Lucía Simón-Vicente, César Cuesta-García, Sara Calvo, Natividad Mariscal, Miriam Saiz-Rodríguez, Laura Aguado, Ignacio Muñoz-Siscart, Irene De la Cruz Salamanca, Dolores Díaz-Piñeiro, Esther Cubo
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Upper Extremity Motor Performance During a Shirt Buttoning Task in Huntington's Disease.
Background: Motor impairment in Huntington's Disease (HD) includes chorea, bradykinesia, dystonia, and rigidity, causing Upper extremity (UE) impairments in daily activities.
Objectives: Describe motor patterns and analyze execution times for buttoning a shirt in premanifest and manifest-HD versus controls; explore the relationship between clinical assessments and UE motor performance and assess interobserver reliability of the motor pattern coding system.
Methods: Cross-sectional observational study with 30 manifest-HD, 9 premanifest-HD, and 30 controls from Burgos University Hospital, Spain. Participants buttoned a five-button shirt and time spent and motor patterns were analyzed using Observer-XT-software.
Results: Significant differences were found in movement time and motor patterns between groups. Manifest-HD took nearly twice as long as controls to complete the task. Correlations were found with clinical assessments. Degree of interobserver agreement was excellent.
Conclusion: Evaluating motor patterns helps in early detection of motor impairment, monitoring disease progression, and developing rehabilitation programs to maintain and improve UE function.
期刊介绍：
The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.
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