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Grip strength comparison in immune-mediated neuropathies: Vigorimeter vs. Jamar

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Draak, th Pruppers, MH van Nes, SI Vanhoutte, EK Bakkers, M Van den Bergh, Peter [UCL] PeriNomS study group.

The Jamar dynamometer and Vigorimeter have been used to assess grip strength in immune-mediated neuropathies, but have never been compared to each other. Therefore, we performed a comparison study between these two devices in patients with immune-mediated neuropathies. Grip strength data were collected in 102 cross-sectional stable and 163 longitudinal (new diagnoses or changing condition) patients with Guillain-Barré syndrome (GBS), chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), gammopathy-related polyneuropathy (MGUSP), and multifocal motor neuropathy (MMN). Stable patients were assessed twice (validity/reliability studies). Longitudinal patients were assessed 3-5 times during 1 year. Responsiveness comparison between the two tools was examined using combined anchor-/distribution-based minimum clinically important difference (MCID) techniques. Patients were asked to indicate their preference for the Jamar or Vigorimeter. Both tools correlated highly with each other (ρ = 0.86, p < 0.0001) and showed good intra-class correlation coefficients (Jamar [Right/Left hands]: ICC 0.997/0.96; Vigori: ICC 0.95/0.98). Meaningful changes were comparable between the two instruments, being higher in GBS compared to CIDP patients. In MGUSP/MMN poor responsiveness was seen. Significant more patients preferred the Vigorimeter. In conclusion, validity, reliability, and responsiveness aspects were comparable between the Jamar dynamometer and Vigorimeter. However, based on patients' preference, the Vigorimeter is recommended in future studies in immune-mediated neuropathies.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2015
Language Anglais
Journal information "Journal of the Peripheral Nervous System" - Vol. 20, no. 3, p. 269-276 (2015)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing, Inc. ((United States) Hoboken, NJ)
issn 1085-9489
e-issn 1529-8027
Publication status Publié
Affiliations UCL - SSS/IONS/NEUR - Clinical Neuroscience
UCL - (SLuc) Service de neurologie
Keywords Jamar dynamometer ; Vigorimeter ; grip strength ; responsiveness comparison
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Bibliographic reference Draak, th ; Pruppers, MH ; van Nes, SI ; Vanhoutte, EK ; Bakkers, M ; et. al. Grip strength comparison in immune-mediated neuropathies: Vigorimeter vs. Jamar. In: Journal of the Peripheral Nervous System, Vol. 20, no. 3, p. 269-276 (2015)
Permanent URL http://hdl.handle.net/2078.1/174782