Validity of the Buttoning Test in Hand Disability Evaluation of Patients With Stroke

다국어 초록 (Multilingual Abstract)

Objective To investigate the relationship between the buttoning test and Jebsen-Taylor Hand Function Test (JTHFT), and to determine the validity of using the buttoning test as a tool to evaluate hand disability in patients with stroke.
Methods This was a retrospective study of the medical records of 151 ischemic stroke patients affecting the dominant hand. Patients underwent the buttoning test and JTHFT for their affected hand. All patients were divided into three groups depending on how quickly they fastened a button (group A, not completed; group B, slowly completed over 18 seconds; and group C, completed within 18 seconds).
Results The button fastening time was negatively correlated with the total score and subtest scores of the JTHFT. Patients who experienced difficulty during the buttoning test had lower mean scores in the JTHFT (group A, 28.0±23.9; group B, 62.9±21.7; group C, 75.4±13.3; p<0.0001, Jonckheere-Terpstra test). We observed significant differences in JTHFT scores among the three groups (p<0.017, Mann-Whitney U-test), although there were considerable overlaps in JTHFT scores between the groups. Significant differences were also found in the subtest scores of the JTHFT, which include fine hand motor function (writing letters, p=0.009; moving small objects, p=0.003; stacking checkers, p=0.001 between groups B and C), among the three groups.
Conclusion Considering its relationship with the JTHFT and validity, the buttoning test can be considered appropriate for evaluation of hand disability in patients with stroke.

참고문헌 (Reference)

1 한태륜, "뇌졸중 편마비 환자의 건측 손기능의 시간적 변화" 대한재활의학회 28 (28): 13-19, 2004

2 Higgins J, "Upper-limb function and recovery in the acute phase poststroke" 42 : 65-76, 2005

3 Nitz J, "The validity of button fastening as a test of hand disability in myotonic dystrophy" 44 : 117-121, 1998

4 Higgins J, "The effect of a task-oriented intervention on arm function in people with stroke: a randomized controlled trial" 20 : 296-310, 2006

5 Chen HM, "Test-retest reproducibility and smallest real difference of 5 hand function tests in patients with stroke" 23 : 435-440, 2009

6 Langhorne P, "Stroke rehabilitation" 377 : 1693-1702, 2011

7 Pincus T, "Rheumatology function tests: quantitative physical measures to monitor morbidity and predict mortality in patients with rheumatic diseases" 23 (23): S85-S89, 2005

8 Hsieh YW, "Responsiveness and validity of three outcome measures of motor function after stroke rehabilitation" 40 : 1386-1391, 2009

9 Pincus T, "Reliability of grip strength, walking time and button test performed according to a standard protocol" 18 : 997-1000, 1991

10 Platz T, "Reliability and validity of arm function assessment with standardized guidelines for the Fugl- Meyer Test, Action Research Arm Test and Box and Block Test: a multicenter study" 19 : 404-411, 2005

11 Beebe JA, "Relationships and responsiveness of six upper extremity function tests during the first six months of recovery after stroke" 33 : 96-103, 2009

12 Johnson ER, "Profiles of neuromuscular diseases: myotonic dystrophy" 74 (74): S104-S116, 1995

13 Kwakkel G, "Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke" 34 : 2181-2186, 2003

14 Pincus T, "Prediction of longterm mortality in patients with rheumatoid arthritis according to simple questionnaire and joint count measures" 120 : 26-34, 1994

15 Sullivan JE, "Outcome measures for individuals with stroke: process and recommendations from the American Physical Therapy Association neurology section task force" 93 : 1383-1396, 2013

16 Parker VM, "Loss of arm function after stroke: measurement, frequency, and recovery" 8 : 69-73, 1986

17 김정환, "Jebsen Hand Function Test의 신점수체계" 대한재활의학회 31 (31): 623-629, 2007

18 Clawson DK, "Functional assessment of the rheumatoid hand" 77 : 203-210, 1971

19 Portney LG, "Foundations of clinical research: applications to practice. 2nd ed." Prentice-Hall 2000

20 Nichols-Larsen DS, "Factors influencing stroke survivors' quality of life during subacute recovery" 36 : 1480-1484, 2005

21 Croarkin E, "Evidence-based rating of upper-extremity motor function tests used for people following a stroke" 84 : 62-74, 2004

22 Hummel F, "Effects of non-invasive cortical stimulation on skilled motor function in chronic stroke" 128 : 490-499, 2005

23 Soliveri P, "Effect of practice on performance of a skilled motor task in patients with Parkinson's disease" 55 : 454-460, 1992

24 Rabadi MH, "Comparison of the action research arm test and the Fugl-Meyer assessment as measures of upper-extremity motor weakness after stroke" 87 : 962-966, 2006

25 Jebsen RH, "An objective and standardized test of hand function" 50 : 311-319, 1969

26 Duncan P, "A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke" 29 : 2055-2060, 1998