Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Prathumwan, Bangkok, Thailand.
Rheumatol Int. 2010 Feb;30(4):543-5. doi: 10.1007/s00296-009-1196-9. Epub 2009 Oct 3.
Elderly often have Heberden nodes (HN) and Bouchard nodes (BN) that may affect finger dexterity. The aim of this cross-sectional study was to assess an effect of HN and BN on finger dexterity of the elderly. The nine-hole peg test was used for dexterity measurement in 200 elderly with HN and/or BN. Mean age was 68.6 +/- 5.39 years. Average performance of each hand was compared between elderly with or without nodes. HN and BN were found in 75 right hands (37.5%) and 73 left hands (36.5%). Nodes were found in females more often than males (p < 0.001). Average right hand dexterity in elderly with and without nodes was 21.6 +/- 3.16 and 21.4 +/- 3.16 s. Average left hand dexterity in elderly with and without nodes was 23.3 +/- 3.13 and 23.3 +/- 3.67 s. There was no significant difference between elderly with or without nodes (p >/= 0.05). In conclusion, HN and BN in elderly hands do not affect finger dexterity. Therapist may use the same training program to prevent deterioration of finger dexterity in elderly with or without nodes.
老年人常有 Heberden 结节 (HN) 和 Bouchard 结节 (BN)，可能会影响手指的灵活性。本横断面研究旨在评估 HN 和 BN 对老年手指灵活性的影响。使用 9 孔钉测试评估 200 名具有 HN 和/或 BN 的老年人的灵活性。平均年龄为 68.6 +/- 5.39 岁。比较了有和没有结节的老年人每只手的平均表现。75 只右手（37.5%）和 73 只左手（36.5%）发现有 HN。女性中结节的发生率高于男性（p < 0.001）。有和没有结节的老年人右手的平均灵巧度分别为 21.6 +/- 3.16 和 21.4 +/- 3.16 s。有和没有结节的老年人左手的平均灵巧度分别为 23.3 +/- 3.13 和 23.3 +/- 3.67 s。有或没有结节的老年人之间没有显著差异（p >/= 0.05）。总之，老年人手部的 HN 和 BN 不会影响手指的灵活性。治疗师可以使用相同的训练计划来预防有或没有结节的老年人手指灵活性的下降。
