Program in Physical Therapy, Washington University in St Louis-School of Medicine, St Louis, Missouri 63108, USA.
J Neurol Phys Ther. 2011 Dec;35(4):157-63. doi: 10.1097/NPT.0b013e318235da08.
Pegboard tests of hand dexterity are commonly used in clinical settings to assess upper extremity function in various populations. For individuals with Parkinson disease (PD), the clinical utility of pegboard tests has not been fully evaluated. Our purpose was to examine the commercially available 9-Hole Peg Test (9HPT) using a large sample of individuals with PD to determine average values, test-retest reliability, and factors predictive of 9HPT performance.
A total of 262 participants with PD (67% men, Hoehn & Yahr stage = 2.3 ± 0.7) completed the 9HPT along with a battery of other tests including the Movement Disorder Society Unified PD Rating Scale-Motor Subscale III and Freezing of Gait Questionnaire.
Average time to complete the 9HPT was 31.4 ± 15.7 s with the dominant and 32.2 ± 12.4 s with the nondominant hand. Test-retest reliability of 2 trials performed with the same hand was high (dominant ICC2,1 = 0.88, nondominant ICC2,1 = 0.91). Women performed the test significantly faster than men, and nonfreezers significantly faster than freezers. For either hand, age, bradykinesia, and freezing of gait scores individually predicted significant portions of the variance in 9HPT time. Sex also was a significant predictor, but for the nondominant hand only. Tremor and rigidity did not predict performance.
The 9HPT appears to be a clinically useful measure for assessing upper extremity function in individuals with PD. The 9HPT has advantages over previously used methods including standardization, known normative values for healthy controls, commercial availability, transportability, and ease of administration.
手灵巧性的钉板测试常用于临床环境中，以评估各种人群的上肢功能。对于帕金森病（PD）患者，钉板测试的临床效用尚未得到充分评估。我们的目的是使用大量 PD 患者样本检查市售的 9 孔钉测试（9HPT），以确定平均值、测试-重测可靠性以及预测 9HPT 表现的因素。
共有 262 名 PD 患者（67%为男性，Hoehn & Yahr 分期=2.3±0.7）完成了 9HPT，以及一系列其他测试，包括运动障碍协会统一 PD 评定量表-运动分量表 III 和冻结步态问卷。
完成 9HPT 的平均时间为 31.4±15.7 秒，惯用手为 32.2±12.4 秒，非惯用手为 32.2±12.4 秒。同一只手进行 2 次测试的测试-重测可靠性很高（优势手 ICC2,1=0.88，非优势手 ICC2,1=0.91）。女性完成测试的速度明显快于男性，非冻结者明显快于冻结者。对于任何一只手，年龄、运动迟缓以及冻结步态评分单独预测了 9HPT 时间的显著差异。性别也是一个显著的预测因素，但仅对非优势手。震颤和僵硬不能预测表现。
9HPT 似乎是一种评估 PD 患者上肢功能的临床有用的测量方法。9HPT 优于以前使用的方法，包括标准化、健康对照组的已知正常值、商业可用性、可运输性和易于管理。
