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Kobayashi-Cuya KE, Sakurai R, Sakuma N, Suzuki H, Ogawa S, Takebayashi T, Fujiwara Y. Bidirectional associations of high-level cognitive domains with hand motor function and gait speed in high-functioning older adults: A 7-year study. Arch Gerontol Geriatr 2024; 117:105232. [PMID: 37956584 DOI: 10.1016/j.archger.2023.105232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 09/29/2023] [Accepted: 10/17/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND Whether age-related decline in the musculoskeletal system may contribute to a decline in cognitive performance or vice versa is unclear. Understanding the direction of their associations and the extent to which upper and lower extremities similarly predict subtle changes in high-level cognitive performance will help elucidate their mechanisms, especially that of the hand dexterity. METHODS We evaluated the bidirectional associations of motor performance and high-level cognitive domains in 165 highly cognitively and physically healthy older adults. Motor performance tests consisted of handgrip strength, hand dexterity, assessed with the Purdue Pegboard Test (PPT), and usual and maximum gait speeds. High-level cognitive measures included executive function and information processing speed. The Trail Making Test (TMT)B and the letter and category fluency tests (LFT and CFT) evaluated executive function, while the TMTA and Digit Symbol assessed processing speed. Measurements were taken at baseline and at 2-, 5- and 7-year follow-up. RESULTS Generalized linear mixed-effect models showed that baseline hand dexterity and its trajectory predicted changes in TMTB, CFT, TMTA, and Digit Symbol over time, and vice versa. Baseline maximum gait speed was associated with LFT over time and vice versa. No associations were found for handgrip and usual gait speed. CONCLUSION The positive bidirectional association observed both in hand dexterity and maximum gait speed with executive function performance and that of hand dexterity with processing speed over time highlights a reciprocal relationship where each factor affects the other and both factors are dependent on each other, suggesting commonality in their neural basis.
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Affiliation(s)
- Kimi Estela Kobayashi-Cuya
- Research Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan; Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan
| | - Ryota Sakurai
- Research Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan.
| | - Naoko Sakuma
- Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan
| | - Hiroyuki Suzuki
- Research Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan
| | - Susumu Ogawa
- Research Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan
| | - Yoshinori Fujiwara
- Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan
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Alonso CCG, de Freitas PB, Pires RS, De Oliveira DL, Freitas SMSF. Exploring the ability of strength and dexterity tests to detect hand function impairment in individuals with Parkinson's disease. Physiother Theory Pract 2023; 39:395-404. [PMID: 34895020 DOI: 10.1080/09593985.2021.2013371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND Parkinson's disease (PD) can affect hand function since the beginning of the motor symptoms. OBJECTIVE To compare the ability of different hand function tests to: 1) distinguish individuals with PD from healthy controls; 2) differentiate stages of the disease; and 3) indicate changes over time due to disease progression. METHODS Twenty-four individuals with PD (Hoehn and Yahr: I-III) and 24 age- and sex-matched controls performed the Jebsen-Taylor Hand Function Test (JTHFT), the Nine-Hole Peg Test (9HPT), and the maximum grip and the maximum pinch strength tests using their right and left hands. Eight individuals with PD (six females and two males) were reassessed after 18 months. The ROC analyses and Mann-Whitney U tests (for disease progression) using the average performance of the hands were done. RESULTS Individuals with PD presented worse test performances than controls, except for the writing subtest of the JTHFT and the grip strength test. The JTHFT without the writing subtest (JTHFTnoW) was the most accurate to discriminate PD from controls (AUC = 0.899; sensitivity 75% and specificity 95.8%). The 9HPT and the simulated feeding and moving large, light objects JTHFT subtests were sensitive to distinguish stages, while the 9HPT, the moving small, common objects JTHFT subtest, and the grip strength were sensitive to changes with disease progression. CONCLUSION The JTHFTnoW was highly discriminative of the hand function impairments in PD. TwoJTHFT subtests were the most sensitives to distinguish PD stages (i.e. simulated feeding JTHFT subtest) and disease progression (i.e. moving small, common objects JTHFT subtest).
