Relevance of grasp types to assess functionality for personal autonomy
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Otros documentos de la autoría: Gracia-Ibáñez, Verónica; Sancho-Bru, Joaquin L.; Vergara, Margarita
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Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/7035
comunitat-uji-handle3:10234/8617
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INVESTIGACIONMetadatos
Título
Relevance of grasp types to assess functionality for personal autonomyFecha de publicación
2017-03Editor
ElsevierCita bibliográfica
GRACIA-IBÁÑEZ, Verónica; SANCHO-BRU, Joaquin L.; VERGARA, Margarita. Relevance of grasp types to assess functionality for personal autonomy. Journal of Hand Therapy, 2017.Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
http://www.sciencedirect.com/science/article/pii/S0894113017300315Palabras clave / Materias
Resumen
Study Design
Cross-sectional research design.
Introduction
Current assessment of hand function is not focused on evaluating the real abilities required for autonomy.
Purpose of the Study
To quantify the ... [+]
Study Design
Cross-sectional research design.
Introduction
Current assessment of hand function is not focused on evaluating the real abilities required for autonomy.
Purpose of the Study
To quantify the relevance of grasp types for autonomy to guide hand recovery and its assessment.
Methods
Representative tasks of the International Classification of Functioning, Disability and Health activities in which the hands are directly involved were recorded. The videos were analyzed to identify the grasps used with each hand, and their relevance for autonomy was determined by weighting time with the frequency of appearance of each activity in disability and dependency scales. Relevance is provided globally and distinguished by hand (right-left) and bimanual function. Significant differences in relevance are also checked.
Results
The most relevant grasps are pad-to-pad pinch (31.9%), lumbrical (15.4%), cylindrical (12%), and special pinch (7.3%) together with the nonprehensile (18.6%) use of the hand. Lumbrical grasp has higher relevance for the left hand (19.9% vs 12%) while cylindrical grasp for the right hand (15.3% vs 7.7%). Relevancies are also different depending on bimanual function.
Discussion
Different relative importance was obtained when considering dependency vs disability scales. Pad-to-pad pinch and nonprehensile grasp are the most relevant grasps for both hands, whereas lumbrical grasp is more relevant for the left hand and cylindrical grasp for the right one. The most significant difference in bimanual function refers to pad-to-pad pinch (more relevant for unimanual actions of the left hand and bimanual actions of the right).
Conclusions
The relative importance of each grasp type for autonomy and the differences observed between hand and bimanual action should be used in medical and physical decision-making. [-]
Publicado en
Journal of Hand Therapy Available online March 2017Derechos de acceso
Copyright © 2017 Elsevier B.V. or its licensors or contributors.
http://rightsstatements.org/vocab/InC/1.0/
info:eu-repo/semantics/openAccess
http://rightsstatements.org/vocab/InC/1.0/
info:eu-repo/semantics/openAccess
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