Clinical experience has shown that patients performing the Grooved Pegboard Test have difficulty maintaining the manualized right-to-left placement strategy with their left hand. This study sought to investigate possible differences in placement time on the Grooved Pegboard task between participants using the standardized left hand approach and a reversed manualized left hand placement strategy (i.e., left-to-right). The participants included 63 male and female undergraduate volunteers between the ages of 18 and 25 years. All participants had no history of neurologic disease/trauma, or conditions that would affect motor functioning of the right and left upper extremities. Data were analyzed using a 3-way mixed-design ANOVA. Results revealed a significant main effects for gender (F(1, 59) = 5.215, p = .026) and handedness (F(1, 59) = 6.362, p = .014). Of primary interest was the main effect for placement direction, which was not significant, F(1, 59) = .120, p = .731. No significant interaction was observed (all p > .40). Recommendations for the use of this test in applied neuropsychological settings are offered.

Made available in DSpace on 2016-03-15T19:40:36Z (GMT). No. of bitstreams: 1 Aline Rodrigues Sorcinelli.pdf: 545203 bytes, checksum: 537c38908ca66dbcaceb6f9079a917e5 (MD5) Previous issue date: 2008-08-29 / The shortage of normative data in instruments and specific tests for the Brazilian population is a challenge to the professionals that intend to measure the effectiveness of its work. At the practical clinic, many diagnoses, preventions and treatments are established with the use of tests or measuring instruments. Instruments and tests that cover the motor developing aspects of manual coordination ability are even harder to find on the Brazilian children s norms and are important to notice the motor coordination issues that may affect their ability to take care of themselves, social activities and school performance. This study intended to find validation evidences of three manual motor ability tests, Purdue Pegboard, Finger Tapping and Simple Reaction Time in 134 right-handed children of 5 and 6 years old from two schools based in São Paulo, one of which is a private school and the other one is a public school with different socioeconomic levels. The specific objectives were intended to compare the performance of the manual motor ability tests between sexes and ages of 5 and 6 years olds, and to verify whether there was a performance difference in the tests between the children from the public and private school. The results showed a significant correlation between the three tests helping to validate the theory. Regarding the specified objectives, it was observed that between all the manual motor ability, only on the Purdue Pegboard 3 and 4 sub-tests did the girls perform better than the boys; the older children achieved a better performance on the tests; and the manual motor ability tests performance doesn t depend on which type of school the children attend. / A escassez de dados normativos em instrumentos e testes específicos para a população brasileira é um desafio aos profissionais que propõem mensurar a efetividade de seu trabalho. Na prática clínica, muitos diagnósticos, assim como prevenções e tratamentos podem ser estabelecidos com o uso de testes ou instrumentos de mensuração. Instrumentos e testes que abrangem aspectos do desenvolvimento motor como habilidade motora manual são ainda mais difíceis de estarem disponíveis nas normas para crianças brasileiras. Estes são importantes para a detecção de problemas de coordenação motora, que podem influenciar nas atividades de auto-cuidado, nas atividades sociais e no desempenho escolar. Este estudo propôs buscar evidências de validação de três testes de habilidade motora manual, Purdue Pegboard, Finger Tapping e Tempo de Reação Simples em 134 crianças de cinco e seis anos de idade. Todas destras, de duas escolas paulistanas, sendo uma escola particular e outra pública, com níveis sócioeconômicos distintos. Como objetivos específicos, a pesquisa propôs comparar o desempenho dos testes de habilidade motora manual entre os sexos, e entre as idades de cinco e seis anos. Além de verificar se existe diferenças no desempenho dos testes entre os sujeitos da escola pública e particular. Os resultados apontaram correlações significantes entre os três testes, o que auxiliou no processo de validade da construção. Em relação aos objetivos específicos observamos que entre todos os testes de habilidade motora manual, apenas nos sub-testes 3 e 4 do Purdue Pegboard, as meninas tiveram melhor desempenho que os meninos, os sujeitos com maior idade obtiveram melhor desempenho nos testes e o desempenho dos testes de habilidade motora manual independe do tipo de escola que o sujeito freqüenta.