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Affiliation(s)
- Cintia C G Alonso
- Graduate Program Universidade Cidade de São Paulo (UNICID), São Paulo, Brazil
| | - Paulo B de Freitas
- Interdisciplinary Graduate Program in Health Sciences, Universidade Cruzeiro Do Sul, São Paulo, Brazil
| | - Raquel S Pires
- Graduate Program Universidade Cidade de São Paulo (UNICID), São Paulo, Brazil
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Knobbe TJ, Kremer D, Eisenga MF, Corpeleijn E, Annema C, Spikman JM, Navis G, Berger SP, Bakker SJL. Hand dexterity, daily functioning and health-related quality of life in kidney transplant recipients. Sci Rep 2022; 12:16208. [PMID: 36171358 PMCID: PMC9519570 DOI: 10.1038/s41598-022-19952-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 09/07/2022] [Indexed: 12/03/2022] Open
Abstract
Impaired interplay between sensory and motor function may be an important, often overlooked cause of the decreased daily functioning and impaired health-related quality of life (HRQoL) of kidney transplant recipients (KTR). We assessed this interplay using a hand dexterity test, and investigated its potential associations with daily functioning and HRQoL among KTR enrolled at the TransplantLines Biobank and Cohort Study. A total of 309 KTR (58% male, mean age 56 ± 13 years) at median 4 [IQR: 1-11] years after transplantation were included. Impaired hand dexterity, as defined by a test performance slower than the 95th percentile of an age- and sex-specific reference population, was observed in 71 (23%) KTR. Worse hand dexterity was independently associated with worse performance on almost all measures of physical capacity, activities of daily living and societal participation. Finally, hand dexterity was independently associated with physical HRQoL (standardized beta - 0.22, 95%CI - 0.34 to - 0.09, P < 0.001). In conclusion, impaired interplay between sensory and motor function, as assessed by hand dexterity, is prevalent among KTR. In addition, poor hand dexterity was associated with impaired daily functioning and limited physical HRQoL. Impaired interplay between sensory and motor function may be therefore an important, hitherto overlooked, phenomenon in KTR.
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Affiliation(s)
- Tim J Knobbe
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands.
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Hanzeplein 1, P.O. Box 30.001, 9713 GZ, Groningen, The Netherlands.
| | - Daan Kremer
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Michele F Eisenga
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Eva Corpeleijn
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Coby Annema
- Department of Health Sciences, Section of Nursing Science, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Joke M Spikman
- Department of Neurology, Division of Neuropsychology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Gerjan Navis
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Stefan P Berger
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
| | - Stephan J L Bakker
- Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, The Netherlands
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Rattanawan P. Correlations between Hand Dexterity and Bimanual Coordination on the Activities of Daily Living in Older Adults with Mild Cognitive Impairment. Dement Geriatr Cogn Dis Extra 2022; 12:24-32. [PMID: 35432440 PMCID: PMC8958629 DOI: 10.1159/000521644] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 12/21/2021] [Indexed: 11/25/2022] Open
Abstract
Background/Aims Many motor impairments are present in older adults with cognitive decline. One of them is the impairment of hand dexterity and bimanual coordination that result in poor functional ability in the activities of daily living (ADL). This study investigated the effects of hand dexterity and bimanual coordination declination on the sub-domains of ADL in older adults with mild cognitive impairment (MCI). Methods Thirty-one senior individuals with MCI were recruited in this study. The Purdue Pegboard Test was used to measure hand dexterity, and bimanual coordination was assessed by the continuous circle-drawing task. Their ADL were assessed with the General Activity Daily Living questionnaire. Results The correlations analysis showed an association between the dominant hand and bimanual dexterity with the domestic domain of ADL and all conditions of hand dexterity with the complex domain of ADL. Moreover, the multiple regression analysis showed that the predictor of the greatest effect for domestic and complex domains was dominant hand dexterity. Discussion/Conclusion These results revealed that dominant hand dexterity strongly affected domestic and complex ADL in older adults with MCI. There were age-related changes regarding lateral asymmetrical motor reduction, especially in cognitive tasks. However, complex tasks involving cognitive function may need dominant, nondominant and bimanual hand dexterity.
