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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Research article

Test–retest reliability of tip, key, and palmar pinch force sense in healthy adults

Authors: Lin Li, Yanxia Li, Changhong Wu, Xinyan Zhang

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

No previous studies have investigated the test–retest reliability of tip, key, and palmar pinch force sense in healthy adults. The present study explores the test-retest reliability of tip, key, and palmar pinch force sense for different force levels in healthy adults during an ipsilateral force reproduction task.

Methods

Fifty-six healthy subjects were instructed to produce varying levels of reference forces (10, 30, and 50% maximal voluntary isometric contraction (MVIC)) using three types of pinches (tip pinch, palmar pinch, and key pinch) and to reproduce these forces using the same hand. The subjects were tested twice by the same experienced testers, 1 week apart.

Results

Based on the high values of the intraclass correlation coefficient (ICC), the tip pinch (0.783–0.895) and palmar pinch (0.752–0.903) force sense tests demonstrated good reliability for all the variables. The ICCs for the key pinch (0.712–0.881) indicated fair to good relative test-retest reliability.

Conclusion

1) This study demonstrates that high test-retest reliability of tip, key, and palmar pinch force sense in healthy adults can be achieved using standardized positioning and the proposed approach. 2) According to the reliability measurements, 30 and 50% maximal voluntary isometric contraction (MVIC) are the most reliable pinch force sense levels.
Literature
1.
Riemann BL, Lephart SM. The sensorimotor syste m, part I: the physiologic basis of functional joint stability. J Athl Train. 2002;37(1):71–9.
2.
Cappello L, Contu S, Elangovan N, Khosravani S, Konczak J, Masia L. Evaluation of wrist joint proprioception by means of a robotic device. In: International Conference on Ubiquitous Robots and Ambient Intelligence, vol. 1997; 1997. p. 531–4.
3.
4.
5.
Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg. 1984;9(2):222–6.CrossRef
6.
Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil. 1985;66(2):69–74.PubMed
7.
Romero-Guzman AK, Menchaca-Tapia VM, Contreras-Yanez I, Pascual-Ramos V. Patient and physician perspectives of hand function in a cohort of rheumatoid arthritis patients: the impact of disease activity. BMC Musculoskelet Disord. 2016;17:392.CrossRefPubMedPubMedCentral
8.
Puh U. Age-related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res. 2010;33(1):4–11.CrossRefPubMed
9.
Tajika T, Kobayashi T, Yamamoto A, Shitara H, Ichinose T, Shimoyama D, Okura C, Kanazawa S, Nagai A, Takagishi K. Relationship between grip, pinch strengths and anthropometric variables, types of pitch throwing among Japanese high school baseball pitchers. Asian J Sports Med. 2015;6(1):e25330.CrossRefPubMedPubMedCentral
10.
Birkbeck MQ, Beer TC. Occupation in relation to the carpal tunnel syndrome. Rheumatol Rehabil. 1975;14(4):218–21.CrossRefPubMed
11.
Silverstein BA, Fine LJ, Armstrong TJ. Occupational factors and carpal tunnel syndrome. Am J Ind Med. 1987;11(3):343–58.CrossRefPubMed
12.
Silverstein BA, Fine LJ, Armstrong TJ. Hand wrist cumulative trauma disorders in industry. Br J Ind Med. 1986;43(11):779–84.PubMedPubMedCentral
13.
Feldman RG, Goldman R, Keyserling WM. Classical syndromes in occupational medicine. Peripheral nerve entrapment syndromes and ergonomic factors. Am J Ind Med. 1983;4(5):661–81.CrossRefPubMed
14.
Zhang QX, Sun PQ. Test-retest reliability of muscle force sense of the ankle joint under different target torque. Chinese J Tissue Eng Res. 2012;16(7):1255-58.
15.
