Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Study to Find Correlation of Grip Strength and Coordination on Upper Extremity Functions in Stroke Patients


Affiliations
1 Sai Rehabilitation Center, India
2 Parul College of Physiotherapy, Vadodara, India
3 K K Sheth College of Physiotherapy, Rajkot, Gujarat
     

   Subscribe/Renew Journal


Background: Stroke is the 3rd leading cause of death and the most common cause of disability among adults. Nearly 1/3 of the total population suffering from stroke will have some residual upperextremity impairment which will cause a barrier in their daily functional activities, and hand is the most important part of upper extremity for functional activities. These functional activities are affected by many factors including coordination and weakness. Thus correlation between grip strength and coordination, with upper extremity functions is evaluated.

Objective: To correlate grip strength and co-ordination with upper extremity functions in stroke patient.

Method: 100 patients were taken for the study where grip strength with hand held dynamometer, and coordination with SFNT (Standard Finger Nose Test) of affected extremity were checked at the time of discharge, and the functional outcome of the same was measured with ARAT 3 months after discharge. In between patient was given conventional physiotherapy treatment.

Results: Sample size of 100 patients was taken from which 30% were females and 70% were males. The mean and standard deviation of grip strength and ARAT were 7.00 ± 1.66, 28.68 ± 8.63 respectively. The Pearson's correlation coefficient was .78 which was statistically significant at P value

Conclusion: The study concluded that the grip strength and coordination are directly correlated with the upper extremity functions in stroke patient.


Keywords

Grip Strength, Coordination, Upper Extremity Functions, ARAT and Stroke
Subscription Login to verify subscription
User
Notifications
Font Size


  • Susan B. O’Sullivan, Thomas J. Schmitz; Physical rehabilitation assess and treatment; ed-4th, 520-539.

  • Darcy Umphred, Neurological Rehab, ed-4th, 741-86.

  • Derek G. Kemper, Heidi C. Fisher, Erik G. Cruz, William Z. Rymer; “Weakness is the primary contributor to finger impairment in chronic stroke.” Arch Phy Med Rehabil, 2006, 87, 1262-1269.

  • Bohannon R. Strength associated motor deficits following stroke. Percept motor skills 1997; 84: 393 – 394 .

  • Bourbonnais D, Vanden Noven S. Weakness in patients with hemiparesis. Am J Occup Therapy 1989 ; 43: 313–319

  • Duncan P. Stroke: physical therapy assessment and treatment. In Contemporary management of motor control problemsAlexandria Foundation for Physical Therapy, 1991: 209–16

  • Wenzelburger R, Kopper F, Frenzel A, Stolze H, Klebes S, Brossmann A. Hand co-ordination following capsular stroke. Brain 2005; 128; 64-74.

  • Twitchell TE. “The restoration of motor function following hemiplegia” Brain 1951; 74; 443-480.

  • Colebatch JG, Gandevia S C. “The distribution of muscular weakness in upper motor neuron leasions affecting the arm.” Brain 1989; 112; 749-763.

  • Kamper D G, Mckenna Cole A, Kahn L E, Reinkensmeyer D J. “Alterations in reaching after stroke and their relation to movement direction and impairment severity.” Arch Phy Med Rehabili; 2002; 83(5); 702-707.

  • Reinkensmeyer D J, Mckenna Cole A, Kahn L E, Lamper D G. “Directional control of reaching is preserved following mild/moderate stroke and statistically constrained following severe stroke.” Exp Brain Res; 2002; 143(4); 525-530.

  • Crrstea M C, Mitnitski A B, Feldman A G, Levin M F. “Interjoint co-ordination dynamics during reaching in stroke.” Exp Brain Res; 2005; 151(3); 289-300.

  • Carroll D. “Hand function in hemiplegia.” J. Chronic Dis 1965, 18; 492-500.

  • Mai N. “Residual control of isometric finger forces in hemiparetic patients- Evidence fo dissociation of performance deficits.” Neuroscience Lett. 1989; 101; 347-51.

  • Grichting B, Hediger V, Kalvzny P, Wiesendanger M. “Impaired proactive and reactive grip force control in chronic hemiparetic patients.” Clinical Neurophysiology. 2000; 111 (9); 1661-71.

  • Lang C E, Wagner J M, Bastian A J, et al, “Deficits in grasp versus reach during acute hemiparesis.” Exp Brain Res 2005; 116 (1); 126-36.

  • Castielleo U. The neuroscience of grasping. Nat Rev Neuroscience 2005; 6 (9); 726-36.

  • Heller A, Wade D, Wood V, Sunderland A, Hewer R, Ward E. “Arm function after stroke: measurement and recovery over the first 3 months.” J. Neurol Neurosurg Psy. 1987; 50; 714-14.

  • Burke D. “Spasticity as an adaptation to pyramidal tract injury.” Adv. Neurol 1988; 47; 401-423.

