{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T18:22:02Z","timestamp":1794075722717,"version":"4.8.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Motor impairment in Huntington\u2019s Disease (HD) includes chorea, bradykinesia, dystonia, and rigidity, causing Upper extremity (UE) impairments in daily activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Describe motor patterns and analyze execution times for buttoning a shirt in premanifest and manifest-HD versus controls; explore the relationship between clinical assessments and UE motor performance and assess interobserver reliability of the motor pattern coding system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cross-sectional observational study with 30 manifest-HD, 9 premanifest-HD, and 30 controls from Burgos University Hospital, Spain. Participants buttoned a five-button shirt and time spent and motor patterns were analyzed using Observer-XT-software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Significant differences were found in movement time and motor patterns between groups. Manifest-HD took nearly twice as long as controls to complete the task. Correlations were found with clinical assessments. Degree of interobserver agreement was excellent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Evaluating motor patterns helps in early detection of motor impairment, monitoring disease progression, and developing rehabilitation programs to maintain and improve UE function<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15394492251355942","type":"journal-article","created":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T09:43:29Z","timestamp":1755337409000},"page":"709-718","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Upper Extremity Motor Performance During a Shirt Buttoning Task in Huntington\u2019s Disease"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4450-7316","authenticated-orcid":false,"given":"Luc\u00eda","family":"Sim\u00f3n-Vicente","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9sar","family":"Cuesta-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department, Centro Superior de Estudios Universitarios La Salle, Universidad Aut\u00f3noma de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Calvo","sequence":"additional","affiliation":[{"name":"University of Burgos, Spain"},{"name":"Research Unit, Fundaci\u00f3n Burgos por la Investigaci\u00f3n de la Salud (FBIS), Hospital Universitario de Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natividad","family":"Mariscal","sequence":"additional","affiliation":[{"name":"Neurology Department, Hospital Universitario de Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Saiz-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Research Unit, Fundaci\u00f3n Burgos por la Investigaci\u00f3n de la Salud (FBIS), Hospital Universitario de Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Aguado","sequence":"additional","affiliation":[{"name":"Neurology Department, Hospital Universitario de Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Mu\u00f1oz-Siscart","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Hospital Universitario Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"De la Cruz Salamanca","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department, Centro Superior de Estudios Universitarios La Salle, Universidad Aut\u00f3noma de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolores","family":"D\u00edaz-Pi\u00f1eiro","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Hospital Universitario Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Cubo","sequence":"additional","affiliation":[{"name":"University of Burgos, Spain"},{"name":"Neurology Department, Hospital Universitario de Burgos, Burgos, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,16]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Association W. M. (2013). World medical association declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA 310(20) 2191\u20132194. https:\/\/doi.org\/10.1001\/JAMA.2013.281053","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Barreca S. R. Stratford P. W. Lambert C. L. Masters L. M. Streiner D. L. (2005). Test-retest reliability validity and sensitivity of the Chedoke arm and hand activity inventory: A new measure of upper-limb function for survivors of stroke. Archives of Physical Medicine and Rehabilitation 86(8) 1616\u20131622. https:\/\/doi.org\/10.1016\/J.APMR.2005.03.017","DOI":"10.1016\/j.apmr.2005.03.017"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Berardelli A. Noth J. Thompson P. D. E M Bollen E. L. Curr\u00e0 A. Deuschl G. Gert van Dijk J. T\u00f6pper R. Schwarz M. C Roos R. A. (1999). Pathophysiology of chorea and bradykinesia in Huntington\u2019s disease. Movement Disorders 14(3): 398\u2013403. https:\/\/doi.org\/10.1002\/1531-8257","DOI":"10.1002\/1531-8257(199905)14:3<398::AID-MDS1003>3.0.CO;2-F"},{"key":"e_1_3_3_5_1","doi-asserted-by":"crossref","unstructured":"Carlozzi N. E. Tulsky D. S. Kisala P. A. (2011). Traumatic brain injury patient-reported outcome measure: Identification of health-related quality-of-life issues relevant to individuals with traumatic brain injury. Archives of Physical Medicine and Rehabilitation 92(Suppl. 