Relationship Between Grip and Pinch Strength and Activities of Daily Living in Stroke Patients
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Objective To investigate the relationship between grip and pinch strength and independence in activities of daily living (ADL) in stroke patients.Methods Medical records of 577 stroke patients from January 2010 to February 2013 were retrospectively reviewed. Patients’ grip and pinch strength of both hemiplegic and non-hemiplegic hands and the Korean version of Modified Barthel Index (K-MBI) score were collected. These patients were divided into three groups: group A (onset duration: ≤3 months), group B (onset duration: >3 months and <2 years), and group C (onset duration: ≥2 years). The correlation between grip and pinch strength and the K-MBI score was analyzed.Results In group A (95 patients), the K-MBI score was significantly (p<0.05) correlated with the grip and pinch strength of both hands in patients with right hemiplegia. Significant (p<0.05) correlation between the K-MBI score and the grip and pinch strength of the hemiplegic hand was shown in patients with left hemiplegia. In group B (69 patients) and group C (73 patients), the K-MBI score was significantly (p<0.05) correlated with the grip and pinch strength of the hemiplegic hand.Conclusion Stroke patients in subacute stage mainly performed activities of daily living using their dominant hand. However, independence in ADL was associated with the strength of the affected dominant hand. For stroke patients in chronic and late chronic stages, their hand power of the affected hand was associated with independence in ADL regardless whether the dominant hand was affected.
Abstract
Objective To investigate the relationship between grip and pinch strength and independence in activities of daily living (ADL) in stroke patients.Methods Medical records of 577 stroke patients from January 2010 to February 2013 were retrospectively reviewed. Patients’ grip and pinch strength of both hemiplegic and non-hemiplegic hands and the Korean version of Modified Barthel Index (K-MBI) score were collected. These patients were divided into three groups: group A (onset duration: ≤3 months), group B (onset duration: >3 months and <2 years), and group C (onset duration: ≥2 years). The correlation between grip and pinch strength and the K-MBI score was analyzed.Results In group A (95 patients), the K-MBI score was significantly (p<0.05) correlated with the grip and pinch strength of both hands in patients with right hemiplegia. Significant (p<0.05) correlation between the K-MBI score and the grip and pinch strength of the hemiplegic hand was shown in patients with left hemiplegia. In group B (69 patients) and group C (73 patients), the K-MBI score was significantly (p<0.05) correlated with the grip and pinch strength of the hemiplegic hand.Conclusion Stroke patients in subacute stage mainly performed activities of daily living using their dominant hand. However, independence in ADL was associated with the strength of the affected dominant hand. For stroke patients in chronic and late chronic stages, their hand power of the affected hand was associated with independence in ADL regardless whether the dominant hand was affected.
참고문헌 (25)
- Stoykov ME, "A review of bilateral training for upper extremity hemiparesis", Occup Ther Int, 16, pp.190~203 (2009)
- Jang SH., "A review of the ipsilateral motor pathway as a recovery mechanism in patients with stroke", Neuro-Rehabilitation, 24, pp.315~320 (2009)
- Lang CE, "Assessment of upper extremity impairment, function, and activity after stroke: foundations for clinical decision making", J Hand Ther, 26, pp.104~114 (2013)
- Stevenson T, "Constraint-induced movement therapy compared to dose-matched interventions for upper-limb dysfunction in adult survivors of stroke: a systematic review with meta-analysis", Physiother Can, 64, pp.397~413 (2012)
- McIntyre A, "Systematic review and meta-analysis of constraint-induced movement therapy in the hemiparetic upper extremity more than six months post stroke", Top Stroke Rehabil, 19, pp.499~513 (2012)
- McCombe Waller S, "Hand dominance and side of stroke affect rehabilitation in chronic stroke", Clin Rehabil, 19, pp.544~551 (2005)
- Rinehart JK, "Arm use after left or right hemiparesis is influenced by hand preference", Stroke, 40, pp.545~550 (2009)
- Sangha H, "A comparison of the Barthel Index and the Functional Independence Measure as outcome measures in stroke rehabilitation: patterns of disability scale usage in clinical trials", Int J Rehabil Res, 28, pp.135~139 (2005)
- Shah S, "Improving the sensitivity of the Barthel Index for stroke rehabilitation", J Clin Epidemiol, 42, pp.703~709 (1989)
- 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
- Heller A, "Arm function after stroke: measurement and recovery over the first three months", J Neurol Neurosurg Psychiatry, 50, pp.714~719 (1987)
- 신희석, "Reliability of the Pinch Strength with Digitalized Pinch Dynamometer", Annals of Rehabilitation Medicine, 36(3), pp.394~399 (2012), 대한재활의학회[DOI]
- Mathiowetz V, "Reliability and validity of grip and pinch strength evaluations", J Hand Surg Am, 9, pp.222~226 (1984)
- Goodson A, "Direct, quantitative clinical assessment of hand function:usefulness and reproducibility", Man Ther, 12, pp.144~152 (2007)
- Li KY, "Ability of three motor measures to predict functional outcomes reported by stroke patients after rehabilitation", NeuroRehabilitation, 30, pp.267~275 (2012)
- Woldag H, "Early prediction of functional outcome after stroke", Brain Inj, 20, pp.1047~1052 (2006)
- Skilbeck CE, "Recovery after stroke", J Neurol Neurosurg Psychiatry, 46, pp.5~8 (1983)
- Puh U., "Age-related and sex-related differences in hand and pinch grip strength in adults", Int J Rehabil Res, 33, pp.4~11 (2010)
- Takeda K, "Shift of motor activation areas during recovery from hemiparesis after cerebral infarction: a longitudinal study with near-infrared spectroscopy", Neurosci Res, 59, pp.136~144 (2007)
- Stinear CM, "Functional potential in chronic stroke patients depends on corticospinal tract integrity", Brain, 130(Pt 1), pp.170~180 (2007)
- 한태륜, "뇌졸중 편마비 환자의 건측 손기능의 시간적 변화", Annals of Rehabilitation Medicine, 28(1), pp.13~19 (2004), 대한재활의학회
- Haaland KY, "Relationship between arm usage and instrumental activities of daily living after unilateral stroke", Arch Phys Med Rehabil, 93, pp.1957~1962 (2012)
- 김경은, "뇌졸중 환자의 손 기능 재활에서 우성 및 비우성 반구 병변 여부의 중요성", Annals of Rehabilitation Medicine, 31(6), pp.661~667 (2007), 대한재활의학회
- Harris JE, "Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected", Neurorehabil Neural Repair, 20, pp.380~389 (2006)
- 최하영, "뇌경색 환자에서 인지 및 지각기능과 일상생활 독립성", Annals of Rehabilitation Medicine, 31(6), pp.630~635 (2007), 대한재활의학회