gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Dellon’s modification of Moberg’s pick-up test – Euro version – with standardized test protocol

Meeting Abstract

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  • presenting/speaker Marisa Nikkonen - Villa Manus Oy, Vantaa, Finland
  • Marina Arell-Sundberg - ARCADA, University of Applied Sciences, Helsinki, Finland

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1230

doi: 10.3205/19ifssh1611, urn:nbn:de:0183-19ifssh16111

Published: February 6, 2020

© 2020 Nikkonen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Clinical issue/s: The idea of functional sensory testing was introduced by Erik Moberg in 1950's. He developed a pick-up test with non-specific items. A. Lee Dellon made his version of Moberg pick-up test in 1980's by defining the items used in the test.

In our studies at ARCADA, University of Applied Sciences, we realized that some dexterity tests are outdated because the test items are no longer in use in everyday life. Dellon's version of the pick-up test lacked a standardized test protocol and original test items where difficult to find in Europe, as they originate from the USA.

Clinical reasoning: We felt a need to standardize the test items in metric system, to ensure that the test items are available in Europe and cater instructions in the Finnish language.

With kind permission from Dr Dellon, we started to re-write the instructions. Writing instructions, testing and peer reviews were done.

Innovative, analytical or new approach: Dellon's modification of Moberg's pick-up test has now a standardized instruction and a test protocol with detailed instructions for testing in Finnish.

The pilot study showed that therapists perceived this test as practical, quick and easy to use. 96% felt that the test instructions were clear and easy to follow. The Test kit was considered compact and easy to carry around to client appointments. The Test was commented to be relevant and it supported findings from other functionality/dexterity tests. Study was done with normal population.

Contribution to advancing HT practice: This test can be used to evaluate and monitor fine motor skills, dexterity and prehension in part one (pick-up) and tactile gnosis in part 2 (object recognition).

Instructions will be translated into English to be useful outside Finland. Test part 2, object recognition needs testing with patients before protocol can be further developed. Collection of normative data is in the plans for the future and we welcome international co-operation for this.