Session Information
Session Title: AA 2021 Virtual Posters - Pain and Spine Medicine
Session Time: None. Available on demand.
Disclosures: Resa Oshiro, MD: No financial relationships or conflicts of interest
Objective: We aim to establish a correlation between the 9-hole peg test (9-HPT) and the modified Japanese Orthopaedic Association (mJOA) score in patients with cervical spondylotic myelopathy (CSM). We hope that by comparing results of the 9-HPT and mJOA scale, we may identify an objective clinical tool to assess CSM severity, track disease progression, and aid in clinical decisions regarding decompressive surgery.
Design: This is a prospective, paired comparison study to validate the use of the 9-HPT for measuring the presence and severity of CSM in patients with imaging-confirmed cervical stenosis.Setting : West LA VA Medical CenterParticipants : Patients with MRI findings of cervical stenosis ages 40-80 years old referred to neurosurgery clinic will be recruited for the study. Patients who meet inclusion criteria will complete the mJOA scale and 9-HPT.
Interventions: 1: Measure hand dexterity in subjects with cervical stenosis using a standardized measure of hand function called the 9-HPT. 2: Validate the 9-HPT as an objective tool for diagnosing and measuring the severity of cervical myelopathy as assessed by the mJOA scale.
Main Outcome Measures: Primary outcome measures: Time (seconds) to complete 9-HPT. mJOA score.
Results: With n=23, the Pearson correlation shows a negative correlation between the 9-HPT score and the mJOA score, with r=0.48 (p < 0.02) and a strong negative correlation between the 9-HPT and the upper extremity functional status subscore of the mJOA score, with r=–0.69 (p=0.003).Conclusions: Preliminary data demonstrates that 9-HPT scores were prolonged in all patients with cervical stenosis. Additionally, we found a significant negative correlation between the 9-HPT score and mJOA score and a strongly significant negative correlation between the 9-HPT score and the upper extremity functional status subscore of the mJOA questionnaire.
Level of Evidence: Level I
To cite this abstract in AMA style:
Oshiro R, Makovsky K, Nastasi A, Lou J, Oshiro R, Su TN, Wallbom A, Smith LA, Chung M, Smith RA. Hand Dexterity in Cervical Stenosis [abstract]. PM R. 2021; 13(S1)(suppl 1). https://pmrjabstracts.org/abstract/hand-dexterity-in-cervical-stenosis-2/. Accessed May 21, 2025.« Back to AAPM&R Annual Assembly 2021
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/hand-dexterity-in-cervical-stenosis-2/