Sunday, 24 January 2016

Hand movement as a marker of disability

Ghandi Dezfuli M, Akbarfahimi M, Nabavi SM, Hassani Mehraban A, Jafarzadehpur E. Can hand dexterity predict the disability status of patients with multiple sclerosis? Med J Islam Repub Iran. 2015 Aug 30;29:255. eCollection 2015.

BACKGROUND:Multiple Sclerosis (MS) is the most common disabling neurological disease. Hand dysfunction is one of the main complaints of patients with MS. The present study aimed to compare hand dexterity of MS patients with low Expanded Disability Status Scale (EDSS) scores and healthy adults. It also sought to identify the predictors of disability status of patients with MS based on their manual dexterity and demographic characteristics.
METHODS:In this cross-sectional study, 60 (16 male/44 female) patients with MS and 60 (19 male/41 female) healthy people, who matched in terms of age and sex, were recruited. Their hand dexterity was evaluated by the Purdue Pegboard Test. The disability status of the MS group was determined by the Expanded Disability Status Scale. The data were analyzed using SPSS15.
RESULTS:The hand dexterity in MS group even with low EDSS score (1.5 ± 1.07) was weaker than control group. Moreover, the dexterity of dominant hand and alternating two hands coordination subtests of the PPT was a good discriminator between two groups (p<0.001). The results of linear regression analysis suggested dominant hand dexterity and disease duration as predictors of disability status that predict 60.5 per cent of the variation in EDSS scores in patients with MS (p<0.001).
CONCLUSION: Reduced dominant hand dexterity in patients with MS is a disabling factor. Further research is recommended to determine if early hand rehabilitation can reduce the severity of disability in Patients with MS


This study indicates that hand function is affected in MS and therefore you can see the idea of targetting the hand for therapy

1 comment:

  1. It is very important to preserve the functionality of the hand as well. When I had an outbreak that made me discover the disease my body tingled so much that I had no feeling in his hands, I stopped carrying objects because they did not feel the (my only cord injury so far was active, is between C1 and C2). So soon after pulse therapy did physical therapy to rehabilitate the touch of hands as well and I can say it was excellent. I recommend doing the rehabilitation of any functionality after pulse therapy and early DMTs.

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