Toward Consensus in Assessing Upper Limb Muscle Strength and Pinch and Grip Strength in People With Tetraplegia Having Upper Limb Reconstructions
| Autor: | Johanna Wangdell, Sabrina Koch-Borner, M. Elise Johanson, Jennifer Dunn |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population Physical Therapy Sports Therapy and Rehabilitation Pinch Strength Quadriplegia Upper Extremity Manual Muscle Testing Grip strength Physical medicine and rehabilitation Tendon transfer medicine Humans Muscle Strength education Physical Examination Tetraplegia Spinal Cord Injuries education.field_of_study business.industry Rehabilitation Work (physics) Plastic Surgery Procedures medicine.disease body regions medicine.anatomical_structure Proffered Papers Upper limb Neurology (clinical) business |
| Zdroj: | Top Spinal Cord Inj Rehabil |
| ISSN: | 1082-0744 |
| DOI: | 10.46292/sci20-00012 |
| Popis: | Objectives: To reach agreement on standardized protocols for assessing upper limb strength and grip and pinch force for upper limb reconstructive surgery for tetraplegia. Methods: Selected members of an expert panel composed of international therapists formed at the 2018 International Congress for Upper Limb Surgery for Tetraplegia conducted a literature review of current practice that identified gaps and inconsistencies in measurement protocols and presented to workshop attendees. To resolve discrepancies, a set of questions was presented to workshop attendees who voted electronically. Consensus was set at 75% agreement. Results: For manual muscle testing, consensus was reached for using the Medical Research Council scale, without plus or minus, and the use of resistance through range when testing grade 4 and grade 5 strength. Pectoralis major and serratus anterior should be routinely tested, however there was no consensus on other shoulder muscles. Grip and pinch strength should be tested according to the American Society of Hand Therapists positioning. For grip strength, either the Jamar or Biometrics dynamometer expressed in kilograms should be used. For grip and pinch strength, three measurements should be performed at each testing. No consensus was reached on a device for pinch strength. Conclusion: This work is an important step to enable comparable data in the future. Further consensus methods will work toward developing more comprehensive guidelines in this population. Building international consensus for pre- and postoperative measures of function supports objective evaluation of novel therapies and interpretation of multicenter studies. |
| Databáze: | OpenAIRE |
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