Objective: To refine the Graded and Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) as a measure of upper limb impairment following cervical SCI. Method: A cross-sectional study assessed a cohort of neurologically stable patients with tetraplegia using a preliminary version of the GRASSP. Regression analysis was performed to determine the association between subcomponents of the GRASSP (impairment) and measures of function. The GRASSP was modified based on results. Results: Eliminated static two-point discrimination, tone, and one muscle. Conclusion: The GRASSP Version I consists of Semmes Weinstein monofilaments, manual muscle testing, and qualitative and quantitative prehension testing.
Anderson KD. Targeting recovery: Priorities of the spinal cord-injured population. J Neurotrauma. 2004;21(10):1371–1383.
,
Targeting recovery: Priorities of the spinal cord-injured population
, J Neurotrauma
, vol. 21
(pg. 1371
-1383
) Snoek GJ. Survey of the needs of patients with spinal cord injury: Impact and priority for improvement in hand function in tetraplegics. Spinal Cord. 2004;42:526–532.
,
Survey of the needs of patients with spinal cord injury: Impact and priority for improvement in hand function in tetraplegics
, Spinal Cord
, vol. 42
(pg. 526
-532
) Mangold S, Keller T, Curt A, et al. Transcutaneous functional electrical stimulation for grasping in subjects with cervical spinal cord injury. Spinal Cord. 2005;43(1):1–13.
,
Transcutaneous functional electrical stimulation for grasping in subjects with cervical spinal cord injury
, Spinal Cord
, vol. 43
(pg. 1
-13
) Douglas W, Chan KM. Surgical reconstruction of the upper limb in traumatic tetaplegia. J Bone Joint Surg. 1983;65B(3):291–298.
,
Surgical reconstruction of the upper limb in traumatic tetaplegia
, J Bone Joint Surg.
, vol. 65B
(pg. 291
-298
) Mulcahey MJ, Betz RR, Kozin SH, et al. Implantation of the Freehand System during initial rehabilitation using minimally invasive techniques. Spinal Cord. 2004;42(2):146–155.
,
Implantation of the Freehand System during initial rehabilitation using minimally invasive techniques
, Spinal Cord
, vol. 42
(pg. 146
-155
) Taylor P, Esnouf J, Hobby J. The functional impact of the Freehand System on tetraplegic hand function. Clinical results. Spinal Cord. 2002;40(11): 560-6
,
The functional impact of the Freehand System on tetraplegic hand function. Clinical results
, Spinal Cord
, vol. 40
(pg. 560
-6
) Prochazka A, Gauthier M, Wieler M, et al. The bionic glove: An electrical stimulator garment that provides controlled grasp and hand opening in quadriplegia. Arch Phys Med Rehabil. 1997;78(6):608–614.
,
The bionic glove: An electrical stimulator garment that provides controlled grasp and hand opening in quadriplegia
, Arch Phys Med Rehabil.
, vol. 78
(pg. 608
-614
) Van der Linde H, Snoek GJ, Geurts ACH, van Limbeek J, Mulder T. Kinematic assessment of manual skill following functional hand surgery in tetraplegia. J Hand Surg. 2000;25A:1140–1146.
,
Kinematic assessment of manual skill following functional hand surgery in tetraplegia
, J Hand Surg.
, vol. 25A
(pg. 1140
-1146
) Popovic DP, Stojanovic A, Pjanovic A, Radosavljevic S, Popovic M, Jovic S, Vulovic D. Clinical evaluation of the bionic glove. Arch Phys Med Rehabil. 1999;80:299–304.
,
Clinical evaluation of the bionic glove
, Arch Phys Med Rehabil.
, vol. 80
(pg. 299
-304
) Schwab JM, Brechtel K, Mueller CA, Failli V, Kaps HP, Tuli SK, Schulesener HJ. Experimental strategies to promote spinal cord regeneration—an integrative perspective. Prog Neurobiol. 2006;78(2):91–116.
,
Experimental strategies to promote spinal cord regeneration—an integrative perspective
, Prog Neurobiol.
, vol. 78
(pg. 91
-116
) Wells JE, Hurlbert RJ, Fehlings MG, Yong VW. Neuroprotection by minocycline facilitates significant recovery from spinal cord injury in mice. Brain. 2003;126(Pt 7):1628–1637.
,
Neuroprotection by minocycline facilitates significant recovery from spinal cord injury in mice
, Brain
, vol. 126
(pg. 1628
-1637
) Baptiste DC, Fehlings MG. Pharmacological approaches to repair the injured spinal cord. J Neurotrauma. 2006;23:318–324.
,
Pharmacological approaches to repair the injured spinal cord
, J Neurotrauma
, vol. 23
(pg. 318
-324
) Baptiste DC, Fehlings MG. Update on the treatment of spinal cord injury. Progress Brain Res. 2007;161:217–234.
,
Update on the treatment of spinal cord injury
, Progress Brain Res.
, vol. 161
(pg. 217
-234
) International Campaign for Cures of Spinal Cord Injury Paralysis. General information. 2003. Available at: www.campaignforcure.org. Accessed September 15, 2008. www.campaignforcure.org
Anderson K, et al. Functional recovery measures for spinal cord injury: An evidence based review for clinical practice and research. J Spinal Cord Med. 2008;31(2):133–144.
,
Functional recovery measures for spinal cord injury: An evidence based review for clinical practice and research
, J Spinal Cord Med.
, vol. 31
(pg. 133
-144
) Marino RJ, Jones L, Kirshblum S, Tal J, Dasgupta A. Reliability and repeatability of the motor and sensory examination of the international standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2008;13(2):166–170.
,
Reliability and repeatability of the motor and sensory examination of the international standards for neurological classification of spinal cord injury
, J Spinal Cord Med.