  • Gillen G, Burkhardt A. Stroke Rehabilitation: a function based approach. St Louis; NO: C V Mosby, 1998.

  • Agre JC, Magness JL et al. Strength testing with a portable dynamometer: reliability for upper and lower extremities. Archives of Physical Med Rehabili, 1987, 68; 454-58.

  • Desrosiers J, Hebert R, Bravo G, Dutil E. Upper extremity motor co-ordination of healthy elderly people. Age Ageing 1995; 24; 108-12.

  • Bourbonnais D, Vanden Noven S, Pelletier R. Inco-ordination in patients with hemiparesis. Canadian J. Public Health 1992; 83; 558-63.

  • Cynthia Gagnon, Jean Mathieu, Johanne Desrosiers. Standardized Finger Nose Test validity for co-ordination assessment in an Ataxic Disorder. Canadian J Neurol Sci; 2004; 31; 484-89.

  • Verkerk PH, Schouten JP, Oosterhuis HJ. Measurement of hand co-ordination. Clinical Neurol Neurosurg 1990; 92; 105-109.

  • Swaine BR, Sullivan SJ. Relation between clinical and instrumental measures of motor coordination in traumatically brain injured persons. Arch Phys Med Rehabili 1992; 73; 55-59.

  • Legros B, Jacquy J, Manto MU. [Interobserver reliability of a new horizontal pointing maneuver: comparison with conventional tests.] Rev Neurol (Paris) 2000; 156; 987-992.

  • Trombly CA. Deficits of reaching in subjects with left hemiparesis: a pilot study. American J Occup Ther 1992; 46; 887-97.

  • Bourbonnais D, Vanden Noven S. Weakness in patients with hemiparesis. [review] Am J Occup Ther 1989; 43; 313-19.

  • Bobath B. Adult heniplegia. Evaluation and treatment. 3rd edition. Oxford: Heinemann Medical, 1990.

  • Brunnstrom S. Movement therapy I hemiplegia. A neurophysiological approach. New York: Harper and Row, 1970.

  • Di Fabio RP, Badke MB. Duncan PW. Adapting human postural reflexes following localized cerebrovascular lesion: analysis of bilateral long latency responses. Brain Res 1986; 363; 257-64.

  • Cailliet R. The shoulder in hemiplegia. Philadelphia: FA Davis; 1980.

  • Ryerson S, Levit K. The shoulder in hemiplegia. In: Donatelli R, editor. Physical therapy of the shoulder. New York: Churchill Livingstone: 1987; 105-31.

  • Archambault P, Pigeon P, Feldman AG, Levin MF. Recruitment and sequencing of different degrees of freedom during pointing movements involving the trunk in healthy and hemiparetic subjects. Exp Brain Res 1999; 126; 55-67.

  • Levin MF. Interjoint co-ordination during pointing movements is disrupted in spastic hemiparesis. Brain 1996; 119; 281-93.

  • Gowland C, deBruin H, Basmajian JV, Plews N, Burcea I. Agonist and antagonist activity during voluntary upper-lmb movement in patients with stroke. Phys Ther 1992; 72; 624-33.


Abstract Views: 544

PDF Views: 0




  • A Study to Find Correlation of Grip Strength and Coordination on Upper Extremity Functions in Stroke Patients

Abstract Views: 544  |  PDF Views: 0

Authors

Jagruti Trambadia
Sai Rehabilitation Center, India
B. Khushbu
Sai Rehabilitation Center, India
B. Praful
Parul College of Physiotherapy, Vadodara, India
K. Vishal
K K Sheth College of Physiotherapy, Rajkot, Gujarat

Abstract


Background: Stroke is the 3rd leading cause of death and the most common cause of disability among adults. Nearly 1/3 of the total population suffering from stroke will have some residual upperextremity impairment which will cause a barrier in their daily functional activities, and hand is the most important part of upper extremity for functional activities. These functional activities are affected by many factors including coordination and weakness. Thus correlation between grip strength and coordination, with upper extremity functions is evaluated.

Objective: To correlate grip strength and co-ordination with upper extremity functions in stroke patient.

Method: 100 patients were taken for the study where grip strength with hand held dynamometer, and coordination with SFNT (Standard Finger Nose Test) of affected extremity were checked at the time of discharge, and the functional outcome of the same was measured with ARAT 3 months after discharge. In between patient was given conventional physiotherapy treatment.

Results: Sample size of 100 patients was taken from which 30% were females and 70% were males. The mean and standard deviation of grip strength and ARAT were 7.00 ± 1.66, 28.68 ± 8.63 respectively. The Pearson's correlation coefficient was .78 which was statistically significant at P value

Conclusion: The study concluded that the grip strength and coordination are directly correlated with the upper extremity functions in stroke patient.


Keywords


Grip Strength, Coordination, Upper Extremity Functions, ARAT and Stroke

References