrinsic muscle
strength
tetraplegia
title Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
title_full Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
title_fullStr Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
title_full_unstemmed Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
title_short Reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
title_sort reliability of peg restrained intrinsic muscle evaluator for measurement of intrinsic hand muscle strength in adults with tetraplegia
topic hand
intrinsic muscle
strength
tetraplegia
url http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=1;spage=34;epage=39;aulast=
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