Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Normative Data of the Upper Extremity Performance Test for the Elderly (TEMPA) for Korean Older Adults and Characteristics of Hand Function and Strength

한국 노인의 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, School of Health Science, Yonsei University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, School of Health Science, Yonsei University) ;
  • Kim, Jongbae (Dept. of Occupational Therapy, School of Health Science, Yonsei University)
  • 이창대 (New York University, 작업치료학과) ;
  • 정민예 (연세대학교 보건과학대학 작업치료학과) ;
  • 박지혁 (연세대학교 보건과학대학 작업치료학과) ;
  • 김종배 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2019.01.21
  • Accepted : 2019.05.14
  • Published : 2019.05.31
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Abstract

Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ${\geq}60$ years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ${\geq}80$, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ${\geq}80$, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD = 22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD = .58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.

목적 : 본 연구의 목적은 Upper extremity performance test for elderly (TEMPA)의 한국 노인 표준치를 제시하고, 수집된 자료를 바탕으로 한국 노인의 연령별, 성별 손 기능의 특성과 근력의 차이를 알아보는 것이다. 연구방법 : 연구에 참여한 대상자는 60세 이상의 손 기능에 장애가 없는 노인 103명이었다. 손 기능의 특성을 알아보기 위하여 모든 대상자에게 TEMPA 평가를 시행하였고, Jarmar dynamometer, pinch gauge를 사용하여 손과 손가락 근력을 평가하였다. 결과 : 나이가 증가함에 따라 수행 속도와 소 근육의 움직임의 질이 유의미하게 감소하였다. 남성 노인의 수행 속도와 소 근육 움직임의 질이 여성 노인보다 더 높게 유지 되었다. 노인의 손과 손가락의 근력 또한 연령이 증가함에 따라 유의미하게 감소하였다. 결론 : 작업치료사는 노인의 손 기능과 근력 감소에 대한 관심을 가지고 그 기능 수준을 유지하기 위한 중재를 제공하는 것이 필요할 것이다. 본 연구를 통해 TEMPA의 한국 노인 표준치가 확립되었다. 이 자료가 임상적 평가 및 근거 기반의 연구에 있어 유용하게 쓰이기를 기대한다.

Keywords

Table 1. General Participants Information

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Table 3. Comparison of TEMPA Results Between Sexes

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Table 4. Comparison of hand strength (kg) among age groups and between sexes

