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Evaluation of muscle strength and manual dexterity in patients with Charcot-Marie-Tooth disease

A. Kobesova, M. Nyvltova, J. Kraus, P. Kolar, A. Sardina, R. Mazanec, R. Andel,

. 2015 ; 29 (1) : 66-72; quiz 72. [pub] 20151213

Language English Country United States

Document type Journal Article

E-resources Online Full text

NLK ProQuest Central from 2001-04-01 to 2 months ago
Nursing & Allied Health Database (ProQuest) from 2001-04-01 to 2 months ago
Health & Medicine (ProQuest) from 2001-04-01 to 2 months ago

STUDY DESIGN: Matched pair study. INTRODUCTION: Differences in hand-muscle strength/dexterity between dominant (DH) and non-dominant (NDH) hand in Charcot-Marie-Tooth disease (CMT) are not well understood. PURPOSE OF THE STUDY: To compare muscle strength/dexterity between DH and NDH and to correlate manual dexterity, strength and sensory function. PATIENTS AND METHODS: Thirty CMT patients were studied using functional muscle testing (FMT) and strength (dynamometry), dexterity (the Nine Hole Peg Test [NHPT]), and Jebsen-Taylor Hand Function [JTT]), and sensory function (the Nottingham Sensory Assessment [NSA]). RESULTS: Scores were worse for DH than NDH on FMT (p = 0.043) and NHPT (p = 0.014) but not on JTT (p = 0.098), handgrip strength (p = 0.710) or tripod pinch (p = 0.645). NSA did not correlate significantly with any tests (p's0.05). CONCLUSIONS: In CMT disease, DH appears more impaired than NDH in terms of function and dexterity. Greater muscle weakness in DH may also emerge as CMT progresses. LEVEL OF EVIDENCE: 3b.

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$a Nyvltova, Marcela $u Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
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