Zavieh MK, Amirshakeri B, Rezasoltani A, Talebi GA, Kalantari KK, Nedaey V, Baghban AA. Measurement of force sense reproduction in the knee joint: application of a new dynamometric device. J Phys Ther Sci. 2016;28(8):2311–5.CrossRefPubMedPubMedCentral
16.
Benjaminse A, Sell TC, Abt JP, House AJ, Lephart SM. Reliability and precision of hip proprioception methods in healthy individuals. Clin J Sport Med. 2009;19(6):457–63.CrossRefPubMed
17.
Dover G, Powers ME. Reliability of joint position sense and force-reproduction measures during internal and external rotation of the shoulder. J Athl Train. 2003;38(4):304–10.PubMedPubMedCentral
18.
Chang HY, Chou KY, Lin JJ, Lin CF, Wang CH. Immediate effect of forearm Kinesio taping on maximal grip strength and force sense in healthy collegiate athletes. Phys Ther Sport. 2010;11(4):122–7.CrossRefPubMed
19.
Fleiss JL. The design and analysis of clinical experiments. New York: Wiley; 1999.CrossRef
20.
Adamo DE, Alexander NB, Brown SH. The influence of age and physical activity on upper limb proprioceptive ability. J Aging Phys Act. 2009;17(3):272–93.CrossRefPubMed
21.
Proske U, Gandevia SC. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol Rev. 2012;92(4):1651–97.CrossRefPubMed
22.
Lubiatowski P, Ogrodowicz P, Wojtaszek M, Kaniewski R, Stefaniak J, Dudzinski W, Romanowski L. Measurement of active shoulder proprioception: dedicated system and device. Eur J Orthop Surg Traumatol. 2013;23(2):177–83.CrossRefPubMed
23.
van den Noort JC, Wiertsema SH, Hekman KM, Schonhuth CP, Dekker J, Harlaar J. Reliability and precision of 3D wireless measurement of scapular kinematics. Med Biol Eng Comput. 2014;52(11):921–31.CrossRefPubMed
24.
Visser B, Looze MPD, Veeger DJ, Douwes M, Groenesteijn L, Korte ED, Dieën JHV. The effects of precision demands during a low intensity pinching task on muscle activation and load sharing of the fingers. J Electromyogr Kinesiol. 2003;13(2):149–57.CrossRefPubMed
25.
Jansen CW, Niebuhr BR, Coussirat DJ, Hawthorne D, Moreno L, Phillip M. Hand force of men and women over 65 years of age as measured by maximum pinch and grip force. J Aging Phys Act. 2008;16(1):24–41.CrossRefPubMed
26.
Bao S, Silverstein B. Estimation of hand force in ergonomic job evaluations. Ergonomics. 2005;48(3):288–301.CrossRefPubMed
27.
Marini F, Squeri V, Morasso P, Campus C, Konczak J, Masia L. Robot-aided developmental assessment of wrist proprioception in children. J Neuroeng Rehabil. 2017;14(1):3.CrossRefPubMedPubMedCentral
28.
29.
Baray AL, Philippot R, Farizon F, Boyer B, Edouard P. French Association of Foot S. assessment of joint position sense deficit, muscular impairment and postural disorder following hemi-Castaing ankle ligamentoplasty. Orthopaed Traumatol Surg Res. 2014;100(6 Suppl):271–4.CrossRef
30.
Bang DH, Shin WS, Choi SJ, Choi HS. Comparison of the effect of weight-bearing and non-weight-bearing positions on knee position sense in patients with chronic stroke. J Phys Ther Sci. 2015;27(4):1203–6.CrossRefPubMedPubMedCentral
31.
Duzgun I, Kanbur NO, Baltaci G, Aydin T. Effect of Tanner stage on proprioception accuracy. J Foot Ankle Surg. 2011;50(1):11–5.CrossRefPubMed
32.
Vila-Cha C, Riis S, Lund D, Moller A, Farina D, Falla D. Effect of unaccustomed eccentric exercise on proprioception of the knee in weight and non-weight bearing tasks. J Electromyogr Kinesiol. 2011;21(1):141–7.CrossRefPubMed
33.
Han JT, Lee JH. Effects of kinesiology taping on repositioning error of the knee joint after quadriceps muscle fatigue. J Phys Ther Sci. 2014;26(6):921–3.
34.
Trousset K, Phillips D, Karduna A. An investigation into force sense at the shoulder. Mot Control. 2018;22(4):462–71.
35.
Maenhout AG, Palmans T, De Muynck M, De Wilde LF, Cools AM. The impact of rotator cuff tendinopathy on proprioception, measuring force sensation. J Shoulder Elbow Surg. 2012;21(8):1080–6.
36.
Knox JJ, Hodges PW. Changes in head and neck position affect elbow joint position sense. Exp Brain Res. 2005;165(1):107–13.CrossRefPubMed
