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Normative Data of Upper Extremity Performance Test for Elderly (TEMPA) for Korean Adult Population and Characteristics of Hand Function and Strength

한국 성인의 TEMPA 표준치, 손기능과 근력에 관한 연구

  • Lee, Chang Dae (Dept. of Occupational Therapy, Steinhardt School of Culture, Education and Human Development, New York University) ;
  • Jung, Min-Ye (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Kim, Jongbae (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 이창대 ;
  • 정민예 (연세대학교 보건과학대학 작업치료학과) ;
  • 박지혁 (연세대학교 보건과학대학 작업치료학과) ;
  • 김종배 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2018.04.22
  • Accepted : 2018.05.16
  • Published : 2018.05.31

Abstract

Objective : The purpose of this study was establishing clinical norms of TEMPA Korean version for Korean adult population in addition to identifying characteristics of hand function by age and gender based on the collected data. Methods : A total of 138 healthy adults between ages 20 and 59 were recruited by continuous sampling. All subjects had been employed TEMPA Korean version and Jarmar dynamometer and pinch gauge to evaluate hand function and strength. Results : The results showed that there were no statistically significant difference in overall hand function among the age groups and between genders. Also, while there were no significant differences in overall speed and qualitative movement, age groups of 40s and 50s showed a declining tendency in speed in some of the tasks. Also, hand strength increases up to 40s and start declining from the 50s, but most results did not show significant differences among the age groups. Conclusion : Normative data of TEMPA Korean version for Korean adult population was established, therefore, it can be used in clinical setting and research as evidence based. Furthermore, occupational therapists need to consider about the signs of decline in hand function and strength in middle-aged adults and to provide education programs to maintain their hand function.

목적 : 본 연구의 목적은 한국 성인의Upper extremity performance test for elderly (TEMPA) 표준치를 제시하고, 수집된 자료를 바탕으로 성인의 손 기능의 특성과 근력의 차이를 연령별, 성별로 알아보는 것이다. 연구방법 : 연구에 참여한 대상자는 20세에서 59세 사이의 손 기능에 장애가 없는 성인 138명이었다. 손 기능의 특성과 근력을 평가하기 위하여 모든 대상자에게 TEMPA, Jarmar dynamometer, pinch gauge를 시행하였다. 결과 : 성인의 손 기능에는 연령별, 성별 차이가 통계적으로 유의미한 차이를 보이지는 않았지만, 40대와 50대에서 수행 속도가 감소하는 경향을 보였다. 성인의 근력은 40대에서 가장 높은 수준의 근력을 보였으며 50대에서 감소하는 경향을 보였지만 대부분의 결과에서 유의미한 차이는 없었다. 결론 : 작업치료사는 중년 성인의 손기능과 근력에서 나타나는 감소의 전조 증상에 대한 관심과 그 기능 수준을 유지하기 위한 교육 프로그램을 제공하는 것이 필요할 것이다. 본 연구를 통해 한국 성인의 TEMPA 표준치가 확립되었다. 이 표준치가 임상적 평가 및 근거 기반연구에 있어 유용한 자료가 되기를 기대한다.

Keywords

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