Grip strength comparison in immune-mediated neuropathies: Vigorimeter vs. Jamar

被引：27

作者：

Draak, Thomas H. P. ^{[1
]}

Pruppers, Marielle H. J. ^{[1
]}

van Nes, Sonja I. ^{[2
]}

Vanhoutte, Els K. ^{[3
]}

Bakkers, Mayienne ^{[1
]}

Gorson, Kenneth C. ^{[4
]}

Van der Pol, W. -Ludo ^{[5
]}

Lewis, Richard. A. ^{[6
]}

Notermans, Nicolette C. ^{[5
]}

Nobile-Orazio, Eduardo ^{[7
]}

Leger, Jean-Marc ^{[8
]}

Van den Bergh, Peter Y. K. ^{[9
]}

Lauria, Giuseppe ^{[10
]}

Bril, Vera ^{[11
]}

Katzberg, Hans ^{[11
]}

Lunn, Michael P. T. ^{[12
]}

Pouget, Jean ^{[13
]}

van der Kooi, Anneke J. ^{[14
]}

van den Berg, Leonard H. ^{[5
]}

van Doorn, Pieter A. ^{[2
]}

Cornblath, David R. ^{[15
]}

Hahn, Angelika F. ^{[16
]}

Faber, Catharina G. ^{[1
]}

Merkies, Ingemar S. J. ^{[1
,17
]}

机构：

[1] Maastricht Univ, Med Ctr, Dept Neurol, NL-6202 AZ Maastricht, Netherlands

[2] Erasmus MC, Dept Neurol, Rotterdam, Netherlands

[3] Maastricht Univ, Med Ctr, Dept Clin Genet, NL-6202 AZ Maastricht, Netherlands

[4] Tufts Univ, Sch Med, St Elizabeths Med Ctr, Dept Neurol, Boston, MA 02111 USA

[5] Univ Med Ctr, Rudolf Magnus Inst Neurosci, Dept Neurol, Utrecht, Netherlands

[6] Cedars Sinai Med Ctr, Dept Neurol, Los Angeles, CA 90048 USA

[7] Univ Milan, Humanitas Clin Inst, Dept Neurol Sci, Milan, Italy

[8] Hop La Pitie Salpetriere, Dept Neurol, Paris, France

[9] St Luc Univ Hosp, Neuromuscular Reference Ctr UCL St Luc, Brussels, Belgium

[10] Fdn IRCCS Ist Neurol Carlo Besta, Dept Clin Neurosci, Milan, Italy

[11] Toronto Gen Hosp, Dept Neurol, Toronto, ON, Canada

[12] Natl Hosp Neurol & Neurosurg, Ctr Neuromuscular Dis, Dept Neurol, London WC1N 3BG, England

[13] Hop Enfants La Timone, Ctr Reference Malad Neuromusculaires & SLA, Marseille, France

[14] Univ Amsterdam, Acad Med Ctr, Dept Neurol, NL-1105 AZ Amsterdam, Netherlands

[15] Johns Hopkins Sch Med, Dept Neurol, Baltimore, MD USA

[16] London Hlth Sci Ctr, Dept Neurol, London, ON, Canada

[17] Spaarne Hosp, Dept Neurol, Hoofddorp, Netherlands

来源：

JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM | 2015年 / 20卷 / 03期

关键词：

grip strength; Jamar dynamometer; responsiveness comparison; Vigorimeter; QUALITY-OF-LIFE; INTRAVENOUS IMMUNOGLOBULIN; PINCH STRENGTH; HEALTH-STATUS; DOUBLE-BLIND; RELIABILITY; DYNAMOMETERS; VALIDITY; CIDP; HAND;

D O I：

10.1111/jns.12126

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The Jamar dynamometer and Vigorimeter have been used to assess grip strength in immune-mediated neuropathies, but have never been compared to each other. Therefore, we performed a comparison study between these two devices in patients with immune-mediated neuropathies. Grip strength data were collected in 102 cross-sectional stable and 163 longitudinal (new diagnoses or changing condition) patients with Guillain-Barre syndrome (GBS), chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), gammopathy-related polyneuropathy (MGUSP), and multifocal motor neuropathy (MMN). Stable patients were assessed twice (validity/reliability studies). Longitudinal patients were assessed 3-5times during 1year. Responsiveness comparison between the two tools was examined using combined anchor-/distribution-based minimum clinically important difference (MCID) techniques. Patients were asked to indicate their preference for the Jamar or Vigorimeter. Both tools correlated highly with each other (=0.86, p<0.0001) and showed good intra-class correlation coefficients (Jamar [Right/Left hands]: ICC 0.997/0.96; Vigori: ICC 0.95/0.98). Meaningful changes were comparable between the two instruments, being higher in GBS compared to CIDP patients. In MGUSP/MMN poor responsiveness was seen. Significant more patients preferred the Vigorimeter. In conclusion, validity, reliability, and responsiveness aspects were comparable between the Jamar dynamometer and Vigorimeter. However, based on patients' preference, the Vigorimeter is recommended in future studies in immune-mediated neuropathies.

引用

页码：269 / 276

页数：8

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