PMID: 11330758May 2, 2001Paper

Fine motor assessment in chronic wrist pain: the role of adapted motor control

Clinical Rehabilitation
M J SmeuldersK E Bos

Abstract

To show whether a difference in fine motor control exists between patients with chronic, undiagnosed wrist pain (CUWP) and healthy controls. Furthermore, a method to assess fine motor function of the wrist is evaluated. A case-control study. The Academic Medical Center in Amsterdam, the Netherlands. Twenty-seven CUWP patients were compared with 50 healthy control subjects. Subjects performed horizontal stroke patterns on a digital writing tablet connected to a computer. The control subjects were tested twice to obtain test-retest reliability. A visual analogue scale was used to assess subjective pain. Fluency of movement and average velocity were measured. Intraclass correlation, ANOVA repeated measures statistics and Pearson correlation were calculated. There is a significant difference in fluency of motion between patients and controls, possibly due to a disturbed motor control, since there is no relationship between pain and test score, nor do CUWP patients have any abnormality in the wrist that can explain the disturbance in motor function. The test method is reliable (ICC = 0.78) and valid. The disturbed fine motor control in CUWP patients is suggested to maintain chronic wrist pain through 'strain injury, causing' pain ev...Continue Reading

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Citations

Jan 29, 2013·Experimental Brain Research·Marta Pérez-de-Heredia-TorresCésar Fernández-de-Las-Peñas
Oct 12, 2012·Community Mental Health Journal·Amanda C Taylor, Gary R Bond
Nov 13, 2007·The Journal of Hand Surgery, European Volume·C A WigderowitzR J Abboud
Dec 11, 2008·Experimental Brain Research·César Fernández-de-Las-PeñasJoshua A Cleland
Jan 9, 2007·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·M A HuysmansJ H van Dieën
Sep 22, 2006·Manual Therapy·Darrell K Skinner, Sandra L Curwin
Jan 23, 2014·Clinical Biomechanics·Kate ButtonRobert W M van Deursen
Nov 23, 2010·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·A C JariwalaC A Wigderowitz
Dec 31, 2016·Disability and Rehabilitation. Assistive Technology·Renée M HakimMichael D Ross
Feb 1, 2017·Journal of Motor Behavior·Robert W M van DeursenPaulien E Roos
Jul 19, 2011·American Journal of Physical Medicine & Rehabilitation·Ana Isabel de la Llave-RincónJuan A Pareja
May 7, 2002·American Journal of Physical Medicine & Rehabilitation·Mark J C SmeuldersTheo Mulder
Jul 14, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Joshua YongSandra Moll
Sep 8, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Marijn MuurlingWinfred Mugge

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