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Standardized Finger-Nose Test Validity for Coordination Assessment in an Ataxic Disorder

Published online by Cambridge University Press:  02 December 2014

Cynthia Gagnon ,
Jean Mathieu  and
Johanne Desrosiers
Cynthia Gagnon
Affiliation:
Neuromuscular Clinic, Centre de réadaptation en déficience physique, Jonquière, Quebec, Canada
Jean Mathieu
Affiliation:
Neuromuscular Clinic, Centre de réadaptation en déficience physique, Jonquière and the Faculty of Medicine, Université de Montréal, Montréal, Quebec, Canada
Johanne Desrosiers
Affiliation:
Research Centre on Aging, Sherbrooke Geriatric University Institute, Sherbrooke and the Faculty of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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Abstract

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Objectives:

Evaluation of coordination with the Finger-Nose Test is an essential part of the neurological examination. This study explored the convergent and discriminant construct validity of the Standardized Finger-Nose Test (SFNT) in a neuromuscular disorder with ataxic features.

Method:

A cross-sectional study was carried out with 24 participants with recessive spastic ataxia of Charlevoix-Saguenay. Convergent construct validity was tested by correlating the SFNTwith other upper extremity function tests, a functional independence measure and social participation. Upper extremity function tests included gross and fine dexterity (Box and Block Test and Purdue Pegboard), upper extremity strength (dynamometry) and global upper extremity performance (TEMPA). The Functional Independence Measure (FIM) and the Assessment of Life Habits scale (LIFE-H) measured functional independence and social participation respectively. Discriminant construct validity was explored by comparing performance on the SFNT between two age groups (< 40 years and ³ 40 years).

Results:

Convergent validity of the SFNT was demonstrated by moderate to strong correlations with gross and fine finger dexterity (r = 0.82-0.84), global upper extremity performance (0.74-0.79), functional independence (r = 0.74) and social participation (r = 0.78). Upper extremity coordination of the older group was significantly lower than in the younger group, suggesting the ability of the SFNT to discriminate between different levels of function.

Conclusion:

This study demonstrated the convergent and discriminant construct validity of the SFNT in a neuromuscular disorder with ataxic features.

Type
Other
Information
Canadian Journal of Neurological Sciences , Volume 31 , Issue 4 , November 2004 , pp. 484 - 489
Copyright
Copyright © The Canadian Journal of Neurological 2004