10) S52\u2013S60. https:\/\/doi.org\/10.1016\/J.APMR.2010.12.046","DOI":"10.1016\/j.apmr.2010.12.046"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Cella D. Lai J. S. Nowinski C. J. Victorson D. Peterman A. Miller D. Bethoux F. Heinemann A. Rubin S. Cavazos J. E. Reder A. T. Sufit R. Simuni T. Holmes G. L. Siderowf A. Wojna V. Bode R. McKinney N. Podrabsky T. . . . Moy C. (2012). Neuro-QOL: Brief measures of health-related quality of life for clinical research in neurology. Neurology 78(23) 1860\u20131867. https:\/\/doi.org\/10.1212\/WNL.0B013E318258F744","DOI":"10.1212\/WNL.0b013e318258f744"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"Cheak-Zamora N. C. Wyrwich K. W. McBride T. D. (2009). Reliability and validity of the SF-12v2 in the medical expenditure panel survey. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment Care and Rehabilitation 18(6) 727\u2013735. https:\/\/doi.org\/10.1007\/S11136-009-9483-1","DOI":"10.1007\/s11136-009-9483-1"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"Claassen D. O. DeCourcy J. Mellor J. Johnston C. Iyer R. G. (2021). Impact of chorea on self-care activity employment and health-care resource use in patients with Huntington\u2019s disease. Journal of Health Economics and Outcomes Research 8(1) 99\u2013105. https:\/\/doi.org\/10.36469\/001C.24620","DOI":"10.36469\/jheor.2021.24620"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Cohen I. L. Gardner J. M. Karmel B. Z. Kim S.-Y. (2014). Rating scale measures are associated with Noldus EthoVision-XT video tracking of behaviors of children on the autism spectrum. Molecular Autism 5 15. https:\/\/doi.org\/10.1186\/2040-2392-5-15","DOI":"10.1186\/2040-2392-5-15"},{"key":"e_1_3_3_10_1","doi-asserted-by":"crossref","unstructured":"Connors M. H. Teixeira-Pinto A. Loy C. T. (2023). Apathy and depression in Huntington\u2019s disease: Distinct longitudinal trajectories and clinical correlates. Journal of Neuropsychiatry and Clinical Neurosciences 35(1) 69\u201376. https:\/\/doi.org\/10.1176\/APPI.NEUROPSYCH.21070191\/SUPPL_FILE\/APPI.NEUROPSYCH.21070191.DS001.PDF","DOI":"10.1176\/appi.neuropsych.21070191"},{"key":"e_1_3_3_11_1","unstructured":"Cook C. Page K. Wagstaff A. Simpson S. Rae D. (2012) Occupational therapy for people with Huntington\u2019s disease: Best practice guidelines. www.euro-hd.net"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01253086-200226030-00003"},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Despard J. Ternes A.-M. Dimech-Betancourt B. Poudel G. Churchyard A. Georgiou-Karistianis N. (2015). Characterising upper limb movements in Huntington\u2019s disease and the impact of restricted visual cues. https:\/\/doi.org\/10.1371\/journal.pone.0133709","DOI":"10.1371\/journal.pone.0133709"},{"key":"e_1_3_3_14_1","doi-asserted-by":"crossref","unstructured":"Dodds T. A. Martin D. P. Stolov W. C. Deyo R. A. (1993). A validation of the functional independence measurement and its performance among rehabilitation inpatients. Archives of Physical Medicine and Rehabilitation 74(5) 531\u2013536. https:\/\/doi.org\/10.1016\/0003-9993(93)90119-U","DOI":"10.1016\/0003-9993(93)90119-U"},{"key":"e_1_3_3_15_1","doi-asserted-by":"crossref","unstructured":"Ekkel M. R. Veenhuizen R. B. van Loon A. M. Depla M. F. I. A. Verschuur E. M. L. Onwuteaka-Philipsen B. D. Hertogh C. M. P. M. (2023). Nursing home residents with Huntington\u2019s disease: Heterogeneity in characteristics and functioning. Brain and Cognition 169 106002. https:\/\/doi.org\/10.1016\/J.BANDC.2023.106002","DOI":"10.1016\/j.bandc.2023.106002"},{"key":"e_1_3_3_16_1","doi-asserted-by":"crossref","unstructured":"Fleiss J. L. Levin B. Paik M. C. (1999). Statistical Methods for Rates and Proportions (Ne. Sons JW& Ed.; 2nd ed.). Wiley. https:\/\/doi.org\/10.1002\/0471445428","DOI":"10.1002\/0471445428"},{"key":"e_1_3_3_17_1","doi-asserted-by":"crossref","unstructured":"Freeman