Introduction of the Purdue Pegboard Test for fine assessment of severity of cervical myelopathy before and after surgery.
Introduction of the Purdue Pegboard Test for fine assessment of severity of cervical myelopathy before and after surgery.
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DOI：
10.1589/jpts.32.210
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发表时间：
2020-03-01
影响因子：
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通讯作者：
Kagechika, Kenji
中科院分区：
文献类型：
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作者：
Irie, Keisuke;Iseki, Hirokatsu;Kagechika, Kenji
[目的]应用简易手功能评定试验评价脊髓型颈椎病手术前后症状的严重程度。由于在不太严重的脊髓病患者中观察到测试天花板效应，我们研究了几种不同测试之间的相关性和准确性，以阐明普渡钉板测试对单手或双手评估的有用性。[参与者和方法]对34例患者（6例女性和28例男性;平均年龄，64.5岁）进行了检查，并对以下各项测试进行了评分：Purdue Pegboard测试;用于评价手功能的简单测试;日本骨科协会评估;以及手臂，肩部和手部残疾评估。 然后确定不同测试分数之间的相关性。使用受试者操作特征曲线下的面积来确定用于普渡钉板测试和用于评估手功能的简单测试的截止值，以评估筷子的使用。[结果] Purdue Pegboard测试装配任务与日本骨科协会和手臂、肩和手残疾评分中度相关。在受试者工作特征曲线分析中，Purdue Pegboard试验的临界值为11，评价手功能的简易试验的临界值为90。[结论] Purdue Pegboard试验可用于评价颈椎病患者双手的灵活性和协调性。
[Purpose] To evaluate the severity of symptoms before and after cervical myelopathy surgery using the Simple Test for Evaluating hand Function. Because a test ceiling effect was observed in patients with less severe forms of myelopathy, we investigated the correlation between and accuracy of several different tests in order to clarify the usefulness of the Purdue Pegboard Test for evaluation of one or both hands. [Participants and Methods] Thirty-four patients (6 females and 28 males; mean age, 64.5 years) were examined, and scores were determined for each of the following tests: Purdue Pegboard Test; Simple Test for Evaluating hand Function; Japanese Orthopedic Association assessment; and Disabilities of the Arm, Shoulder, and Hand assessment. Correlations between scores of different tests were then determined. The cut-off values used for the Purdue Pegboard Test and the Simple Test for Evaluating hand Function were determined using the area under the receiver operating characteristic curve to assess the use of chopsticks. [Results] The Purdue Pegboard Test assembly task correlated moderately with the Japanese Orthopedic Association and Disabilities of the Arm, Shoulder, and Hand scores. In the receiver operating characteristic curve analyses, the Purdue Pegboard Test cut-off value was 11 and the Simple Test for Evaluating hand Function cut-off value was 90. [Conclusion] The Purdue Pegboard Test is useful for evaluating manual dexterity and coordination in both hands in patients with cervical myelopathy.