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a Department
of Physical Medicine and Rehabilitation, Oulu University Central
Hospital, Oulu, Finland, b Division of Rheumatology, Department of Internal
Medicine, Oulu University Central Hospital
Correspondence to: Dr Kari Kauranen, Department of Physical Medicine and Rehabilitation, Oulu University Central Hospital, Kajaanintie 50, 90220 Oulu, Finland Email: kari.kauranen{at}ppshp.fi
Accepted for publication 21 March 2000
OBJECTIVES
To examine
the motor performance of the hand in a sample of patients with
rheumatoid arthritis (RA).
SUBJECTS
The
patient group comprised 21 (two men, 19 women) patients with RA. Twenty
one control subjects matched for age and sex were selected from a
larger reference group, which had been drawn from the local population.
METHODS
The
measured motor performance aspects were simple reaction time, choice
reaction time, speed of movement, finger tapping speed, and
coordination (that is, speed of movement/accuracy). Results were
compared for age and sex matched pairs. The measurements were made
with the Human Performance Measurement/Basic Elements of
Performance system, which is a multifunctional
system designed to measure different motor aspects of the hands,
including reaction time, movement speed, tapping speed, and coordination.
RESULTS
A comparison
of the results for the patient and control groups indicated that the
motor functions of patients with RA were impaired in all the measured
aspects (with the exception of the index finger tapping test). The
difference between the groups varied between 11% and 21% for the
reaction time tasks, between 12% and 18% for the speed of movement
tasks, and between 15% and 17% for the coordination task.
CONCLUSION
Based on
the results of our research, it seems that RA decreases some motor
performance functions of the hand expressed as simple reaction time,
choice reaction time, speed of movement, and coordination. The changes
were emphasised in movements performed with several joints.
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