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Normative Data for an Instrumental Assessment of the Upper-Limb Functionality.

Marco Caimmi1, Eleonora Guanziroli2, Matteo Malosio3

  • 1Institute of Industrial Technologies and Automation (ITIA), National Research Council (CNR), Via Bassini 15, 20133 Milan, Italy ; Villa Beretta Rehabilitation Center, Via Nazario Sauro 17, 23845 Costa Masnaga, Lecco, Italy ; University of Brescia, Via Branze 38, 25123 Brescia, Italy.

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Summary

This study introduces a fast upper-limb functional assessment method. It demonstrates high reliability and sensitivity for evaluating motor control across different age groups in clinical settings.

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Area of Science:

  • Rehabilitation Medicine
  • Movement Science
  • Clinical Biomechanics

Background:

  • Objective monitoring of rehabilitation interventions is crucial for improving patient outcomes.
  • There is a need for simple, rapid, and user-friendly methods for routine functional evaluation in diverse patient populations.
  • Upper-limb motor control assessment is vital for understanding functional ability and guiding therapeutic strategies.

Purpose of the Study:

  • To introduce and validate the Reaching and Hand-to-Mouth Evaluation Method for upper-limb motor control assessment.
  • To provide normative data for healthy individuals across different age groups.
  • To assess the method's test-retest reliability and sensitivity to age-related motor control differences.

Main Methods:

  • The Reaching and Hand-to-Mouth Evaluation Method was applied to 42 healthy subjects (dominant and non-dominant limbs).
  • Test-retest reliability was assessed on 16 subjects after a two-week interval.
  • Data were analyzed across three age subgroups to evaluate method sensitivity.

Main Results:

  • The method demonstrated notable test-retest reliability across all assessed tasks.
  • Significant differences in coordination measures were observed between older and younger subject groups.
  • The method proved highly sensitive to age-related motor control variations.

Conclusions:

  • The Reaching and Hand-to-Mouth Evaluation Method is a reliable tool for assessing upper-limb functional ability.
  • The method's sensitivity to age-related motor control differences supports its clinical utility.
  • Normative data from healthy subjects enhance its applicability in clinical environments for objective patient evaluation.