[A new test for the functional evaluation of the hand and its contribution to the study of toe transfers: the 5 matches test called "Take Five"].
After studying a series of thumbs reconstructed by 2nd toe transfer, we devised a new dexterity test: the "five matches test" or "Take Five Test" (R.S.). This test consists of the standardised timed and comparative pick-up of 5 identical fine objects (matches), permitting a simple and quick evaluation which objectively quantifies dexterity in fine pinches. The specificity of our test is that it is bilateral and comparative providing a narrow range of normality. In fact, a marked variability of time-scores is found between different individuals of a normal population, making it difficult to determine a "normal dexterity" criterion. But in the same person, there is little variability between two successive experiments or between the dominant and non-dominant hands. Examining a reconstructed hand, we have chosen as the "normal dexterity" criterion the time-score of the contralateral spared hand, timed first. The final score (from 0 to 4 points) is based on the difference between time-scores of the 2 hands (delay tested hand/spared hand). The "Take Five Test" (five matches pick-up test) has largely proven its efficiency in studying a series of thumbs reconstructed by 2nd toe transfer (operated on by V.M.). Fine pinch dexterity is satisfactory in 45% of cases (65% when long digits are spared), scoring at least 2 points (delay less than 4 seconds). The average score is 1.6 pts (range: from 0 to 4). This test could prove the functional value of parameters such as phalangeal mobility and a short delay between injury and reconstruction.
Selinger
R
R
Service de Chirurgie Orthopédique et Réparatrice, Hôpital Boucicaut, Paris.
Mitz
V
V
Lemerle
J P
JP
Vilain
R
R
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000673:Amputation, Traumatic / Q000601:surgery; D005385:Fingers / Q000502:physiology; D007839:Functional Laterality; D006225:Hand / Q000502:physiology*; D006801:Humans; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology*; D009068:Movement; D009132:Muscles / Q000502:physiology; D013933:Thumb / Q000293:injuries / Q000502:physiology / Q000601:surgery*; D013997:Time Factors; D014034:Toes / Q000637:transplantation*
Un nouveau test d'évaluation fonctionnelle de la main et son apport dans l'étude des transferts d'orteil: le test des 5 allumettes dit "Take Five".