KSII Transactions on Internet and Information Systems (TIIS)

Korean Society for Internet Information (한국인터넷정보학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Evaluation of Tip Pinch Strength Measurement on a Paretic Hand Rehabilitation Device

  • Kim, Jung-Yeon (Department of Medical Science, Soonchunhyang University) ;
  • Cha, Ye-Rin (Department of Occupational Therapy, Soonchunhyang University) ;
  • Lee, Sang-Heon (Department of Occupational Therapy, Soonchunhyang University) ;
  • Jung, Bong-Keun (Department of Occupational Therapy, Soonchunhyang University)
  • Received : 2016.08.31
  • Accepted : 2017.02.27
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

In this study, we described the development of a methodology to measure tip-pinch strength on the paretic hand rehabilitation device and aimed to investigate reliability of the device. FSR sensors were embedded on the device, and tip pinch strength was estimated with data collected from the sensors using a developed equation while participants were demonstrating tip pinch. Reliability tests included inter-rater, test-retest, and inter-instrument reliability. B&L Engineering pinch gauge was utilized for the comparison. Thirty-seven healthy students participated in the experiment. Both inter-rater and test-retest reliability were excellent as Intraclass Correlation Coefficients (ICCs) were greater than 0.9 (p<0.01). There were no statistically significant differences in tip-pinch strengths. Inter-instrument reliability analysis confirmed good correlation between the two instruments (r = 0.88, p < 0.01). The findings of this study suggest that the two instruments are not interchangeable. However, the tip-pinch mechanism used in the paretic hand rehabilitation device is reliable that can be used to evaluate tip pinch strength in clinical environment and can provides a parameter that monitors changes in the hand functions.

