[논문]Does the Finger-to-Nose Test measure upper limb coordination in chronic stroke?

Rodrigues, Marcos R. M.; Slimovitch, Matthew; Chilingaryan, Gevorg; Levin, Mindy F.

doi:10.1186/s12984-016-0213-y

Does the Finger-to-Nose Test measure upper limb coordination in chronic stroke? 원문보기

Journal of neuroengineering and rehabilitation, v.14, 2017년, pp.6 -

Rodrigues, Marcos R. M. (School of Physical and Occupational Therapy, McGill University, 3654 Prom Sir-William-Osler, Montré) , Slimovitch, Matthew (al, QC H3G 1Y5 Canada) , Chilingaryan, Gevorg (Faculty of Medicine, McGill University, Montreal, Canada) , Levin, Mindy F. (School of Physical and Occupational Therapy, McGill University, 3654 Prom Sir-William-Osler, Montré)

Abstract ▼ AI-Helper

BackgroundWe aimed to kinematically validate that the time to perform the Finger-to-Nose Test (FNT) assesses coordination by determining its construct, convergent and discriminant validity.MethodsExperimental, criterion standard study. Both clinical and experimental evaluations were done at a research facility in a rehabilitation hospital. Forty individuals (20 individuals with chronic stroke and 20 healthy, age- and gender-matched individuals) participated.. Both groups performed two blocks of 10 to-and-fro pointing movements (non-dominant/affected arm) between a sagittal target and the nose (ReachIn, ReachOut) at a self-paced speed. Time to perform the test was the main outcome. Kinematics (Optotrak, 100Hz) and clinical impairment/activity levels were evaluated. Spatiotemporal coordination was assessed with slope (IJC) and cross-correlation (LAG) between elbow and shoulder movements.ResultsCompared to controls, individuals with stroke (Fugl-Meyer Assessment, FMA-UE: 51.9 ± 13.2; Box & Blocks, BBT: 72.1 ± 26.9%) made more curved endpoint trajectories using less shoulder horizontal-abduction. For construct validity, shoulder range (β = 0.127), LAG (β = 0.855) and IJC (β = −0.191) explained 82% of FNT-time variance for ReachIn and LAG (β = 0.971) explained 94% for ReachOut in patients with stroke. In contrast, only LAG explained 62% (β = 0.790) and 79% (β = 0.889) of variance for ReachIn and ReachOut respectively in controls. For convergent validity, FNT-time correlated with FMA-UE (r = −0.67, p < 0.01), FMA-Arm (r = −0.60, p = 0.005), biceps spasticity (r = 0.39, p < 0.05) and BBT (r = −0.56, p < 0.01). A cut-off time of 10.6 s discriminated between mild and moderate-to-severe impairment (discriminant validity). Each additional second represented 42% odds increase of greater impairment.ConclusionsFor this version of the FNT, the time to perform the test showed construct, convergent and discriminant validity to measure UL coordination in stroke.

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Does the Finger-to-Nose Test measure upper limb coordination in chronic stroke? 원문보기

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