The timed performances of the 10-m timed walk (TMTW) and the nine-hole peg test (NHPT) of 881 consecutive patients with multiple sclerosis (MS) undergoing a rehabilitation stay, were expressed as a ...logarithmic function of time in two subscores to form a composite score called the Short and Graphic Ability Score (SaGAS). The subscores (sS) were constructed in such a way that any interval of 0.5 unit corresponds to a change of 25% in the tests. The SaGAS was computed as the mean of four subscores: SaGAS = (2 x TMTWsS + NHPTsS right hand + NHPTsS left hand). With the aid of a nomogram, the timed values of the tests are easily transformed into the corresponding subscores, which are then displayed graphically to facilitate follow-up over time. The correlation coefficients between the SaGAS and the two motor components of the MS Functional Composite (MSFC) (r = 0.987), the Expanded Disability Status Scale (EDSS)(r = -0.83), the Nottingham EADL Index (r = 0.80) and the Rivermead Mobility Index (RMI) (r = 0.90) were all statistically significant (P < 0.001), supporting the validity of the measure. SaGAS had a similar sensitivity to the RMI, but was significantly more sensitive than the EDSS in detecting changes occurring during the rehabilitation stay (14.9% versus 5.0%; P < 0.001) and over a one-year follow-up (35.3% versus 19.7%; P < 0.001). Compared with the motor components of the MSFC, with which it shares several features, SaGAS has several advantages: it does not depend on the stratification of the study population; it does not skew the results of the NHPT towards improvement at the lower end; and it offers an independent assessment of both hands. SaGAS is a simple, intuitive, nonphysician-based measure, which could provide consistent scoring in future clinical trials.
Úkolem této práce bylo sestavení jednoduché testové baterie, která by citlivě registrovala změny motoriky paretické ruky a postižené horní končetiny u pacientů po cévní mozkové příhodě v chronickém ...stádiu. Vycházeli jsme z běžně dostupných testů (Nine hole peg test, dynamometrie apod.), které jsou pro tyto účely v praxi nejvíce využívány, a sledovali jsme charakter a dynamiku jejich změn po 10 rehabilitačních procedurách. Většina výsledků u vybraných testů měla obdobnou tendenci k mírnému zlepšení, ale vzhledem k rozsahu souboru nedosáhly tyto změny hladiny statistické významnosti. Prezentované nálezy předkládáme pouze jako výsledky pilotní studie. Studie bude pokračovat a soubor bude dále rozšiřován. The aim of this paper was to compile an easy testing battery, sensitive enough to register changes in the motor task performance of the paretic hand and disabled upper limb of patients who have had a brain stroke and are in the chronic stage. We selected tests commonly used in rehabilitation to scan the characteristics and dynamics of test value changes after 10 kinesiotherapy lessons. Most of our outcome had the same trend of slight improvement, but did not reach statistical signifi cance because of the size of the group. Only our pilot outcome is presented in this paper. We are going to continue this study.
Manual dexterity is essential for performing daily life tasks, becoming a primary means of interaction with the physical, social, and cultural environment. In this respect, the Nine Hole Peg Test ...(NHPT) is considered a gold standard for assessing manual dexterity. Bibliometrics is a discipline that focuses on analyzing publications to describe, evaluate, and predict the status and development trends in certain fields of scientific research. We performed a bibliometric analysis to track research results and identify global trends regarding the use of the NHPT. The bibliographic data were retrieved from the Web of Science database and then analyzed using the Bibliometrix R package, resulting in the retrieval of a total of 615 publications from 1988 to 2021. Among the 263 journals investigated, the most prolific were the Multiple Sclerosis Journal, Clinical Rehabilitation, and Multiple Sclerosis and Related Disorders. North America and Europe were the areas with the highest production of publications, with the United States (n = 104) ranking first in terms of the number of publications, followed by the United Kingdom (n = 62) and Italy (n = 62). The analysis of keywords revealed that there were two main lines of research, with one related to the study of recovery and disability of the upper limbs caused by certain diseases and another related to the study of reliability and validity. Structured information can be useful to understand the research trajectory and the uses of this tool.
