Upper extremity function and its relation with hand sensation and upper extremity strength in patients with multiple sclerosis


Guclu-Gunduz A., ÇITAKER S., NAZLIEL B., Irkec C.

NeuroRehabilitation, vol.30, no.4, pp.369-374, 2012 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 4
  • Publication Date: 2012
  • Doi Number: 10.3233/nre-2012-0768
  • Journal Name: NeuroRehabilitation
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.369-374
  • Keywords: Multiple sclerosis, sensation, strength, functions, hand, QUALITY-OF-LIFE, INTERRATER RELIABILITY, COGNITIVE FUNCTION, HELD DYNAMOMETRY, MOTOR-ASSESSMENT, FORCE CONTROL, SCALE, COORDINATION, VALIDITY, FATIGUE
  • Lokman Hekim University Affiliated: No

Abstract

The purpose of this study was to investigate the relationships between the upper extremity functions, upper extremity strength and hand sensation in patients with Multiple Sclerosis (MS). Twenty-two patients with MS (mean age: 38.5 ± 8.31 years, median Expanded Disability Status Scale (EDSS): 2) and 10 healthy subjects were included. Upper extremity function was measured with the Nine-hole peg test, upper extremity strength (shoulder flexion-abduction, elbow flexion, pinch and grip) with hand-held dynamometer, hand grip dynamometer and manual pinch meter, threshold of light touch-pressure with Semmes-Weinstein monofilament, duration of vibration with 128-Hz frequency tuning fork, and distance of two-point discrimination with an aesthesiometer. Strength and functional level of the upper extremity, light touch-pressure, two-point discrimination, vibration sensations of the hand were lower in patients with MS compared with healthy controls (p < 0.05). Light touch-pressure sensation of thumb and index fingers, two-point discrimination of index finger and elbow flexion strength were found to be related with upper extremity function in patients with MS (p< 0.05). These results indicate that the hand sensation, upper extremity strength and function were affected in MS patients. Additionally upper extremity functions seem to be related with light touch-pressure and two-point discrimination sensations of the hand and elbow flexion strength. Upper extremity strengthening and sensorial training of the hand may contribute to the upper extremity function in patients with MS. © 2012 -IOS Press and the authors.