, vol. 13
(pg. 166
-170
) Sollerman C, Ejeskar A. Sollerman Hand Function Test: A standardized method and its use in tetraplegic patients. Scand J Plastic Reconstruct Hand Surg. 1995;29:167–176.
,
Sollerman Hand Function Test: A standardized method and its use in tetraplegic patients
, Scand J Plastic Reconstruct Hand Surg.
, vol. 29
(pg. 167
-176
) Gregersen H, Hagen E, Ingemarsson A, Koerhuis E, Leiulfsrud A, Lybæk M, Biering-Sørensen F. Reliability and validity of Danish tetraplegia hand function test in a four country multicenter trial. International Spinal Cord Society Website, Annual ISCos Conference Proceedings. 2004. Available at: http://www.iscos.org.uk/page.php?content=38. http://www.iscos.org.uk/page.php?content=38
Jebsen RH, Taylor N, Trieshmann RB, Trotter MJ, Howard LA. An objective and standardized test of hand function. Arch Phys Med Rehabil. 1969;50(6):311–319.
,
An objective and standardized test of hand function
, Arch Phys Med Rehabil.
, vol. 50
(pg. 311
-319
) Popovic MR, Thrasher TA, Adams ME, Takes V, Zivanovic V, Tonak MI. Functional electrical therapy: Retraining grasping in spinal cord injury. Spinal Cord. 2006;44:143–151.
,
Functional electrical therapy: Retraining grasping in spinal cord injury
, Spinal Cord
, vol. 44
(pg. 143
-151
) Lo IK, Turner R, Connolly S, et al. The outcome of tendon transfers for C6-spared quadriplegics. J Hand Surg. 2003;23(2):156–161.
,
The outcome of tendon transfers for C6-spared quadriplegics
, J Hand Surg.
, vol. 23
(pg. 156
-161
) Post MW, Van Lieshout G, Seelen HA, Snoek GJ, Ijzerman MJ, Pons C. Measurement properties of the short version of the Van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury. Spinal Cord. 2006;44(12):763–771.
,
Measurement properties of the short version of the Van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury
, Spinal Cord
, vol. 44
(pg. 763
-771
) Steeves JD, Lammertse D, Curt A, et al. A Guidelines for the conduct of clinical trials for spinal cord injury (SCI) as developed by the ICCP Panel: Clinical trial outcome measures. Spinal Cord. 2007;45(30):206–221.
,
A Guidelines for the conduct of clinical trials for spinal cord injury (SCI) as developed by the ICCP Panel: Clinical trial outcome measures
, Spinal Cord
, vol. 45
(pg. 206
-221
) Kandel E. Principles of Neural Science. 4th ed. New York: McGraw-Hill; 2000.
,
Principles of Neural Science
Shumway-Cook A. Motor Control: Translating Research into Clinical Practice. 3rd ed. St. Louis: Lippincott, Williams & Wilkins; 2007.
,
Motor Control: Translating Research into Clinical Practice
Link C. The Link Hand Function Test for Patients with a Cervical Spinal Cord Injury: An Intra-Rater and Inter-Rater Reliability and Expert Opinion Evaluation Study [graduate thesis]. Hogeschool van Amsterdam, Institute of Occupational Therapy, The Netherlands; University College-South, School of Occupational Therapy and Physiotherapy, Denmark; Karolinska Institutet Division of Occupational Therapy, Sweden. 2004.
Kalsi-Ryan S, Beaton D, McIlroy W, Fehlings M, Verrier M. The development of the Quadriplegia Hand Assessment Tool (Q-HAT): A discriminative and evaluative approach. J Spinal Cord Med. 2004;27(2):164.
,
The development of the Quadriplegia Hand Assessment Tool (Q-HAT): A discriminative and evaluative approach
, J Spinal Cord Med.
, vol. 27
pg. 164
Daniels L, Worthingham C. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination. 6th ed. Philadelphia: WB Saunders; 1995.
,
Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination
Kendall F, McCreary EK, Provance PG. Muscles: Testing and Function. 4th ed. Philadelphia: Williams & Wilkins; 1993.
,
Muscles: Testing and Function
Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1993;67(2):206–207.
,
Interrater reliability of a modified Ashworth scale of muscle spasticity
, Phys Ther
, vol. 67
(pg. 206
-207
) Catz A, Greenberg E, Itzkovich M, Bluvshtein V, Ronen J, Gelernter I. A new instrument for outcome assessment in rehabilitation medicine: Spinal cord injury ability realization measurement index. Arch Phys Med Rehabil. 2004;85(3):399–404.
,
A new instrument for outcome assessment in rehabilitation medicine: Spinal cord injury ability realization measurement index
, Arch Phys Med Rehabil
, vol. 85
(pg. 399
-404
) Marino RJ, Shea JA, Stineman MG. The Capabilities of Upper Extremity instrument: Reliability and validity of a measure of functional limitation in tetraplegia. Arch Phys Med Rehabil. 1998;79(12):1512–1521.
,
The Capabilities of Upper Extremity instrument: Reliability and validity of a measure of functional limitation in tetraplegia
, Arch Phys Med Rehabil.
, vol. 79
(pg. 1512
-1521
) Mackin E, Callahan A, Skiver T, Schneider L, Osterman A. Hunter, Mackin and Callahan’s Rehabilitation of the Hand and Upper Extremity. 5th ed. St. Louis: Mosby; 2002.
,
Hunter, Mackin and Callahan’s Rehabilitation of the Hand and Upper Extremity
Cuthbert SC, Goodheart GJ. On the reliability and validity on manual muscle testing: A literature review. Chiropr Osteopat. 2007;15:4.
,
On the reliability and validity on manual muscle testing: A literature review
, Chiropr Osteopat
, vol. 15
pg. 4
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