The 'peg test': A novel technique for dexterity evaluation in hand immobilized with a splint
| Autor: | J P Kempf, Philippe Liverneaux, Sybille Facca, M.-C. Blancher, A. Bodin, H Khalifa-Dubert, L. Noël |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
musculoskeletal diseases Novel technique medicine.medical_specialty Adolescent medicine.medical_treatment law.invention Immobilization Young Adult stomatognathic system law Humans Medicine Orthopedics and Sports Medicine Physical Examination Stopwatch Aged Orthodontics business.industry Pinch grip Mean age General Medicine Middle Aged Hand equipment and supplies Test (assessment) body regions stomatognathic diseases Splints Physical therapy Surgery business Splint (medicine) Time score |
| Zdroj: | Chirurgie de la Main. 30:385-392 |
| ISSN: | 1297-3203 |
| Popis: | Manual dexterity tests are difficult to apply in the clinical practice. They are either destined for specific lesions, or are rather complicated and time-consuming. The aim of this study was to evaluate a new manual dexterity test for hand immobilized with a splint: the “peg test”. Our series included 86 persons (without any hand trauma or disease) of mean age 42 years of which 77 were right-handed. Materials included five pegs, splints immobilizing the DIP joint, a desk and a stopwatch. Each subject moved the pegs from a horizontal to a vertical position using the thumb-ring pinch grip. This was repeated three times without a splint, with a palmar splint, with a simple dorsal splint and with a dorsal splint glued to the nail, then once more without a splint. A time score was recorded for each trial. A point was deduced at each fall of a peg for result analysis. Results showed that a learning curve affected performance, but that dominance and age before learning had no effect. After learning performance diminished with these variables in the following order: without splint, then more so with a glued splint, even more with a simple dorsal splint and most with a palmar one. The peg test fulfills metrological requirements of dexterity tests: test-retest (intra-observer) reliability (reproducibility), inter-observer reliability (both measured by correlation coefficient), and validity of instrument of measurement. Simple, rapid and reliable, it is perfectly adapted to manual dexterity evaluation in hand immobilized with a splint. |
| Databáze: | OpenAIRE |
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