Assessing grip strength in healthy individuals and patients with immune-mediated polyneuropathies
Articolo
Data di Pubblicazione:
2000
Citazione:
Assessing grip strength in healthy individuals and patients with immune-mediated polyneuropathies / I. Merkies, P. Schmitz, J. Samijn, F. Meché, K. Toyka, P. van Doorn, J. Aubry, N. Baumann, G. Bouche Comi, M. Dalakas, H. Hartung, R. Hughes, I. Illa, M. Knapp, J. Lge, R. Nemni, E. Nobile-Orazio, K. Toyka, P. Van De Bergh, F. Van Der Meché, H. Willison, B. Younes-Chennoufi. - In: MUSCLE & NERVE. - ISSN 0148-639X. - 23:9(2000 Sep), pp. 1393-1401. [10.1002/1097-4598(200009)23:9<1393::AID-MUS10>3.0.CO;2-O]
Abstract:
Grip strength reference values for a portable dynamometer, the hand-held Vigorimeter, were calculated, and its validity, reliability, and responsiveness were examined in patients with immune-mediated polyneuropathies. We studied 530 healthy controls (age 5-93 years), 113 patients with stable polyneuropathy (83 with Guillain-Barré syndrome [GBS], 22 with chronic inflammatory demyelinating polyneuropathy [CIDP], and 8 with a gammopathy-associated polyneuropathy), and 20 patients with GBS or CIDP and changing clinical conditions (longitudinal group). An arm-disability scale was also assessed. Grip-strength reference values were calculated depending primarily on age and gender. Significant association was obtained between the Vigorimeter and the arm scale (in stable group, Spearman rank: r = -0.52 to -0.62; P = 0.0005; in longitudinal group, linear regressions: r = 0.62-0.64, P < 0.0001). Good interobserver and intra-observer agreements (analysis of variance, r = 0.95-0.97) and high responsiveness (standardized response mean scores > or = 0.8) were demonstrated for the Vigorimeter. These results emphasize the clinical usefulness of the Vigorimeter, particularly in patients with immune-mediated polyneuropathies.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Female; Guillain-Barre Syndrome; Humans; Male; Monoclonal Gammopathy of Undetermined Significance; Neurology; Polyneuropathies; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; Reference Values; Hand Strength
Elenco autori:
I. Merkies, P. Schmitz, J. Samijn, F. Meché, K. Toyka, P. van Doorn, J. Aubry, N. Baumann, G. Bouche Comi, M. Dalakas, H. Hartung, R. Hughes, I. Illa, M. Knapp, J. Lge, R. Nemni, E. Nobile-Orazio, K. Toyka, P. Van De Bergh, F. Van Der Meché, H. Willison, B. Younes-Chennoufi
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