Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Relationships between upper extremity performance and unified Parkinson's disease rating scale-motor exam

  • Hwang, Wonjeong (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Lee, Kyoungsuk (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Chung, Yijung (Department of Physical Therapy, The Graduate School, Sahmyook University)
  • Received : 2013.09.27
  • Accepted : 2013.12.09
  • Published : 2013.10.26
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Abstract

Objective: Clinical measures that quantify upper extremity function are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the relationship between the Unified Parkinson's Disease Rating Scale (UPDRS)-Motor Exam and upper extremity performance as a quantifying clinical tool of upper extremity function in persons with Parkinson's disease. Design: Cross-sectional study. Methods: Thirty-two idiopathic Parkinson's Disease persons participated in this study. To investigate the relationship between the UPDRS-motor exam, Box and Block test (BBT), and Action Research Arm Test (ARAT) by two physical therapists. The examination took up to 1 hour, and the participants were invited to rest between each clinical measure in order to minimize the effects of fatigue. Clinical measures were assessed while the subjects were in the "on" phase of their medication cycle, generally 1-3 hour after taking their anti-Parkinson's medications. Results: In more affected side, the UPDRS-motor exam was significantly negative correlated with the BBT (p<0.05) but it was not significantly correlated with the ARAT. In less affected side, only positively correlation was significantly shown between BBT and ARAT (p<0.05). On the other hand, between BBT and ARAT were not significantly correlated with the UPDRS-motor exam. Conclusions: The UPDRS-motor exam is effective tool which was significantly correlated with manual dexterity in more affected upper extremity. But The UPDRS-motor exam is not effective tool in less affected upper extremity.

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References

  1. Trail M, Protas E, Lai EC. Neurorehabilitation in Parkinson's disease: an evidence-based treatment model. Thorofare (NJ): SLACK Inc.; 2008.
  2. Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill; 1994.
  3. Brusse KJ, Zimdars S, Zalewski KR, Steffen TM. Testing functional performance in people with Parkinson disease. Phys Ther 2005;85:134-41.
  4. Song J, Fisher BE, Petzinger G, Wu A, Gordon J, Salem GJ. The relationships between the unified Parkinson's disease rating scale and lower extremity functional performance in persons with early-stage Parkinson's disease. Neurorehabil Neural Repair 2009;23:657-61. https://doi.org/10.1177/1545968309332878
  5. Siderowf A, McDermott M, Kieburtz K, Blindauer K, Plumb S, Shoulson I; Parkinson Study Group. Test-retest reliability of the unified Parkinson's disease rating scale in patients with early Parkinson's disease: results from a multicenter clinical trial. Mov Disord 2002;17:758-63. https://doi.org/10.1002/mds.10011
  6. Lyle RC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res 1981;4:483-92. https://doi.org/10.1097/00004356-198112000-00001
  7. Fahn S, Elton R, Members of the UPDRS Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, editors. Recent developments in Parkinson's disease. Vol 2. Florham Park (NJ): Macmillan Health Care Information; 1987. p 153-163, 293-304.
  8. Yozbatiran N, Der-Yeghiaian L, Cramer SC. A standardized approach to performing the action research arm test. Neurorehabil Neural Repair 2008;22:78-90. https://doi.org/10.1177/1545968307305353
  9. Chen HF, Lin KC, Wu CY, Chen CL. Rasch validation and predictive validity of the action research arm test in patients receiving stroke rehabilitation. Arch Phys Med Rehabil 2012;93:1039-45. https://doi.org/10.1016/j.apmr.2011.11.033
  10. Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther 1985;39:386-91. https://doi.org/10.5014/ajot.39.6.386
  11. Platz T, Pinkowski C, van Wijck F, Kim IH, di Bella P, Johnson G. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study. Clin Rehabil 2005;19:404-11. https://doi.org/10.1191/0269215505cr832oa
  12. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. Upper Saddle River (NJ): Pearson/ Prentice Hall; 2009.
  13. Fahn S. Description of Parkinson's disease as a clinical syndrome. Ann N Y Acad Sci 2003;991:1-14.
  14. Martinez-Martin P, Chaudhuri KR, Rojo-Abuin JM, Rodriguez- Blazquez C, Alvarez-Sanchez M, Arakaki T, et al. Assessing the non-motor symptoms of Parkinson's disease: MDS-UPDRS and NMS Scale. Eur J Neurol 2013. [Epub ahead of print]