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Rule K, Ferro J, Hoffman A, Williams J, Golshiri S, Padre R, Avila J, Coca C, Valdes K. Purdue manual dexterity testing: A cohort study of community-dwelling elderly. J Hand Ther 2021; 34:116-120. [PMID: 32151505 DOI: 10.1016/j.jht.2019.12.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Revised: 09/09/2019] [Accepted: 12/31/2019] [Indexed: 02/03/2023]
Abstract
INTRODUCTION The Purdue Pegboard Test is a manual dexterity test that requires the manipulation of pegs, washers, and collars. Our population for this research study focused on the geriatric community owing to the lack of recent available normative data. PURPOSE OF THE STUDY The purpose of this study was to provide updated normative data for hand therapists to use in clinical practice to determine if seniors have dexterity deficits. STUDY DESIGN This is a cohort study. METHODS This study was completed through a convenience sample which included 128 participants. Participants were stratified into three age groups (60-69, 70-79, and 80+). Participants were asked to complete the Purdue Pegboard Test. Mean scores were analyzed using an independent-sample t-test and one-way analysis of variance to compare the mean scores of each designated age group. RESULTS A one-way analysis of variance reported statistically significant differences between the 3 age groups (F = 15.03, P < .00). The results supported that those individuals who were younger (60-69) scored better on the assessment than those aged 80+ years. There was not a statistically significant difference between PPT mean scores of males and females. DISCUSSION Mean scores for the PPT for community-dwelling seniors were established. CONCLUSION The findings from this study support that dexterity may decline with age, which can affect occupational performance over time.
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Affiliation(s)
- Katherine Rule
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA.
| | - Jennifer Ferro
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Audrey Hoffman
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Jasmine Williams
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Sara Golshiri
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Rachelle Padre
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Jessica Avila
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Carley Coca
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
| | - Kristin Valdes
- Department of Occupational Therapy, Gannon University, Ruskin, FL, USA
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Kobayashi-Cuya KE, Sakurai R, Sakuma N, Suzuki H, Yasunaga M, Ogawa S, Takebayashi T, Fujiwara Y. Hand dexterity, not handgrip strength, is associated with executive function in Japanese community-dwelling older adults: a cross-sectional study. BMC Geriatr 2018; 18:192. [PMID: 30143006 PMCID: PMC6109297 DOI: 10.1186/s12877-018-0880-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Accepted: 08/15/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND An association between handgrip strength, hand dexterity and global cognition is suggested; however, it is unclear whether both hand motor functions are associated with executive function, which is important for performing daily activities. Understanding this association will help identify motor risk factors for impairment of executive function in late adulthood. We aim to investigate the relationship of handgrip strength and hand dexterity with executive function in physically and mentally healthy community-dwelling older adults. METHODS Three hundred and twenty-six older adults (287 women, mean age ± SD, 70.1 ± 5.6) underwent handgrip strength and hand dexterity tests using a hand dynamometer and the Purdue Pegboard Test (PPT), respectively. Executive function was evaluated with the Trail Making Test (TMT)-A, TMT-B and Digit symbol; global cognition was assessed with the Mini-Mental State Examination (MMSE). RESULTS Age-group differences showed that the younger groups (60-64, 65-69 and 70-74) had a significant better PPT and executive function performance than the oldest group (75 and older), whereas no significant age differences were observed for handgrip strength. Multiple regression analysis adjusted for potential covariates, including MMSE scores, showed that TMT-A, TMT-B, and Digit symbol were significantly associated with PPT scores; however, no significant association was observed between executive function variables and handgrip strength. CONCLUSIONS Hand dexterity is vulnerable to the effects of aging and, contrary to handgrip strength, it strongly associates with executive function, independent of global cognition. Our results suggest that assessing hand dexterity may help identify individuals at higher risk of impairment of executive function among high-functioning older adults.