37.
Salgado E, Ribeiro F, Oliveira J. Joint-position sense is altered by football pre-participation warm-up exercise and match induced fatigue. Knee. 2015;22(3):243–8.CrossRefPubMed
38.
39.
Bennell K, Wee E, Crossley K, Stillman B, Hodges P. Effects of experimentally-induced anterior knee pain on knee joint position sense in healthy individuals. J Orthopaed Res. 2005;23(1):46–53.CrossRef
40.
Lonn J, Crenshaw AG, Djupsjobacka M, Pedersen J, Johansson H. Position sense testing: influence of starting position and type of displacement. Arch Phys Med Rehabil. 2000;81(5):592–7.CrossRefPubMed
41.
42.
Rankin G, Stokes M. Reliability of assessment tools in rehabilitation: an illustration of appropriate statistical analyses. Clin Rehabil. 1998;12(3):187–99.CrossRefPubMed
43.
Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005;19(1):231–40.PubMed
44.
Ellison PH, Sparks SA, Murphy PN, Carnegie E, Marchant DC. Determining eye-hand coordination using the sport vision trainer: an evaluation of test-retest reliability. Res Sports Med. 2014;22(1):36–48.CrossRefPubMed
45.
Palmer TB, Jenkins ND, Cramer JT. Reliability of manual versus automated techniques for assessing passive stiffness of the posterior muscles of the hip and thigh. J Sports Sci. 2013;31(8):867–77.CrossRefPubMed
46.
Koo TK, Li MY. A guideline of selecting and reporting Intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.CrossRefPubMedPubMedCentral
47.
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420–8.CrossRefPubMed
48.
Anderson VB, Wee E. Impaired joint proprioception at higher shoulder elevations in chronic rotator cuff pathology. Arch Phys Med Rehabil. 2011;92(7):1146–51.CrossRefPubMed
49.
Aandstad A, Simon EV. Reliability and validity of the soccer specific INTER field test. J Sports Sci. 2013;31(13):1383–92.CrossRefPubMed
50.
Pinsault N, Fleury A, Virone G, Bouvier B, Vaillant J, Vuillerme N. Test-retest reliability of cervicocephalic relocation test to neutral head position. Physiother Theory Pract. 2008;24(5):380–91.CrossRefPubMed
51.
Pilbeam C, Hood-Moore V. Test–retest reliability of wrist joint position sense in healthy adults in a clinical setting. Hand Ther. 2018;23(3):100–9.
52.
Swanik KA, Lephart SM, Swanik CB, Lephart SP, Stone DA, Fu FH. The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics. J Shoulder Elbow Surg. 2002;11(6):579–86.CrossRefPubMed
53.
Juul-Kristensen B, Lund H, Hansen K, Christensen H, Danneskiold-Samsoe B, Bliddal H. Test-retest reliability of joint position and kinesthetic sense in the elbow of healthy subjects. Physiother Theory Pract. 2008;24(1):65–72.CrossRefPubMed
54.
Goble DJ. Proprioceptive acuity assessment via joint position matching: from basic science to general practice. Phys Ther. 2010;90(8):1176–84.CrossRefPubMed
55.
James CR, Herman JA, Dufek JS, Bates BT. Number of trials necessary to achieve performance stability of selected ground reaction force variables during landing. J Sports Sci Med. 2007;6(1):126–34.PubMedPubMedCentral
56.
Holmbäck AM, Porter MM, Downham D, Lexell J. Reliability of isokinetic ankle dorsiflexor strength measurements in healthy young men and women. Scand J Rehabil Med. 1999;31(4):229.CrossRefPubMed
57.
Han J, Waddington G, Adams R, Anson J, Liu Y. Assessing proprioception: a critical review of methods. J Sport Health Sci. 2016;5(1):80–90.CrossRefPubMed
58.
Goble DJ, Noble BC, Brown SH. Where was my arm again? Memory-based matching of proprioceptive targets is enhanced by increased target presentation time. Neurosci Lett. 2010;481(1):54–8.CrossRefPubMed
Metadata
Title
Test–retest reliability of tip, key, and palmar pinch force sense in healthy adults
Authors
Lin Li
Yanxia Li
Changhong Wu
Xinyan Zhang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-3187-7

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