Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus

BackgroundThe Finger Tapping (F-T) test is useful for assessing motor function of the upper limbs in patients with idiopathic normal pressure hydrocephalus (iNPH). However, quantitative evaluation of F-T for iNPH has not yet been established. The purpose of this study was to investigate the usefulne...

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Main Authors: Yoko Shimizu, Motoki Tanikawa, Mitsuya Horiba, Kento Sahashi, Shoji Kawashima, Akihiko Kandori, Tomoyasu Yamanaka, Yusuke Nishikawa, Noriyuki Matsukawa, Yoshino Ueki, Mitsuhito Mase
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Human Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2023.1109670/full
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author Yoko Shimizu
Yoko Shimizu
Motoki Tanikawa
Mitsuya Horiba
Kento Sahashi
Shoji Kawashima
Akihiko Kandori
Tomoyasu Yamanaka
Yusuke Nishikawa
Noriyuki Matsukawa
Yoshino Ueki
Mitsuhito Mase
author_facet Yoko Shimizu
Yoko Shimizu
Motoki Tanikawa
Mitsuya Horiba
Kento Sahashi
Shoji Kawashima
Akihiko Kandori
Tomoyasu Yamanaka
Yusuke Nishikawa
Noriyuki Matsukawa
Yoshino Ueki
Mitsuhito Mase
author_sort Yoko Shimizu
collection DOAJ
description BackgroundThe Finger Tapping (F-T) test is useful for assessing motor function of the upper limbs in patients with idiopathic normal pressure hydrocephalus (iNPH). However, quantitative evaluation of F-T for iNPH has not yet been established. The purpose of this study was to investigate the usefulness of the quantitative F-T test and optimal measurement conditions as a motor evaluation and screening test for iNPH.MethodsSixteen age-matched healthy controls (mean age 73 ± 5 years; 7/16 male) and fifteen participants with a diagnosis of definitive iNPH (mean age 76 ± 5 years; 8/15 male) completed the study (mean ± standard deviation). F-T performance of the index finger and thumb was quantified using a magnetic sensing device. The performance of repetitive F-T by participants was recorded in both not timing-regulated and timing-regulated conditions. The mean value of the maximum amplitude of F-T was defined as M-Amplitude, and the mean value of the maximum velocity of closure of F-T was defined as cl-Velocity.ResultsFinger Tapping in the iNPH group, with or without timing control, showed a decrease in M-Amplitude and cl-Velocity compared to the control group. We found the only paced F-T with 2.0 Hz auditory stimuli was found to improve both M-Amplitude and cl-Velocity after shunt surgery.ConclusionThe quantitative assessment of F-T with auditory stimuli at the rate of 2.0 Hz may be a useful and potentially supplemental screening method for motor assessment in patients with iNPH.
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spelling doaj.art-471fd10db2f341aaa6e9a297666c1b132023-02-23T11:11:43ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-02-011710.3389/fnhum.2023.11096701109670Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalusYoko Shimizu0Yoko Shimizu1Motoki Tanikawa2Mitsuya Horiba3Kento Sahashi4Shoji Kawashima5Akihiko Kandori6Tomoyasu Yamanaka7Yusuke Nishikawa8Noriyuki Matsukawa9Yoshino Ueki10Mitsuhito Mase11Department of Rehabilitation Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Rehabilitation Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Rehabilitation Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurology and Neuroscience, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanHitachi, Ltd., Research and Development Group, Center for Exploratory Research, Tokyo, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurology and Neuroscience, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Rehabilitation Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanBackgroundThe Finger Tapping (F-T) test is useful for assessing motor function of the upper limbs in patients with idiopathic normal pressure hydrocephalus (iNPH). However, quantitative evaluation of F-T for iNPH has not yet been established. The purpose of this study was to investigate the usefulness of the quantitative F-T test and optimal measurement conditions as a motor evaluation and screening test for iNPH.MethodsSixteen age-matched healthy controls (mean age 73 ± 5 years; 7/16 male) and fifteen participants with a diagnosis of definitive iNPH (mean age 76 ± 5 years; 8/15 male) completed the study (mean ± standard deviation). F-T performance of the index finger and thumb was quantified using a magnetic sensing device. The performance of repetitive F-T by participants was recorded in both not timing-regulated and timing-regulated conditions. The mean value of the maximum amplitude of F-T was defined as M-Amplitude, and the mean value of the maximum velocity of closure of F-T was defined as cl-Velocity.ResultsFinger Tapping in the iNPH group, with or without timing control, showed a decrease in M-Amplitude and cl-Velocity compared to the control group. We found the only paced F-T with 2.0 Hz auditory stimuli was found to improve both M-Amplitude and cl-Velocity after shunt surgery.ConclusionThe quantitative assessment of F-T with auditory stimuli at the rate of 2.0 Hz may be a useful and potentially supplemental screening method for motor assessment in patients with iNPH.https://www.frontiersin.org/articles/10.3389/fnhum.2023.1109670/fullidiopathic normal pressure hydrocephalusfinger tappingdiagnosis2.0 Hzcut-off value
spellingShingle Yoko Shimizu
Yoko Shimizu
Motoki Tanikawa
Mitsuya Horiba
Kento Sahashi
Shoji Kawashima
Akihiko Kandori
Tomoyasu Yamanaka
Yusuke Nishikawa
Noriyuki Matsukawa
Yoshino Ueki
Mitsuhito Mase
Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
Frontiers in Human Neuroscience
idiopathic normal pressure hydrocephalus
finger tapping
diagnosis
2.0 Hz
cut-off value
title Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
title_full Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
title_fullStr Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
title_full_unstemmed Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
title_short Clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
title_sort clinical utility of paced finger tapping assessment in idiopathic normal pressure hydrocephalus
topic idiopathic normal pressure hydrocephalus
finger tapping
diagnosis
2.0 Hz
cut-off value
url https://www.frontiersin.org/articles/10.3389/fnhum.2023.1109670/full
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