Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziantep Islam Science and Technology University, Gaziantep, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.
NeuroRehabilitation. 2024;55(1):95-102. doi: 10.3233/NRE-240125.
Hand dexterity is important with Duchenne muscular dystrophy (DMD).
The aim of this study was to compare hand dexterity and hand laterality task assessments in patients with DMD with typically-developing peers.
The study included 25 DMD with a mean age of 10.2±2.38 and 21 typically-developing peers with a mean age of 10.33±2.26. Functional levels of DMD patients were determined by Brooke Upper Extremity Functional Classification Scale and Brooke Lower Extremity Functional Scale. The ABILHAND-Kids and 9-hole peg test were used to assess the hand dexterity of all participants, and assess the hand laterality task.
Patients with DMD had lower ABILHAND-Kids scores than their typically-developing peers (p < 0.001). Patients with DMD had higher 9-hole peg test duration on the dominant and non-dominant extremity compared to typically-developing peers (p < 0.001). Patients with DMD were found to be different from their typically-developing peers (p < 0.001) in lateralization response time and accuracy.
Patients with DMD were found to have lower manual dexterity and hand laterality task skills compared to their typically-developing peers. It is recommended that hand dexterity and upper extremity recognition capacities should be considered in assessment and intervention programs for physiotherapists and clinicians working in this field.
手部灵巧度对杜氏肌营养不良症（DMD）患者很重要。
本研究旨在比较 DMD 患者与正常发育同龄人之间的手部灵巧度和手偏侧性任务评估。
研究纳入了 25 名平均年龄为 10.2±2.38 岁的 DMD 患者和 21 名平均年龄为 10.33±2.26 岁的正常发育同龄人。DMD 患者的功能水平由 Brooke 上肢功能分类量表和 Brooke 下肢功能量表确定。使用 ABILHAND-Kids 和 9 孔钉测试评估所有参与者的手部灵巧度，并评估手偏侧性任务。
DMD 患者的 ABILHAND-Kids 评分低于正常发育同龄人（p<0.001）。与正常发育同龄人相比，DMD 患者的优势和非优势肢体 9 孔钉测试持续时间更长（p<0.001）。与正常发育同龄人相比，DMD 患者的偏侧化反应时间和准确性存在差异（p<0.001）。
与正常发育同龄人相比，DMD 患者的手部灵巧度和手偏侧性任务技能较低。建议在该领域的物理治疗师和临床医生的评估和干预计划中考虑手部灵巧度和上肢识别能力。
