Electromyographic Activity of the Upper Limb in Three Hand Function Tests

Objective/Background: Occupational therapists usually assess hand function through standardised tests, however, there is no consensus on how the scores assigned to hand dexterity can accurately measure hand function required for daily activities and few studies evaluate the movement patterns of the...

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Main Authors: Natália Sanches Silva, Pedro Henrique Tavares Queiroz de Almeida, Paulo Vinícius Braga Mendes, Caio Sadao Medeiros Komino, José Marques Novo Jùnior, Daniel Marinho Cezar Da Cruz
Format: Article
Language:English
Published: SAGE Publishing 2017-06-01
Series:Hong Kong Journal of Occupational Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1569186116300110
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author Natália Sanches Silva
Pedro Henrique Tavares Queiroz de Almeida
Paulo Vinícius Braga Mendes
Caio Sadao Medeiros Komino
José Marques Novo Jùnior
Daniel Marinho Cezar Da Cruz
author_facet Natália Sanches Silva
Pedro Henrique Tavares Queiroz de Almeida
Paulo Vinícius Braga Mendes
Caio Sadao Medeiros Komino
José Marques Novo Jùnior
Daniel Marinho Cezar Da Cruz
author_sort Natália Sanches Silva
collection DOAJ
description Objective/Background: Occupational therapists usually assess hand function through standardised tests, however, there is no consensus on how the scores assigned to hand dexterity can accurately measure hand function required for daily activities and few studies evaluate the movement patterns of the upper limbs during hand function tests. This study aimed to evaluate the differences in muscle activation patterns during the performance of three hand dexterity tests. Methods: Twenty university students underwent a surface electromyographic (sEMG) assessment of eight upper limb muscles during the performance of the box and blocks test (BBT), nine-hole peg test (9HPT), and functional dexterity test (FDT). The description and comparison of each muscle activity during the test performance, gender differences, and the correlation between individual muscles' sEMG activity were analysed through appropriate statistics. Results: Increased activity of proximal muscles was found during the performance of BBT (p < .001). While a higher activation of the distal muscles occurred during the FDT and 9HPT performance, no differences were found between them. Comparisons of the sEMG activity revealed a significant increase in the muscle activation among women (p = .05). Strong and positive correlations (r > .5; p < .05) were observed between proximal and distal sEMG activities, suggesting a coordinate pattern of muscle activation during hand function tests. Conclusion: The results suggested the existence of differences in the muscle activation pattern during the performance of hand function evaluations. Occupational therapists should be aware of unique muscle requirements and its impact on the results of dexterity tests during hand function evaluation.
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spelling doaj.art-8a11c46b432f4784a3cf19b3f67b4a292022-12-22T02:58:45ZengSAGE PublishingHong Kong Journal of Occupational Therapy1569-18612017-06-0129C101810.1016/j.hkjot.2016.11.003Electromyographic Activity of the Upper Limb in Three Hand Function TestsNatália Sanches Silva0Pedro Henrique Tavares Queiroz de Almeida1Paulo Vinícius Braga Mendes2Caio Sadao Medeiros Komino3José Marques Novo Jùnior4Daniel Marinho Cezar Da Cruz5Department of Occupational Therapy, Universidade Federal de Sao Carlos - UFSCar, Sao Carlos, State of Sao Paulo, BrazilDepartment of Occupational Therapy, Universidade of Brazilia - UnB, Brazilia, State of Distrito Federal, BrazilDepartment of Occupational Therapy, Universidade Federal de Sao Carlos - UFSCar, Sao Carlos, State of Sao Paulo, BrazilDepartment of Bioengineering, Universidade de São Paulo - USP, Sao Carlos, State of Sao Paulo, BrazilDepartment of Bioengineering, Universidade de São Paulo - USP, Sao Carlos, State of Sao Paulo, BrazilDepartment of Occupational Therapy, Universidade Federal de Sao Carlos - UFSCar, Sao Carlos, State of Sao Paulo, BrazilObjective/Background: Occupational therapists usually assess hand function through standardised tests, however, there is no consensus on how the scores assigned to hand dexterity can accurately measure hand function required for daily activities and few studies evaluate the movement patterns of the upper limbs during hand function tests. This study aimed to evaluate the differences in muscle activation patterns during the performance of three hand dexterity tests. Methods: Twenty university students underwent a surface electromyographic (sEMG) assessment of eight upper limb muscles during the performance of the box and blocks test (BBT), nine-hole peg test (9HPT), and functional dexterity test (FDT). The description and comparison of each muscle activity during the test performance, gender differences, and the correlation between individual muscles' sEMG activity were analysed through appropriate statistics. Results: Increased activity of proximal muscles was found during the performance of BBT (p < .001). While a higher activation of the distal muscles occurred during the FDT and 9HPT performance, no differences were found between them. Comparisons of the sEMG activity revealed a significant increase in the muscle activation among women (p = .05). Strong and positive correlations (r > .5; p < .05) were observed between proximal and distal sEMG activities, suggesting a coordinate pattern of muscle activation during hand function tests. Conclusion: The results suggested the existence of differences in the muscle activation pattern during the performance of hand function evaluations. Occupational therapists should be aware of unique muscle requirements and its impact on the results of dexterity tests during hand function evaluation.http://www.sciencedirect.com/science/article/pii/S1569186116300110surface electromyographyfunctional assessmentoccupational therapystandardised hand function testsupper limbs
spellingShingle Natália Sanches Silva
Pedro Henrique Tavares Queiroz de Almeida
Paulo Vinícius Braga Mendes
Caio Sadao Medeiros Komino
José Marques Novo Jùnior
Daniel Marinho Cezar Da Cruz
Electromyographic Activity of the Upper Limb in Three Hand Function Tests
Hong Kong Journal of Occupational Therapy
surface electromyography
functional assessment
occupational therapy
standardised hand function tests
upper limbs
title Electromyographic Activity of the Upper Limb in Three Hand Function Tests
title_full Electromyographic Activity of the Upper Limb in Three Hand Function Tests
title_fullStr Electromyographic Activity of the Upper Limb in Three Hand Function Tests
title_full_unstemmed Electromyographic Activity of the Upper Limb in Three Hand Function Tests
title_short Electromyographic Activity of the Upper Limb in Three Hand Function Tests
title_sort electromyographic activity of the upper limb in three hand function tests
topic surface electromyography
functional assessment
occupational therapy
standardised hand function tests
upper limbs
url http://www.sciencedirect.com/science/article/pii/S1569186116300110
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