Keywords

References

  1. R. Lozano, M. Naghavi, K. Foreman, S. Lim, K. Shibuya, V. Aboyans, et al., "Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010," The Lancet, vol. 380, no. 9859, pp. 2095-2128, 15 December 2012. https://doi.org/10.1016/S0140-6736(12)61728-0
  2. C. J. L. Murray, T. Vos, R. Lozano, M. Naghavi, A. D. Flaxman, C. Michaud, et al., "Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010," The Lancet, vol. 380, no. 9859, pp. 2197-2223, 12/15/ 2012. https://doi.org/10.1016/S0140-6736(12)61689-4
  3. P. Clarke and S. E. Black, "Quality of Life Following Stroke: Negotiating Disability, Identity, and Resources," Journal of Applied Gerontology, vol. 24, no. 4, pp. 319-336, August 1, 2005. https://doi.org/10.1177/0733464805277976
  4. N. Takeuchi and S. I. Izumi, "Rehabilitation with Poststroke Motor Recovery: A Review with a Focus on Neural Plasticity," Stroke Research and Treatment, vol. 2013, p. 13, 2013.
  5. M. G. Bowden, M. L. Woodbury, and P. W. Duncan, "Promoting neuroplasticity and recovery after stroke: future directions for rehabilitation clinical trials," Current Opinion in Neurology, vol. 26, no. 1, pp. 37-42, 2013. https://doi.org/10.1097/WCO.0b013e32835c5ba0
  6. J. A. Kleim, S. Barbay, and R. J. Nudo, "Functional reorganization of the rat motor cortex following motor skill learning," J Neurophysiol, vol. 80, no. 6, pp. 3321-5, Dec 1998. http://jn.physiology.org/content/80/6/3321 https://doi.org/10.1152/jn.1998.80.6.3321
  7. B. H. Dobkin, "Training and exercise to drive poststroke recovery," Nat Clin Pract Neuro, vol. 4, no. 2, pp. 76-85, 02//print 2008. https://doi.org/10.1038/ncpneuro0709
  8. J. S. Dai, T. Zhao, and C. Nester, "Sprained Ankle Physiotherapy Based Mechanism Synthesis and Stiffness Analysis of a Robotic Rehabilitation Device," Autonomous Robots, vol. 16, no. 2, pp. 207-218, 2004. https://doi.org/10.1023/B:AURO.0000016866.80026.d7
  9. S. D. Min, C. W. Wang, H. M. Lee, and B. K. Jung, "A low cost wearable wireless sensing system for paretic hand management after stroke," The Journal of Supercomputing, pp. 1-10, 2016.
  10. J. A. Balogun, C. T. Akomolafe, and L. O. Amusa, "Grip strength: effects of testing posture and elbow position," Arch Phys Med Rehabil, vol. 72, no. 5, pp. 280-3, Apr 1991. http://www.archives-pmr.org/article/0003-9993(91)90241-A/abstract
  11. N. Hogan, H. I. Krebs, J. Charnnarong, P. Srikrishna, and A. Sharon, "MIT-MANUS: a workstation for manual therapy and training II," 1993, pp. 28-34.
  12. C. G. Burgar, P. S. Lum, P. C. Shor, and H. M. Van der Loos, "Development of robots for rehabilitation therapy: the Palo Alto VA/Stanford experience," Journal of rehabilitation research and development, vol. 37, no. 6, pp. 663-674, 2000. http://www.rehab.research.va.gov/jour/00/37/6/burga376.htm
  13. S. Hesse, G. Schulte-Tigges, M. Konrad, A. Bardeleben, and C. Werner, "Robot-assisted arm trainer for the passive and active practice of bilateral forearm and wrist movements in hemiparetic subjects," Arch Phys Med Rehabil, vol. 84, no. 6, pp. 915-20, Jun 2003. https://doi.org/10.1016/S0003-9993(02)04954-7
  14. G. Rosati, P. Gallina, and S. Masiero, "Design, implementation and clinical tests of a wire-based robot for neurorehabilitation," IEEE Trans Neural Syst Rehabil Eng, vol. 15, no. 4, pp. 560-569, Dec 2007. https://doi.org/10.1109/TNSRE.2007.908560
  15. H. I. Krebs, N. Hogan, M. L. Aisen, and B. T. Volpe, "Robot-aided neurorehabilitation," IEEE Trans Rehabil Eng, vol. 6, no. 1, pp. 75-87, Mar 1998. https://doi.org/10.1109/86.662623
  16. H. I. Krebs, B. T. Volpe, M. L. Aisen, and N. Hogan, "Increasing productivity and quality of care: robot-aided neuro-rehabilitation," J Rehabil Res Dev, vol. 37, no. 6, pp. 639-652, Nov-Dec 2000. http://www.rehab.research.va.gov/jour/00/37/6/krebs.htm
  17. P. S. Lum, C. G. Burgar, and P. C. Shor, "Evidence for improved muscle activation patterns after retraining of reaching movements with the MIME robotic system in subjects with post-stroke hemiparesis," IEEE Trans Neural Syst Rehabil Eng, vol. 12, no. 2, pp. 186-194, Jun 2004. https://doi.org/10.1109/TNSRE.2004.827225
  18. S. Masiero, A. Celia, M. Armani, G. Rosati, B. Tavolato, C. Ferraro, et al., "Robot-aided intensive training in post-stroke recovery," Aging Clin Exp Res, vol. 18, no. 3, pp. 261-265, Jun 2006. https://doi.org/10.1007/BF03324658
  19. W. H. Chang and Y. H. Kim, "Robot-assisted Therapy in Stroke Rehabilitation," J Stroke, vol. 15, no. 3, pp. 174-181, Sep 2013. https://doi.org/10.5853/jos.2013.15.3.174
  20. J. Mehrholz, A. Hadrich, T. Platz, J. Kugler, and M. Pohl, "Electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength after stroke," Cochrane Database Syst Rev, no. 6, p. Cd006876, 2012.
  21. A. Klaiput and W. Kitisomprayoonkul, "Increased pinch strength in acute and subacute stroke patients after simultaneous median and ulnar sensory stimulation," Neurorehabil Neural Repair, vol. 23, no. 4, pp. 351-356, May 2009. https://doi.org/10.1177/1545968308324227
  22. V. Mathiowetz, N. Kashman, G. Volland, K. Weber, M. Dowe, and S. Rogers, "Grip and pinch strength: normative data for adults," Arch Phys Med Rehabil, vol. 66, no. 2, pp. 69-74, Feb 1985. https://www.ncbi.nlm.nih.gov/pubmed/3970660
  23. C. A. Crosby and M. A. Wehbe, "Hand strength: Normative values," The Journal of Hand Surgery, vol. 19, no. 4, pp. 665-670, 1994/07/01 1994. https://doi.org/10.1016/0363-5023(94)90280-1