SGJOBA_2019_v8n2_43_t0003.png 이미지

Table 2. Comparison of TEMPA results among age groups

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References

  1. Anderson, A. S., & Loeser, R. F. (2010). Why is osteoar thritis an age-related disease? Best Practice & Research Clinical Rheumatology, 24(1), 15-26. doi:10.1016/j.berh.2009.08.006
  2. Bellace, J. V., Healy, D., Besser, M. P., Byron, T., & Hohman, L. (2000). Validity of the Dexter Evaluation System's Jamar dynamometer attachment for assess ment of hand grip strength in a normal population. Journal of Hand Therapy, 13(1), 46-51. doi:10.1016/S0894-1130(00)80052-6
  3. Bohannon, R. W. (2015). Muscle strength: Clinical and prognostic value of hand-grip dynamometry. Current Opinion in Clinical Nutrition & Metabolic Care, 18(5), 465-470. doi:10.1097/MCO.0000000000000202
  4. Chae, K., Lee, H. S. (1997). Assessment of upper extremity function in normal Korean adults by manual function test. Journal of Korean Society of Occupational Therapy, 5(1), 52-57.
  5. Calne, D., Eisen, A., & Meneilly, G. (1991). Normal aging of the nervous system. Annals of Neurology, 30(2), 206-207. doi:10.1002/ana.410300213
  6. Carmeli, E., Patish, H., & Coleman, R. (2003). The aging hand. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(2), M146-M152. doi:10.1093/gerona/58.2.M146
  7. Cole, K. J., & Rotella, D. L. (2001). Old age affects fingertip forces when restraining an unpredictably loaded object. Experimental Brain Research, 136(4), 535-542. doi:10.1007/s002210000613
  8. Desrosiers, J., Hebert, R., Dutil, E., & Bravo, G. (1993). Development and reliability of an upper extremity function test for the elderly: The TEMPA. Canadian Journal of Occupational Therapy, 60(1), 9-16. https://doi.org/10.1177/000841749306000104
  9. Hamilton, A., Balnave, R., & Adams, R. (1994). Grip strength testing reliability. Journal of Hand Therapy, 7(3), 163-170. doi: 10.1016/S0894-1130(12)80058-5
  10. Hesselmann, V., Weber, O. Z., Wedekind, C., Krings, T., Schulte, O., Kugel, H., ... Lackner, K. J. (2001). Age related signal decrease in functional magnetic resonance imaging during motor stimulation in humans. Neuroscience Letters, 308(3), 141-144. doi:10.1016/S0304-3940(01)01920-6
  11. Incel, N. A., Sezgin, M., As, I., Cimen, O. B., & Sahin, G. (2009). The geriatric hand: correlation of hand-muscle function and activity restriction in elderly. Inter national Journal of Rehabilitation Research, 32(3), 213-218. doi: 10.1097/MRR.0b013e3283298226
  12. Jebsen, R. H., Taylor, N., Trieschmann, R., Trotter, M., & Howard, L. (1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50(6), 311.
  13. Johansson, R. S. (1996). Hand and brain: The neurophysiology and psychology of hand movements. San Diego, CA: Academic Press.
  14. Jones, L. A. (1989). The assessment of hand function:A critical review of techniques. Journal of Hand Surgery, 14(2), 221-228. doi: 10.1016/0363-5023(89)90010-5
  15. Kim, C. R., Jeon, Y. J., Kim, M. C., Jeong, T., & Koo, W. R. (2018). Reference values for hand grip strength in the South Korean population. PloS one, 13(4), e0195485. doi:10.1371/journal.pone.0195485
  16. LaCroix, A. Z., Guralnik, J. M., Berkman, L. F., Wallace, R. B., & Satterfield, S. (1993). Maintaining mobility in late life. II. smoking, alcohol consumption, physical activity, and body mass index. American Journal of Epidemiology, 137(8), 858-869. doi:10.1093/oxfordjournals.aje.a116747
  17. Lee, C. D. (2015). A study on validity and reliability of upper extremity performance test for elderly(TEMPA) (Masters thesis), Yonsei University, Seoul.
  18. Lemmens, R. J., Timmermans, A. A., Janssen-Potten, Y. J., Smeets, R. J., & Seelen, H. A. (2012). Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: A systematic review. BioMed Central Neurology, 12(1), 21. doi: 10.1186/1471-2377-12-21
  19. Mathiowetz, V., Weber, K., Volland, G., & Kashman, N. (1984). Reliability and validity of grip and pinch strength evaluations. Journal of Hand Surgery, 9(2), 222-226. doi:10.1016/S0363-5023(84)80146-X
  20. Ranganathan, V. K., Siemionow, V., Sahgal, V., Liu, J. Z., & Yue, G. H. (2001). Skilled finger movement exercise improves hand function. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(8), M518-M522. doi:10.1093/gerona/56.8.M518
  21. Ranganathan, V. K., Siemionow, V., Sahgal, V., & Yue, G. H. (2001). Effects of aging on hand function. Journal of the American Geriatrics Society, 49(11), 1478-1484. doi:10.1046/j.1532-5415.2001.4911240.x
  22. Regardt, M. (2014). Hand function, activity limitation and health-related quality of life in patients with polymyositis and dermatomyositis (Doctoral thesis). Karolinska Institutet, Stockholm.
  23. Russo, A., Onder, G., Cesari, M., Zamboni, V., Barillaro, C., Capoluongo, E., ... Landi, F. (2006). Lifetime occupation and physical function: A prospective cohort study on persons aged 80 years and older living in a community. Occupational and Environmental Medicine, 63(7), 438-442. doi: 10.1136/oem.2005.023549
  24. Sorock, G. S., Lombardi, D. A., Hauser, R. B., Eisen, E. A., Herrick, R. F., & Mittleman, M. A. (2001). A case-crossover study of occupational traumatic hand injury: Methods and initial findings. American Journal of Industrial Medicine, 39, 171-179. doi:10.1002/1097-0274(200102)39:2<171::AID-AJIM1004>3.0.CO;2-0
  25. Stamm, T. A., Machold, K. P., Smolen, J. S., Fischer, S., Redlich, K., Graninger, W., ... Erlacher, L. (2002). Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis: A randomized controlled trial. Arthritis Care & Research, 47(1), 44-49. doi: 10.1002/art1.10246
  26. Werle, S., Goldhahn, J., Drerup, S., Simmen, B. R., Sprott, H., & Herren, D. B. (2009). Age-and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population. Journal of Hand Surgery (European Volume), 34(1), 76-84. doi:10.1177/1753193408096763