title: Hand function and disability of the arm, shoulder and hand in Charcot-Marie-Tooth disease.
abstract: OBJECTIVE
  The aim of the present study was to examine hand function and disability in persons with Charcot-Marie-Tooth disease (CMT) and to evaluate the possible correlations between hand function and disability.
  
  
  METHODS
  Nine male, 11 female (24-73 yrs) persons with CMT in northern Sweden and a matched control group of 18 men, 22 women (21-73 yrs) participated in the study. Measurements applied were tests of dexterity (Box and Block Test; Nine-Hole Peg test), grip strength (Grippit), tactile gnosis (Shape Texture Identification test) and upper-limb disability (Disabilities of the Arm Shoulder and Hand questionnaire, DASH).
  
  
  RESULTS
  Hand function in CMT was reduced (p < 0.001) to about 60% of normal, as indicated by each of the separate outcome measures as well as by a constructed summary index of hand function. DASH score median was 38.8 (range 0-66.7) and was clearly related to hand function (r = 0.64-0.83).
  
  
  CONCLUSIONS
  Reduced hand function in CMT was found at different dimensions according to the International Classification of Functioning, Disability and Health (ICF). We suggest that DASH can be used in persons with CMT, though clinicians should be aware that patients might score lower than expected, possibly because of a long process of adaptation when learning to live with a slowly progressive disease.
authors.affiliation: Department of Community Medicine and Rehabilitation, Section for Physiotherapy, Umeå University, Umeå, Sweden.
authors.forename: Elsine
authors.initials: E
authors.lastname: Eklund
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Svensson
authors.forename: Charlotte
authors.initials: C
authors.lastname: Häger-Ross
mesh_terms: D000328:Adult; D000368:Aged; D001132:Arm / Q000503:physiopathology*; D002607:Charcot-Marie-Tooth Disease / Q000145:classification / Q000503:physiopathology*; D004185:Disability Evaluation; D005260:Female; D006225:Hand / Q000503:physiopathology*; D018737:Hand Strength; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D012782:Shoulder / Q000503:physiopathology*; D018709:Statistics, Nonparametric; D013548:Sweden