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http://dx.doi.org/10.3837/tiis.2017.02.033

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)
Publication Information
KSII Transactions on Internet and Information Systems (TIIS) / v.11, no.2, 2017 , pp. 1201-1216 More about this Journal
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
Robot-assisted rehabilitation; Upper extremity rehabilitation; Measurement of tip-pinch strength; Reliability; Wearable device;
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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.   DOI
2 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.
3 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
4 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.   DOI
5 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.   DOI
6 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.   DOI
7 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
8 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.   DOI
9 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.   DOI
10 L. G. Portney and M. P. Watkins, Foundations of clinical research: applications to practice: FA Davis, 2015.
11 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.   DOI
12 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.
13 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.
14 J. L. Fleiss, "Reliability of Measurement," in The Design and Analysis of Clinical Experiments, ed: John Wiley & Sons, Inc., 1999, pp. 1-32.
15 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.   DOI
16 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/
17 C. Lea, "Adult pinch strength norms using the Baseline digital pinch gauge," 2015. http://utdr.utoledo.edu/graduate-projects/559/
18 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.   DOI
19 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.   DOI
20 E. Fess and C. Moran, American society of hand therapists: Clinical assessment recommendations, American Soceity of Hand Therapists, Garner, 1981.
21 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.   DOI
22 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.   DOI
23 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.   DOI
24 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.
25 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   DOI
26 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
27 B. H. Dobkin, "Training and exercise to drive poststroke recovery," Nat Clin Pract Neuro, vol. 4, no. 2, pp. 76-85, 02//print 2008.   DOI
28 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.   DOI
29 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.
30 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.
31 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.   DOI
32 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.   DOI
33 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.   DOI
34 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.   DOI
35 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.   DOI
36 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.
37 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.   DOI
38 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.   DOI
39 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.   DOI
40 W. H. Chang and Y. H. Kim, "Robot-assisted Therapy in Stroke Rehabilitation," J Stroke, vol. 15, no. 3, pp. 174-181, Sep 2013.   DOI
41 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.
42 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.   DOI
43 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
44 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.   DOI
45 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.   DOI
46 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.   DOI
47 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.   DOI
48 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.   DOI