  24. S. Werle, J. Goldhahn, S. Drerup, B. R. Simmen, H. Sprott, and D. B. Herren, "Age- and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population," J Hand Surg Eur Vol, vol. 34, no. 1, pp. 76-84, Feb 2009. https://doi.org/10.1177/1753193408096763
  25. J. H. Shim, S. Y. Roh, J. S. Kim, D. C. Lee, S. H. Ki, J. W. Yang, et al., "Normative measurements of grip and pinch strengths of 21st century korean population," Archives of plastic surgery, vol. 40, no. 1, pp. 52-56, 2013. https://doi.org/10.5999/aps.2013.40.1.52
  26. C. M. Gunther, A. Burger, M. Rickert, A. Crispin, and C. U. Schulz, "Grip Strength in Healthy Caucasian Adults: Reference Values," The Journal of Hand Surgery, vol. 33, no. 4, pp. 558-565, 4// 2008. https://doi.org/10.1016/j.jhsa.2008.01.008
  27. V. Mathiowetz, K. Weber, G. Volland, and N. Kashman, "Reliability and validity of grip and pinch strength evaluations," The Journal of Hand Surgery, vol. 9, no. 2, pp. 222-226, 1984/03/01 1984. https://doi.org/10.1016/S0363-5023(84)80146-X
  28. V. Mathiowetz, L. Vizenor, and D. Melander, "Comparison of Baseline Instruments to the Jamar Dynamometer and the B&L Engineering Pinch Gauge," OTJR: Occupation, Participation and Health, vol. 20, no. 3, pp. 147-162, July 1, 2000 2000.
  29. T. I. King, "A Survey to Determine the Reliability of Dynamometer and Pinch Gauge Dial Readings Among Certified Hand Therapists," The Open Journal of Occupational Therapy, vol. 1, no. 2, p. 2.
  30. H. Shin, S. W. Moon, G. S. Kim, J. D. Park, J. H. Kim, M. J. Jung, et al., "Reliability of the pinch strength with digitalized pinch dynamometer," Ann Rehabil Med, vol. 36, no. 3, pp. 394-9, Jun 2012. https://doi.org/10.5535/arm.2012.36.3.394
  31. K. Miller, "A study of inter-instrument reliability and concurrent validity of Baseline digital pinch gauge and the B&L pinch gauge," 2014. http://utdr.utoledo.edu/graduate-projects/602/
  32. C. Lea, "Adult pinch strength norms using the Baseline digital pinch gauge," 2015. http://utdr.utoledo.edu/graduate-projects/559/
  33. R. Frouzakis, D. B. Herren, and M. Marks, "Evaluation of Expectations and Expectation Fulfillment in Patients Treated for Trapeziometacarpal Osteoarthritis," The Journal of Hand Surgery, vol. 40, no. 3, pp. 483-490, 3// 2015. https://doi.org/10.1016/j.jhsa.2014.10.066
  34. J. E. Lexell and D. Y. Downham, "How to assess the reliability of measurements in rehabilitation," Am J Phys Med Rehabil, vol. 84, no. 9, pp. 719-23, Sep 2005. https://doi.org/10.1097/01.phm.0000176452.17771.20
  35. G. F. Hamilton, C. McDonald, and T. C. Chenier, "Measurement of grip strength: validity and reliability of the sphygmomanometer and jamar grip dynamometer," J Orthop Sports Phys Ther, vol. 16, no. 5, pp. 215-9, 1992. https://doi.org/10.2519/jospt.1992.16.5.215
  36. E. Fess and C. Moran, American society of hand therapists: Clinical assessment recommendations, American Soceity of Hand Therapists, Garner, 1981.
  37. D. G. Altman and J. M. Bland, "Measurement in Medicine: The Analysis of Method Comparison Studies," Journal of the Royal Statistical Society. Series D (The Statistician), vol. 32, no. 3, pp. 307-317, 1983.
  38. E. E. Fess, "The need for reliability and validity in hand assessment instruments," J Hand Surg Am, vol. 11, no. 5, pp. 621-3, Sep 1986. https://doi.org/10.1016/S0363-5023(86)80001-6
  39. V. Mathiowetz, D. M. Wiemer, and S. M. Federman, "Grip and pinch strength: norms for 6- to 19-year-olds," Am J Occup Ther, vol. 40, no. 10, pp. 705-11, Oct 1986. https://doi.org/10.5014/ajot.40.10.705
  40. D. Lindstrom-Hazel, A. Kratt, and L. Bix, "Interrater reliability of students using hand and pinch dynamometers," Am J Occup Ther, vol. 63, no. 2, pp. 193-7, Mar-Apr 2009. https://doi.org/10.5014/ajot.63.2.193
  41. J. C. MacDermid, W. Evenhuis, and M. Louzon, "Inter-instrument reliability of pinch strength scores," Journal of Hand Therapy, vol. 14, no. 1, pp. 36-42, 2001. https://doi.org/10.1016/S0894-1130(01)80023-5
  42. V. Mathiowetz, C. Rennells, and L. Donahoe, "Effect of elbow position on grip and key pinch strength," The Journal of Hand Surgery, vol. 10, no. 5, pp. 694-697, September 1985. https://doi.org/10.1016/S0363-5023(85)80210-0
  43. L. Lamoreaux and M. M. Hoffer, "The Effect of Wrist Deviation on Grip and Pinch Strength," Clinical Orthopaedics and Related Research, vol. 314, pp. 152-155, 1995.
  44. J. V. Bellace, D. Healy, M. P. Besser, T. Byron, and L. Hohman, "Validity of the Dexter Evaluation System's Jamar dynamometer attachment for assessment of hand grip strength in a normal population," J Hand Ther, vol. 13, no. 1, pp. 46-51, Jan-Mar 2000. https://doi.org/10.1016/S0894-1130(00)80052-6
  45. A. Bruton, J. H. Conway, and S. T. Holgate, "Reliability: What is it, and how is it measured?," Physiotherapy, vol. 86, no. 2, pp. 94-99, 2000. https://doi.org/10.1016/S0031-9406(05)61211-4
  46. H. L. H. Barden, I. J. Baguley, M. T. Nott, R. Heard, and C. Chapparo, "Computerised pinch dynamometry in the assessment of adult hand spasticity," Australian Occupational Therapy Journal, vol. 61, no. 6, pp. 415-423, 2014. https://doi.org/10.1111/1440-1630.12141
  47. J. L. Fleiss, "Reliability of Measurement," in The Design and Analysis of Clinical Experiments, ed: John Wiley & Sons, Inc., 1999, pp. 1-32.
  48. L. G. Portney and M. P. Watkins, Foundations of clinical research: applications to practice: FA Davis, 2015.