Normative Data of the Upper Extremity Performance Test for the Elderly (TEMPA) for Korean Older Adults and Characteristics of Hand Function and Strength
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ≥60 years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ≥80, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ≥80, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD =22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD =.58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.
Abstract
Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ≥60 years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ≥80, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ≥80, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD =22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD =.58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.
참고문헌 (26)
- Anderson, A. S., "Why is osteoar thritis an age-related disease?", Best Practice & Rese arch Clinical Rheumatology, 24(1), pp.15~26 (2010)[DOI]
- Bellace, J. V., "Validity of the Dexter Evaluation System's Jamar dynamometer attachment for assess ment of hand grip strength in a normal population", Journal of Hand Therapy, 13(1), pp.46~51 (2000)[DOI]
- Bohannon, R. W., "Muscle strength : Clinical and prognostic value of hand-grip dynamometry", Curren t Opinion in Clinical Nutrition & Metabolic Care, 18(5), pp.465~470 (2015)[DOI]
- Chae, K., "Assessment of upper extre mity function in normal Korean adults by manual function test", Journal of Korean Society of Occupational Therapy, 5(1), pp.52~57 (1997)
- Calne, D., "Normal aging of the nervous system", Annals of Neurology, 30(2), pp.206~207 (1991)[DOI]
- Carmeli, E., "The aging hand", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(2), pp.M146~M152 (2003)[DOI]
- Cole, K. J., "Old age affects fingertip forces when restraining an unpredictably loaded object", Experimental Brain Research, 136(4), pp.535~542 (2001)[DOI]
- Desrosiers, J., "Development and reliability of an upper extremity function test for the elderly : The TEMPA", Canadian Journal of Occupational Therapy, 60(1), pp.9~16 (1993)
- Hamilton, A., "Grip strength testing reliability", Journal of Hand Therapy, 7(3), pp.163~170 (1994)[DOI]
- Hesselmann, V., "Age related signal decrease in functional magnetic resonance imaging during motor stimulation in humans", Neuroscience Letters, 308(3), pp.141~144 (2001)[DOI]
- Incel, N. A., "The geriatric hand : correlation of hand-m uscle function and activity restriction in elderly", International Journal of Rehabilitation Research, 32(3), pp.213~218 (2009)[DOI]
- Jebsen, R. H., "An objective and standardized test of hand function", Archives of Physical Medici ne and Rehabilitation, 50(6), pp.311~ (1969)
- Johansson, R. S., "Hand and brain: The neurophy siology and psychology of hand movements" (1996), Academic Press
- Jones, L. A., "The assessment of hand function : A critical review of techniques", Journal of Hand Surgery, 14(2), pp.221~228 (1989)[DOI]
- Kim, C. R., "Reference values for hand grip strengt h in the South Korean population", PloS one, 13(4), pp.e0195485~ (2018)[DOI]
- LaCroix, A. Z., "Maintaining mobility in late life. II. smoking, alcohol consumption, physical activity, and body mass index", American Journal of Epidemiology, 137(8), pp.858~869 (1993)[DOI]
- Lee, C. D., "A study on validity and reliability of upper extremity performance test for elderly(TEMPA)", 석사, pp.2015
- Lemmens, R. J., "Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia : A systematic review", BioMed Central Neurology, 12(1), pp.21~ (2012)[DOI]
- Mathiowetz, V., "Reliability and validity of grip and pinch strength evaluations", Journal of Hand Surgery, 9(2), pp.222~226 (1984)[DOI]
- Ranganathan, V. K., "Skilled finger movement exercise improves hand function", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, pp.M518~M522 (2001)[DOI]
- Ranganathan, V. K., "Effects of aging on hand function", Journal of the American Geriatrics Society, 49(11), pp.1478~1484 (2001)[DOI]
- Regardt, M., "Hand function, activity limitation and health-related quality of life in patients with polymyositis and dermatomyositis", 박사, pp.2014
- Russo, A., "Lifetime occupation and physical function: A prospective cohort study on persons aged 80 years and older living in a community", Occupational and Environmental Medicine, 63(7), pp.438~442 (2006)[DOI]
- Sorock, G. S., "A case-crossover study of occupational traumatic hand injury : Methods and initial findings", American Journal of Industrial Medicine, 39, pp.171~179 (2001)[DOI]
- Stamm, T. A., "Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis : A randomized controlled trial", Arthritis Care & Research, 47(1), pp.44~49 (2002)[DOI]
- Werle, S., "Age-and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population", Journal of Hand Surgery(European Volume), 34(1), pp.76~84 (2009)[DOI]