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Affiliation(s)
- Kimi Estela Kobayashi-Cuya
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.,Department of Preventive Medicine and Public Health, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - Ryota Sakurai
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.
| | - Naoko Sakuma
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan
| | - Hiroyuki Suzuki
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan
| | - Masashi Yasunaga
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan
| | - Susumu Ogawa
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - Yoshinori Fujiwara
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan
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Kim A, Lee HS, Song CS. Effects of interactive metronome training on postural stability and upper extremity function in Parkinson's disease: a case study. J Phys Ther Sci 2017; 29:168-171. [PMID: 28210066 PMCID: PMC5300832 DOI: 10.1589/jpts.29.168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 09/26/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to examine the effects of interactive metronome
training on the postural stability and upper extremity function of an individual with
Parkinson’s disease. [Subject and Methods] The participant of this case study was a
75-year-old female with Parkinson’s disease diagnosed 7 years prior. This study was a
single-subject research with an A-B-A design. She received IM training during the
treatment phase (B phase) for 40 minutes per session. She was assessed pretest and
posttest using the Berg balance scale and Wolf motor function test, and at baseline and
the treatment phase using the measured box-and-block test and a Tetrax system. [Results]
After training, the patient’s static and dynamic balance, functional activity, and
performance time of the upper extremity improved. Interactive metronome therapy improved
the manual dexterity of both hands. Interactive metronome therapy also improved the limit
of stability of the Parkinson’s disease. [Conclusion] Though a case study, the results of
this study suggest that IM therapy is effective at restoring the postural stability and
upper extremity function of patients with Parkinson’s disease.
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Affiliation(s)
- Arim Kim
- Department of Occupational Therapy, Graduate School, Kwangju-Women's University, Republic of Korea
| | - Hye-Sun Lee
- Department of Occupational Therapy, Kwangju-Women's University, Republic of Korea
| | - Chiang-Soon Song
- Department of Occupational Therapy, College of Health Science, Chosun University, Republic of Korea
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Ryu YU, Lee KH, Lee H, Park J. Age-related differences in control of a visuomotor coordination task: a preliminary study. J Phys Ther Sci 2016; 28:1255-9. [PMID: 27190463 PMCID: PMC4868223 DOI: 10.1589/jpts.28.1255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 01/08/2016] [Indexed: 12/02/2022] Open
Abstract
[Purpose] The purpose of the current study was to examine age-related differences in
control of a perception-action coordination skill. We adapted a visuomotor tracking
experiment requiring various coordination patterns between a limb’s motion and an external
signal. [Subjects and Methods] A total of 12 subjects (6 elderly and 6 young) voluntarily
participated in the study. The experimental session consisted of 3 trials for 3 different
relative phase patterns: 0°, 90°, and 180°, defined by the relationship between the online
visual feedback of the joystick motion and the white dot signal. [Results] The 0° and 180°
tracking patterns were stable compared with the 90° tracking pattern for both age groups.
The present results also showed that the elderly subjects were less stable than were young
subjects for all tracking patterns. [Conclusion] The intrinsic coordination dynamics
predicted by the Haken-Kelso-Bunz (HKB) mathematical model did not change with age,
whereas utilization of visual feedback information declined overall. Further research is
needed regarding methods for increasing utilization of visual feedback information from
the perspective of rehabilitation.
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Affiliation(s)
- Young Uk Ryu
- Department of Physical Therapy, College of Medical Science, Catholic University of Daegu, Republic of Korea
| | - Kyu-Ho Lee
- Department of Physical Therapy, College of Medical Science, Catholic University of Daegu, Republic of Korea
| | - Hocheol Lee
- School of Mechanical and Automotive Engineering, Catholic University of Daegu, Republic of Korea
| | - Jungsik Park
- Center for Medical Humanities and Convergent Contents, Ajou University, Republic of Korea
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Wittich W, Nadon C. The Purdue Pegboard test: normative data for older adults with low vision. Disabil Rehabil Assist Technol 2016; 12:272-279. [DOI: 10.3109/17483107.2015.1129459] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Walter Wittich
- School of Optometry, University of Montreal, CRIR/MAB-Mackay Rehabilitation Centre du CIUSSS du Centre-Ouest-de-l’Île-de-Montréal, Montreal, Quebec, Canada
| | - Christina Nadon
- School of Optometry, University of Montreal, CRIR/MAB-Mackay Rehabilitation Centre du CIUSSS du Centre-Ouest-de-l’Île-de-Montréal, Montreal, Quebec, Canada
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