Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Kinematic characteristics of grip force in patients with cervical spondylosis

  • Lee, Bumsuk (Graduate School of Health Sciences, Gunma University) ;
  • Noguchi, Naoto (Department of Rehabilitation, Harunaso Hospital) ;
  • Kakiage, Daiki (Division of Rehabilitation Medicine, Gunma University Hospital) ;
  • Yamazaki, Tsuneo (Graduate School of Health Sciences, Gunma University)
  • Received : 2015.10.19
  • Accepted : 2015.12.07
  • Published : 2015.12.26
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Abstract

Objective: The aim of this study was to objectively evaluate sensory disturbance in cervical spondylosis using grip force and investigate the relationship between the grip force and upper extremity function. Design: Cross-sectional study. Methods: Eleven cervical spondylosis patients with paresthesia conducted grip and lift tasks using a precision grip with the tips of the thumb and index finger on either side. The sum of the grip force used during the first four seconds was calculated and defined as the total grip force. The cutaneous pressure threshold of the fingers, the pinch power, the grip power and three subtests of the Simple Test for Evaluating Hand Function (STEF) were also assessed. Correlations between the total grip force and cutaneous pressure threshold, pinch power, grip power, and STEF subtest times were evaluated. Results: We found that the total grip force correlated with the cutaneous pressure threshold (p<0.05). Moreover, the total grip force of the dominant thumb correlated with the results of the three STEF subtests (p<0.05). There were no significant correlations between the total grip force and pinch/grip powers. Conclusions: We found that the total grip force correlated with cutaneous pressure threshold and upper extremity function. The results suggest that the total grip force could serve as an objective index for evaluating paresthesia in cervical spondylosis patients, and that the impaired ability of the upper extremity function is related to grip force coordination.

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