Assessment of hand functions in patients with idiopathic cervical dystonia

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dc.contributor.authorOktayoglu, Pelin
dc.contributor.authorAcar, Abdullah
dc.contributor.authorGunduz, Ibrahim
dc.contributor.authorCaglayan, Mehmet
dc.contributor.authorAkbostanci, Muhittin Cenk
dc.date.accessioned2024-04-24T16:14:51Z
dc.date.available2024-04-24T16:14:51Z
dc.date.issued2020
dc.departmentDicle Üniversitesien_US
dc.description.abstractCervical dystonia (CD) is the most common form of focal dystonia characterized by involuntary contractions of the neck muscles, causing abnormal rotation of the head into specific directions. Studies report that idiopathic dystonia is a developmental disorder of the sensorimotor circuits, involving both the cortico-striatal and thalamo-cortical pathways. It is also suggested that enhanced cortical plasticity extends beyond the clinically affected region and may also be detected in the unaffected upper limbs of the patient with CD. In the present study, we aimed at exploring if patients with CD had hand motor dysfunctions. Forty patients with idiopathic CD and 40 healthy controls were included in this study. Dystonic symptoms were assessed by means of The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Stanford Health Assessment Questionnaire (HAQ) was used to assess functional status. Quality of life (QoL) was assessed by using the Medical Outcomes Study Short Form 36-Item Health Survey (SF 36). Grip strength was assessed by using hand dynamometers. Tip pinch, lateral pinch and chuck pinch of the hand were assessed by using a pinchmeter. Fingertip dexterity and hand coordination was assessed using Purdue Pegboard. Duruoz Hand Index (DHI) was used for the assessment of hand functions. There were no significant differences between the groups in grip and pinch strengths of hands and fingers. As to the fingertip dexterity, patients with CD had a mean Pin 1 and Pin 2 test score of 10.6 +/- 2.8 and 10.8 +/- 3.2 respectively and a mean assembling test score of 5.2 +/- 2.0. These results were significantly worse than those of the healthy controls. As to the SF 36 sub-scores, there were significant differences between the groups in all SF 36 sub-scores (p < .001). This study indicates that patients with CD suffer a deteriorated fine motor coordination of hands without dystonic involvement of upper extremities. Furthermore, lower SF 36 scores in patients with CD suggest poorer health-related quality of life.en_US
dc.identifier.doi10.1016/j.humov.2020.102581
dc.identifier.issn0167-9457
dc.identifier.issn1872-7646
dc.identifier.pmid31950896
dc.identifier.scopus2-s2.0-85077915208
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.humov.2020.102581
dc.identifier.urihttps://hdl.handle.net/11468/15450
dc.identifier.volume70en_US
dc.identifier.wosWOS:000528035600014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofHuman Movement Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical Dystoniaen_US
dc.subjectHand Functionsen_US
dc.subjectGrip Strengthen_US
dc.subjectPinch Strengthen_US
dc.subjectFingertip Dexterityen_US
dc.subjectQuality Of Lifeen_US
dc.titleAssessment of hand functions in patients with idiopathic cervical dystoniaen_US
dc.titleAssessment of hand functions in patients with idiopathic cervical dystonia
dc.typeArticleen_US

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