A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis
Background. Manipulative dexterity impairments affect 76% of individuals with multiple sclerosis (MS). Patients with MS can experience reduced skill when performing both basic activities of daily living and instrumental activities of daily living. Many studies consider that physical rehabilitation l...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Occupational Therapy International |
| Online Access: | http://dx.doi.org/10.1155/2020/6193938 |
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| author | Elisabet Huertas-Hoyas Nuria Máximo-Bocanegra Carlos Diaz-Toro Raquel Montes-Diez Jorge Pérez-Corrales Patricia Sánchez-Herrera-Baeza Rosa Mª Martínez-Piédrola Cristina García-Bravo Carlos Sánchez-Camarero Marta Pérez-de-Heredia-Torres |
| author_facet | Elisabet Huertas-Hoyas Nuria Máximo-Bocanegra Carlos Diaz-Toro Raquel Montes-Diez Jorge Pérez-Corrales Patricia Sánchez-Herrera-Baeza Rosa Mª Martínez-Piédrola Cristina García-Bravo Carlos Sánchez-Camarero Marta Pérez-de-Heredia-Torres |
| author_sort | Elisabet Huertas-Hoyas |
| collection | DOAJ |
| description | Background. Manipulative dexterity impairments affect 76% of individuals with multiple sclerosis (MS). Patients with MS can experience reduced skill when performing both basic activities of daily living and instrumental activities of daily living. Many studies consider that physical rehabilitation leads to a decrease in the level of disability, especially at the mild and moderate stages of the disease. However, most studies fail to distinguish between the different MS subtypes. Purpose. Our aims were (1) to describe the manipulative skills of people according to the different subtypes of MS, (2) to analyze the correlation between dexterity and self-perception variables, and (3) to identify possible predictors of functionality. Study Design. A descriptive cross-sectional study. Methods. 30 individuals with MS. The measurement tools used were the ABILHAND, the Purdue Pegboard Test (PPT), the Nine-Hole Peg Test, and the Box and Block Test. Results. All subtypes of MS obtained lower scores for manipulative dexterity compared to normal skill levels, with individuals with primary progressive MS displaying the lowest values. However, the analysis of differences between the different subtypes did not reveal statistically significant intragroup differences. In addition, differences were found regarding the effect size of practically all the variables analyzed for both manipulative dexterity (PPT, NHPT, and BBT) and the self-perception of ADLs (ABILHAND), for which high values (dr=0.72) and very high values (dr=1.46) were obtained. Conclusions. Although no significant differences were found between the different types of MS, the assessment of manual dexterity and perceived efficacy of daily activities must be considered as prognostic factors in the progression of the disease. These findings may help support further research on targeted interventions to improve dexterity deficiencies, as well as promote an improved quality of therapeutic interventions. |
| format | Article |
| id | doaj-art-09b50e1f37214421bf4fda655b4c8652 |
| institution | OA Journals |
| issn | 0966-7903 1557-0703 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Occupational Therapy International |
| spelling | doaj-art-09b50e1f37214421bf4fda655b4c86522025-08-20T02:03:15ZengWileyOccupational Therapy International0966-79031557-07032020-01-01202010.1155/2020/61939386193938A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple SclerosisElisabet Huertas-Hoyas0Nuria Máximo-Bocanegra1Carlos Diaz-Toro2Raquel Montes-Diez3Jorge Pérez-Corrales4Patricia Sánchez-Herrera-Baeza5Rosa Mª Martínez-Piédrola6Cristina García-Bravo7Carlos Sánchez-Camarero8Marta Pérez-de-Heredia-Torres9Rehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainResidencia Municipal y Centro de Día “Villa Elena”, SpainComputing Science, Computer Architecture, Programming Languages and Systems, and Statistics and Operational Research Department, Rey Juan Carlos University, Tulipán s/n. CP.28933, Móstoles, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainRehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, SpainBackground. Manipulative dexterity impairments affect 76% of individuals with multiple sclerosis (MS). Patients with MS can experience reduced skill when performing both basic activities of daily living and instrumental activities of daily living. Many studies consider that physical rehabilitation leads to a decrease in the level of disability, especially at the mild and moderate stages of the disease. However, most studies fail to distinguish between the different MS subtypes. Purpose. Our aims were (1) to describe the manipulative skills of people according to the different subtypes of MS, (2) to analyze the correlation between dexterity and self-perception variables, and (3) to identify possible predictors of functionality. Study Design. A descriptive cross-sectional study. Methods. 30 individuals with MS. The measurement tools used were the ABILHAND, the Purdue Pegboard Test (PPT), the Nine-Hole Peg Test, and the Box and Block Test. Results. All subtypes of MS obtained lower scores for manipulative dexterity compared to normal skill levels, with individuals with primary progressive MS displaying the lowest values. However, the analysis of differences between the different subtypes did not reveal statistically significant intragroup differences. In addition, differences were found regarding the effect size of practically all the variables analyzed for both manipulative dexterity (PPT, NHPT, and BBT) and the self-perception of ADLs (ABILHAND), for which high values (dr=0.72) and very high values (dr=1.46) were obtained. Conclusions. Although no significant differences were found between the different types of MS, the assessment of manual dexterity and perceived efficacy of daily activities must be considered as prognostic factors in the progression of the disease. These findings may help support further research on targeted interventions to improve dexterity deficiencies, as well as promote an improved quality of therapeutic interventions.http://dx.doi.org/10.1155/2020/6193938 |
| spellingShingle | Elisabet Huertas-Hoyas Nuria Máximo-Bocanegra Carlos Diaz-Toro Raquel Montes-Diez Jorge Pérez-Corrales Patricia Sánchez-Herrera-Baeza Rosa Mª Martínez-Piédrola Cristina García-Bravo Carlos Sánchez-Camarero Marta Pérez-de-Heredia-Torres A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis Occupational Therapy International |
| title | A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis |
| title_full | A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis |
| title_fullStr | A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis |
| title_full_unstemmed | A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis |
| title_short | A Descriptive Cross-Sectional Study of Manipulative Dexterity on Different Subtypes of Multiple Sclerosis |
| title_sort | descriptive cross sectional study of manipulative dexterity on different subtypes of multiple sclerosis |
| url | http://dx.doi.org/10.1155/2020/6193938 |
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