- •We 3D printed a fine motor gripping and manipulating dexterity assessment tool
- •Both methods had good to excellent test-retest reliability
- •It was sensitive to handedness and gripping vs manipulating dexterity
- •A freely available model is available online and costs little to print.
Hand dexterity assessments related to fine motor movements are routinely administered in clinical settings to ascertain an individual's hand function. However, to perform a detailed assessment multiple devices are needed which can be time-consuming and costly to administer.
We designed and assessed the test-retest reliability of a 3D printed dexterity device in a cohort of healthy young adults and community-dwelling older adults. This study examines the reliability of the device, association between perceived fine motor gripping and manipulation dexterity components, and dominant hand outperformance during both tasks.
Test-retest study of a clinical measurement tool.
A convenience sample of thirty-six healthy community-dwelling older and young adults was included in our study. The device was used to collect data at two testing sessions to establish test-retest reliability. Fine motor manipulation dexterity was assessed by lifting notched pegs over a vertical barrier and inserting them into randomly oriented holes sequentially. Fine motor gripping dexterity was assessed by taking these notched pegs out of the holes, lifting them over the barrier and dropping them into a large container.
Intraclass correlation coefficient (ICC)2,1 showed good to excellent test-retest reliability on the dominant and nondominant hands when using the device. Only modest association was found within-hand for the gripping versus manipulation dexterity tests. The between-hand motor gripping dexterity test demonstrated a strong association; however, between-hand the motor manipulation dexterity test was only moderately associated.
The device was reliable, discriminated between the motor gripping and motor manipulating dexterity tasks, and was sensitive to handedness during the motor manipulating dexterity task. It shows promise as a hand dexterity assessment device which may provide efficiency and cost advantages. It is freely available via http://www.rehabtools.org/dexterity.html.
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- Manual ability as a marker of dependency in geriatric women.J Chronic Dis. 1982; 35: 115-122
- Defining dexterity—untangling the discourse in clinical practice.J Hand Ther. 2020; : 517-519
- Manual dexterity in young and healthy older adults. 2. Association with cognitive abilities.Dev Psychobiol. 2018; 60: 428
- A narrative review of dexterity assessments.J Hand Ther. 2009; 22: 258-270
- Hand impairments.in: Radomski M Latham C Occupational Therapy for Physical Dysfunction. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, PA2014: 1130-1167
- Observational evidence of the association between handgrip strength, hand dexterity, and cognitive performance in community-dwelling older adults: a systematic review.J Epidemiol. 2018; 28: 373-381
- Validation of the box and block test as a measure of dexterity of elderly people: reliability, validity, and norms studies.Arch Phys Med Rehabil. 1994; 75: 751
- Adult norms for the box and block test of manual dexterity.Am J Occup Ther. 1985; 39: 386-391
- Adult norms for the nine hole peg test of finger dexterity.OTJR. 1985; 5: 24-38
- Table of assessments: listed Alphabetically by title.in: Schell B Gillen G Scaffa M Willard and Spackman's Occupational Therapy. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia, PA2014: 1190-1228
- Occupational therapy practice framework: domain and process—Fourth edition.Am J Occup Ther. 2020; 74 (7412410010p7412410011-7412410010p7412410087)
- The Design and Analysis of Clinical Experiments.John Wiley & Sons, Inc., New York, NY1986
- Hand function in Charcot Marie Tooth: test retest reliability of some measurements.Clin Rehabil. 2006; 20: 896-908
- Normative data for determining significance of test-retest differences on eight common neuropsychological instruments.Clin Neuropsychol. 2004; 18: 373-384
- Testretest reliability and practice effects of Expanded HalsteadReitan Neuropsychological Test Battery.J Int Neuropsychol Soc. 1999; 5: 346-356
- The Nine-Hole Peg Test as a manual dexterity performance measure for multiple sclerosis.Multiple Scler. 2017; 23: 711-720
- Open-source 3D printed sensors for hand strength assessment: validation of low-cost load cell and fabric sensor-based systems.Aust Occup Ther J. 2018; 65: 412-419
- Three-dimensional cameras and skeleton pose tracking for physical function assessment: a review of uses, validity, current developments and Kinect alternatives.Gait Posture. 2019; 68: 193-200
- Novel dexterity kit concept based on a review of hand dexterity literature.Lect Notes Mech Eng. 2020; : 81-89
- What factors influence clinicians' use of technology in neurorehabilitation? A multi-site focus group study Phys.Ther. 2021; (in press)
JHT Read for Credit
Quiz: # 933
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.The authors sought to study the __________ of a new tool for assessing manual dexterity
- a.ease of use
- b.cost implications
- c.construct validity
- # 2.One criticism of the traditional method of testing manual dexterity is that
- a.physical therapists, unlike occupational therapists, are not qualified to administer it
- b.it is not cost effective
- c.it involves multiple tools
- d.it is difficult to administer
- # 3.The primary statistic used was
- a.an ICC
- b.an ANOVA
- c.the Student T-Test
- d.a Kappa
- # 4.The 3D model was a peg board with
- a.two cardboard trays
- b.a barrier between two trays
- c.identical holes on both sides
- d.round holes on one side and square holes on the other side
- # 5.The device was NOT able to distinguish between gripping and fine manipulation tasks
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Published online: June 23, 2021
Accepted: June 17, 2021
Received in revised form: May 10, 2021
Received: December 4, 2020
Conflict of interest: There are no conflicts of interest to disclose other than that the corresponding author (Clark) operates the ad-free website where the device is made available. We also acknowledge this work was supported by the University of the Sunshine Coast internal research grant funds.
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