References

1. Poirier, F. Dexterity as a valid measure of hand function: a pilot study. Occup Ther Health Care 1987; 4:69–83.Google Scholar
2. Langdon, DW, Thompson, AJ. Multiple sclerosis: a preliminary study of selected variables affecting rehabilitation outcome. Mult Scler 1999; 5:94–100.Google Scholar
3. Erasmus, LP, Sarno, S, Albrecht, H, et al. Measurement of ataxic symptoms with a graphic tablet: standard values in controls and validity in multiple sclerosis patients. J Neurosci Methods 2001; 108:25–37.Google Scholar
4. Legros, B, Jacquy, J, Manto, MU. [Interobserver reliability of a new horizontal pointing manoeuvre: comparison with conventional tests]. Rev Neurol (Paris) 2000; 156:987–992.Google ScholarPubMed
5. Kondraske, GV, Potvin, AR, Tourtellotte, WW, Syndulko, K. A computer-based system for automated quantitation of neurologic function. IEEE Trans Biomed Eng 1984; 31:401–414.Google Scholar
6. Swaine, BR, Sullivan, SJ. Reliability of the scores for the finger-to-nose test in adults with traumatic brain injury. Phys Ther 1993; 73:71–78.Google Scholar
7. Streiner, D, Norman, G. Health Measurement Scales: A Practical Guide to their Development and Use. New York: Oxford University Press, 1995.Google Scholar
8. Frytak, J. Measurement. J Rehabil Outcomes Meas 2000; 4:15–31.Google Scholar
9. Mathiowetz, V, Volland, G, Kashman, N, Weber, K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther 1985; 39:386–391.Google Scholar
10. Desrosiers, J, Hebert, R, Bravo, G, Dutil, E. Upper-extremity motor co-ordination of healthy elderly people. Age Ageing 1995; 24:108–112.Google Scholar
11. Bourbonnais, D, Vanden Noven, S, Pelletier, R. Incoordination in patients with hemiparesis. Can J Public Health 1992;83:S58–S63.Google Scholar
12. Desrosiers, J, Hebert, R, Bravo, G, Dutil, E. Upper extremity performance test for the elderly (TEMPA): normative data and correlates with sensorimotor parameters. Test d’Evaluation des Membres Superieurs de Personnes Agees. Arch Phys Med Rehabil 1995; 76:1125–1129.CrossRefGoogle ScholarPubMed
13. Desrosiers, J, Bravo, G, Hebert, R, Dutil, E, Mercier, L. 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; 75:751–755.Google Scholar
14. Tiffin, J. Purdue Pegboard Examiner Manual. Chicago, IL: Science Research Associates, 1968.Google Scholar
15. Desrosiers, J, Hebert, R, Bravo, G, Dutil, E. The Purdue Pegboard Test: normative data for people aged 60 and over. Disabil Rehabil 1995; 17:217–224.Google Scholar
16. Reddon, JR, Gill, DM, Gauk, SE, Maerz, MD. Purdue Pegboard: test-retest estimates. Percept Mot Skills 1988; 66:503–506.Google Scholar
17. Desrosiers, J, Rochette, A, Payette, H, et al. Upper extremity isometric strength measurement using the belt-resisted method: reliability study with healthy elderly people. Can J Rehab 1998; 11:149–155.Google Scholar
18. Data Management Service of the Uniform Data System of Medical Rehabilitation and the Center for Functional Assessment Research. Buffalo, 1991.Google Scholar
19. WHO. International Classification of Functioning, Disability and Health: ICF. Geneva: WHO, 2001.Google Scholar
20. Fougeyrollas, P, Noreau, L, Dion, SA, et al. Life Habits Scale (version 3.0). Lac-St-Charles, Québec, 1998.Google Scholar
21. Mathiowetz, V, Weber, K, Volland, G, Kashman, N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg [Am] 1984; 9:222–226.Google Scholar
22. Lee, RG. The neurologic examination - art or science? Can J Neurol Sci 2002; 29:305.Google Scholar
23. Bouchard, JP, Barbeau, A, Bouchard, R, Bouchard, RW. Autosomal recessive spastic ataxia of Charlevoix-Saguenay. Can J Neurol Sci 1978; 5:61–69.CrossRefGoogle ScholarPubMed
24. Bouchard, JP. Recessive spastic ataxia of Charlevoix-Saguenay. In: Jong, JMBVd, (Ed). Handbook of Clinical Neurology. Hereditary Neuropathies and Spinocerebellar Atrophies. Vol. 16 (60). Amsterdam: Elsevier Science Pub, 1991:451–459.Google Scholar
25. Verkerk, PH, Schouten, JP, Oosterhuis, HJ. Measurement of the hand coordination. Clin Neurol Neurosurg 1990; 92:105–109.Google Scholar
26. Swaine, BR, Sullivan, SJ. Relation between clinical and instrumented measures of motor coordination in traumatically brain injured persons. Arch Phys Med Rehabil 1992; 73:55–59.Google Scholar
27. Velickovic, M, Gracies, JM. Movement disorders. Keys to identifying and treating tremor. Geriatrics 2002; 57:32–36; quiz 39.Google Scholar
28. Hamilton, A, Balnave, R, Adams, R. Grip strength testing reliability. J Hand Ther 1994; 7:163–170.Google Scholar
29. Desrosiers, J, Hébert, R, Dutil, é, Bravo, G. Development and reliability of an upper extremity function test for the elderly: the TEMPA. Can J Occup Ther 1993; 60:9–16.Google Scholar
30. SPSS Advanced and Professional Statistics 10.0. Chicago: SPSS Incorporated, 2000.Google Scholar
31. De Braekeleer, M, Giasson, F, Mathieu, J, et al. Genetic epidemiology of autosomal recessive spastic ataxia of Charlevoix-Saguenay in northeastern Quebec. Genet Epidemiol 1993; 10:17–25.Google Scholar
32. Richter, A, Rioux, JD, Bouchard, JP, et al. Location score and haplotype analyses of the locus for autosomal recessive spastic ataxia of Charlevoix-Saguenay, in chromosome region 13q11. Am J Hum Genet 1999; 64:768–775.CrossRefGoogle ScholarPubMed
33. Noreau, L, Desrosiers, J, Robichaud, L, et al. Measuring social participation: reliability of the LIFE-H among older adults with disabilities. Disabil Rehabil 2004;26(6):346–352.Google Scholar
34. Notermans, NC, van Dijk, GW, van der Graaf, Y, van Gijn, J, Wokke, JH. Measuring ataxia: quantification based on the standard neurological examination. J Neurol Neurosurg Psychiatry 1994; 57:22–26.Google Scholar
35. Fougeyrollas, P, Cloutier, R, Bergeron, H, Côté, J, St-Michel, G. The Quebec Classification ’Disability Creation Process.’ Quebec: International Network on the Disability Creation Process, 1999.Google Scholar
36. Hooper, J, Taylor, R, Pentland, B, Whittle, IR. A prospective study of thalamic deep brain stimulation for the treatment of movement disorders in multiple sclerosis. Br J Neurosurg 2002; 16:102–109.Google Scholar
37. Ottenbacher, KJ, Hsu, Y, Granger, CV, Fiedler, RC. The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil 1996; 77:1226–1232.CrossRefGoogle Scholar