Hand Dexterity/Endurance Flashcards
what components do hand dexterity evaluations assess?
manual/gross dexterity
finger/fine motor dexterity
manual/gross dexterity
ability to make skillful, controlled arm-hand manipulations of larger objects
finger/fine motor dexterity
ability to make rapid, skillful, controled manipulative movements of small objects, primariliy using the fingers
endurance
ability to sustain effort
endurance is related to
cardiopulmonary fxn
biomechanical fxn
neuromuscular fxn
types of patients who may have problems with endurance
cardiac or pulmonary impairments
neurological conditions that impact endurance (MS)
trauma or illness requiring bedrest
pain, weakness, deformity
undergoing tx that causes fatigue (chemo)
individuals who need adaptive equipment/prosthesis
sustained contraction exceeding ___% of max voluntary contraction causes the body to shift to anaerobic metabolism
15-20%
when is dynamic endurance measured
if client’s ADLs, IADLs, or hobbies are isotonic
how is dynamic endurance measured
client completes light repetitive activity until fatigued. activity is timed or reps are counted
Dexterity Tests
9 hole peg test box and block test jepsen test of hand function minnesota manual dexterity test purdue peg board oconnor finger/tweezer dexterity tests modified fatigue impact scale pain effects scale
box and block test
tests gross manual dexterity
count # of blocks pt can toss over barrier in 1 min
Jepsen Test of Hand Function
mimics more daily activities
multiple subtests that can be done separately
safer to try before moving on to real-life activities
Minnesota Manual Dexterity Test
typically for factory workers
timed
multiple subtests
Purdue Peg Board
typically for factory workers
# of pegs pt can put in in 30 sec with each hand
normative data for each job
different subtests
O’Connor Finger/Tweezer Dexterity Tests
typically for factory workers
smaller pegs than Purdue test
timed
has normative data