Transferring a unimanual motor skill to the untrained hand, a phenomenon known as cross-limb transfer, was shown to deteriorate as a function of age. While transcranial direct current stimulation (tDCS) ipsilateral to the trained hand facilitated cross-limb transfer in older adults, little is known about the contribution of the contralateral hemisphere to cross-limb transfer. In the present study, we investigated whether tDCS facilitates cross-limb transfer in older adults when applied over the motor cortex (M1) contralateral to the trained hand. Furthermore, the study aimed at investigating short-term recovery of tDCS-associated cross-limb transfer. In a randomized, doubleblinded, sham-controlled setting, 30 older adults (67.0 4.6 years, 15 female) performed a short grooved-pegboard training using their left hand, while anodal (a-tDCS) or sham-tDCS (s-tDCS) was applied over right M1 for 20 min. Left (LHtrained) - and right-hand (RHuntrained) performance was tested before and after training and in three recovery measures 15, 30 and 45 min after training. LHtrained performance improved during both a-tDCS and s-tDCS and improvements persisted during recovery measures for at least 45 min. RHuntrained performance improved only following a-tDCS but not after s-tDCS and outlasted the stimulation period for at least 45 min. Together, these data indicate that tDCS over the M1 contralateral to the trained limb is capable of enhancing cross-limb transfer in older adults, thus showing that cross-limb transfer is mediated not only by increased bi-hemispheric activation.

of diploma thesis: Objective In the Czech republic there is no normative data for Purdue pegboard test in any reprezentative group of people. First goal of this diploma thesis is to determine basic normative data Purdue pegboard test in not representative sample of people with traumatic brain injury at the age of 22-40 years in chronic phase. Second goal is to determine clinical utility of Purdue pegboard test in this clinical population group of people. The Student t-test and ambiguity proportion was used to statistic analyse the hypothesis. As a graphic processing was choosen the linear equation with the image of the Gaussian curve. There are analysed 3 case studies about people with traumatic brain injury to accomplish second goal. There is no significant difference in Purdue pegboard test score in employed and unemployed people with traumatic brain injury, equally to women and men with traumatic brain injury. There is evidence, that age influence score of Purdue pegboard test in men with traumatic brain injury, but not in women with traumatic brain injury. There are presented basic norms of Purdue pegboard test in people with traumatic brain injury in standard and percentile scale in this thesis. Normative data in people with traumatic brain injury makes easier to work with this clinical...

<div>Stability of motor performance is important for voluntary movement control, but it should not be maximized to the exclusion of all else. To transition to a new task, the current task must be destabilized. When expecting to switch tasks, people are known to reduce their stability prior to initiating the change. Here, we determine if the observed stability modulation is influenced by the expectation of future movement, is a relic of the movements performed in the recent past, or is a consequence of both those processes. Furthermore, this work explores the relation between stability modulation observed in isometric finger force production tasks to cognitive flexibility and clinical measures of manual dexterity. Stability modulation can be viewed as a motor response to the recognition of altered environmental demands or internally generated desires to change body movements or postures. Therefore, it is hypothesized that cognitive flexibility – the efficacy of cognitive processing – will relate to stability modulation. Finally, it is hypothesized that the motor adjustments in response to changing task/environment demands will correlate with clinical tests of manual dexterity that involve placing pegs into holes.</div><div>Twenty-two young-adult participants (age 21.05 +/- 0.44 years) completed tasks in the three domains. The Grooved Pegboard and NIH 9-Hole tests of manual dexterity measured their manual function by time to complete the tests. Cognitive flexibility was measured by a task-switching task which required adjusting to a changing set of rules, and the reaction time and accuracy costs of task-switching were recorded. Lastly, participants’ stability of performance in an isometric finger-pressing task was assessed using the uncontrolled manifold analysis and root-mean-square error (RMSE) in the performance. Participants produced pressing forces with four fingers to match a single total force targets presented as feedback on a computer screen. In the ‘Steady’ task, target remained motionless. In the ‘Future Effects’ task, the target remained motionless for several seconds and then began moving. The ‘Past Effects’ task comprised of a dynamic initial portion followed by a stationary target. Lastly, the ‘Combined’ task had a constant force section flanked on either side by epochs of target movement. </div><div>The RMSE results confirmed the existence of stability modulation and established that this is driven by the expectation of future movement, and not by the history of previous movements. The Steady and Past Effects tasks exhibited higher stability than the Future Effects and Combined tasks. The stability estimates obtained from the uncontrolled manifold analysis showed similar trends. Cognitive flexibility (quantified as global accuracy cost) correlated with stability modulation indicating that individuals who show greater cognitive flexibility tend to demonstrate greater stability modulation. However, an association between stability modulation and clinical pegboard tests of manual function were not observed. This may possibly be due to the homogeneity of the test sample, or because the finger-force-production task and pegboard task measure disparate aspects of manual function. </div><div><br></div>