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Arm-hand use in healthy older adults

RAND D; ENG JJ
AM J OCCUP THER , 2010, vol. 64, n° 6, p. 877-885
Doc n°: 148705
Localisation : Documentation IRR

D.O.I. : http://ajot.aotapress.net/content/64/6/877.full.pdf+html
Descripteurs : MA - GERONTOLOGIE, DD82 - EXPLORATION EXAMENS BILANS - MAIN-DOIGTS

Our objectives were (1) to quantify arm-hand use of older adults
without a disability and to determine the effects of hand dominance, gender, and
day on hand usage and (2) to determine the factors that predict arm-hand use.
This information will enhance understanding of the extent of the client's
occupational performance. METHOD: Twenty men and 20 women, ages 65-85, wore wrist
and hip accelerometers for 7 consecutive days. Manual dexterity and grip strength
were assessed. A three-way factorial analysis of variance and multiple linear
regressions were conducted. RESULTS: The activity kilocounts from both wrist
accelerometers revealed a significant interaction effect between hand and gender
(F[1, 190] = 24.4, p < .001). Enhanced manual dexterity of the right hand was
associated with greater right-hand use. CONCLUSION:
Arm-hand use is a novel
dimension of hand function measuring the extent of real-life occupational
performance in the client's home.

Langue : ANGLAIS

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