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|Title: ||The influence of hand dominance on the relationship between habitual use and measures for arm dysfunction in MS.|
|Authors: ||Lamers, Ilse|
|Issue Date: ||2012|
|Citation: ||WCNR 2012 7th World Congress for Neurorehabilitation, Melbourne, Australia, 16-19/05/2012|
|Abstract: ||Background and Aims
In Persons with Multiple Sclerosis (PwMS), more insights are
needed regarding the use and functioning of the upper limbs in
the daily living. This study aimed to investigate the relationship
between habitual use of the dominant and non-dominant arm
and outcome measures at different ICF levels.
Thirty PwMS with unilateral or bilateral upper limb dysfunction
were included. The habitual use of the upper limbs was measured
by Motionloggers® Actigraphy. The devices were bilaterally attached
to the wrist during 1 week. Output of the Motionloggers® was
presented in 3 different modes: frequency of movement, time spent
in motion and intensity of motion. Clinical outcome measures on
function and activity level of the ICF were the Motricity Index (MI),
the JAMAR hand grip strength, Brunnström Fugl Meyer (BFM),
Action Research Arm test, Nine Hole Peg Test and the Motor Activity
Log. A paired t-test was used to investigate the differences between
dominant and non-dominant hand. Pearson correlation coefficients
were calculated to quantify the relationship between the habitual
upper limb use and frequently used clinical outcome measures.
A significant difference (p<0.005) was found between dominant
and non-dominant hand for all outcome measures, except for the
Motionloggers®. For the dominant hand, correlations between
Motionloggers® and clinical outcome measures were remarkably
lower (r<0.50) compared to the non-dominant hand. The highest
correlations for non-dominant hand were found between the
152 and function level outcome measures MI (r=0.71) and BFM (r=0.75). Outcome measures on activity level correlated moderately to high (r=0.50-0.70) with the Motionloggers®.
Results of the multiple regressions analyses will be presented at
the conference to reveal the most predictive outcome measure.
In MS, outcome measures of the ICF are more associated with the
habitual use of the upper limbs for the non-dominant hand
compared to the dominant hand.|
|Type: ||Conference Material|
|Appears in Collections: ||Research publications|
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