Simón-Vicente Lucía, Cuesta-García César, Calvo Sara, Mariscal Natividad, Saiz-Rodríguez Miriam, Aguado Laura, Muñoz-Siscart Ignacio, De la Cruz Salamanca Irene, Díaz-Piñeiro Dolores, Cubo Esther
Faculty of Health Sciences, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain.
Occupational Therapy Department, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.
OTJR (Thorofare N J). 2025 Aug 16:15394492251355942. doi: 10.1177/15394492251355942.
Motor impairment in Huntington's Disease (HD) includes chorea, bradykinesia, dystonia, and rigidity, causing Upper extremity (UE) impairments in daily activities.
Describe motor patterns and analyze execution times for buttoning a shirt in premanifest and manifest-HD versus controls; explore the relationship between clinical assessments and UE motor performance and assess interobserver reliability of the motor pattern coding system.
Cross-sectional observational study with 30 manifest-HD, 9 premanifest-HD, and 30 controls from Burgos University Hospital, Spain. Participants buttoned a five-button shirt and time spent and motor patterns were analyzed using Observer-XT-software.
Significant differences were found in movement time and motor patterns between groups. Manifest-HD took nearly twice as long as controls to complete the task. Correlations were found with clinical assessments. Degree of interobserver agreement was excellent.
Evaluating motor patterns helps in early detection of motor impairment, monitoring disease progression, and developing rehabilitation programs to maintain and improve UE function.
亨廷顿舞蹈症（HD）的运动障碍包括舞蹈症、运动迟缓、肌张力障碍和僵硬，导致上肢（UE）在日常活动中出现功能障碍。
描述运动模式，分析症状前和症状期HD患者与对照组扣衬衫纽扣的执行时间；探讨临床评估与上肢运动表现之间的关系，并评估运动模式编码系统的观察者间信度。
采用横断面观察性研究，纳入来自西班牙布尔戈斯大学医院的30例症状期HD患者、9例症状前HD患者和30例对照组。参与者扣一件有五颗纽扣的衬衫，使用Observer-XT软件分析所用时间和运动模式。
各组之间在运动时间和运动模式上存在显著差异。症状期HD患者完成任务的时间几乎是对照组的两倍。发现与临床评估存在相关性。观察者间的一致性程度很高。
评估运动模式有助于早期发现运动障碍、监测疾病进展以及制定康复计划以维持和改善上肢功能。