J. S. Cody F. W. J. O\u2019Boyle D. J. Craufurd D. Neary D. Snowden J. S. (1996). Abnormalities of motor timing in Huntington\u2019s disease. Parkinsonism & Related Disorders 2(2) 81\u201393. https:\/\/doi.org\/10.1016\/1353-8020(96)00009-0","DOI":"10.1016\/1353-8020(96)00009-0"},{"key":"e_1_3_3_18_1","doi-asserted-by":"crossref","unstructured":"Hamilton G. F. McDonald C. Chenier T. C. (1992). Measurement of grip strength: Validity and reliability of the sphygmomanometer and jamar grip dynamometer. The Journal of Orthopaedic and Sports Physical Therapy 16(5) 215\u2013219. https:\/\/doi.org\/10.2519\/JOSPT.1992.16.5.215","DOI":"10.2519\/jospt.1992.16.5.215"},{"key":"e_1_3_3_19_1","doi-asserted-by":"crossref","unstructured":"Hinton S. C. Paulsen J. S. Hoffmann R. G. Reynolds N. C. Zimbelman J. L. Rao S. M. (2007). Motor timing variability increases in preclinical Huntington\u2019s disease patients as estimated onset of motor symptoms approaches. Journal of the International Neuropsychological Society: JINS 13(3) 539\u2013543. https:\/\/doi.org\/10.1017\/S1355617707070671","DOI":"10.1017\/S1355617707070671"},{"key":"e_1_3_3_20_1","doi-asserted-by":"crossref","unstructured":"Hussain N. Murphy M. A. Sunnerhagen K. S. (2018). Upper limb kinematics in stroke and healthy controls using target-to-target task in virtual reality. Frontiers in Neurology 9 Article 355481. https:\/\/doi.org\/10.3389\/FNEUR.2018.00300\/BIBTEX","DOI":"10.3389\/fneur.2018.00300"},{"key":"e_1_3_3_21_1","doi-asserted-by":"crossref","unstructured":"Hussain R. Zubair H. Pursell S. Shahab M. (2018). Neurodegenerative diseases: Regenerative mechanisms and novel therapeutic approaches. Brain Sciences 8(9) 177. https:\/\/doi.org\/10.3390\/brainsci8090177","DOI":"10.3390\/brainsci8090177"},{"key":"e_1_3_3_22_1","unstructured":"European Medicines Agency. (2002). ICH topic E 6 (R1) guideline for good clinical practice step 5 note for guidance on good clinical practice. https:\/\/www.ema.europa.eu\/en\/ich-e6-good-clinical-practice-scientific-guideline"},{"key":"e_1_3_3_23_1","doi-asserted-by":"crossref","unstructured":"Ingram L. A. Carroll V. K. Butler A. A. Brodie M. A. Gandevia S. C. Lord S. R. (2021). Quantifying upper limb motor impairment in people with Parkinson\u2019s disease: A physiological profiling approach. PeerJ 9 Article e10735. https:\/\/doi.org\/10.7717\/PEERJ.10735\/SUPP-2","DOI":"10.7717\/peerj.10735"},{"key":"e_1_3_3_24_1","doi-asserted-by":"crossref","unstructured":"Jansen R. G. Wiertz L. F. Meyer E. S. Noldus L. P. J. J. (2003). Reliability analysis of observational data: Problems solutions and software implementation. Behavior Research Methods Instruments and Computers 35(3) 391\u2013399. https:\/\/doi.org\/10.3758\/BF03195516","DOI":"10.3758\/BF03195516"},{"key":"e_1_3_3_25_1","doi-asserted-by":"crossref","unstructured":"J\u00falio F. Ribeiro M. J. Morgadinho A. Sousa M. van Asselen M. Sim\u00f5es M. R. Castelo-Branco M. Janu\u00e1rio C. (2022). Cognition function and awareness of disease impact in early Parkinson\u2019s and Huntington\u2019s disease. Disability and Rehabilitation 44(6) 921\u2013939. https:\/\/doi.org\/10.1080\/09638288.2020.1783001","DOI":"10.1080\/09638288.2020.1783001"},{"key":"e_1_3_3_26_1","doi-asserted-by":"crossref","unstructured":"Kingma E. M. van Duijn E. Timman R. van der Mast R. C. Roos R. A. C. (2008). Behavioural problems in Huntington\u2019s disease using the problem behaviours assessment. General Hospital Psychiatry 30(2) 155\u2013161. https:\/\/doi.org\/10.1016\/J.GENHOSPPSYCH.2007.11.005","DOI":"10.1016\/j.genhosppsych.2007.11.005"},{"key":"e_1_3_3_27_1","doi-asserted-by":"crossref","unstructured":"Kirkwood S. C. Su J. L. Conneally P. M. Foroud T. (2001). Progression of symptoms in the early and middle stages of Huntington disease. Archives of Neurology 58(2) 273\u2013278. https:\/\/doi.org\/10.1001\/ARCHNEUR.58.2.273","DOI":"10.1001\/archneur.58.2.273"},{"key":"e_1_3_3_28_1","doi-asserted-by":"crossref","unstructured":"Klein A. Sacrey L. A. R. Dunnett S. B. Whishaw I. Q. Nikkhah G. (2011). Proximal movements compensate for distal forelimb movement impairments in a reach-to-eat task in Huntington\u2019s disease: New insights into motor impairments in a real-world skill. Neurobiology of Disease 41(2) 560\u2013569. https:\/\/doi.org\/10.1016\/J.NBD.2010.11.002","DOI":"10.1016\/j.nbd.2010.11.002"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci10010043"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_3_3_31_1","doi-asserted-by":"crossref","unstructured":"Lin Y. C. Fan J. Tate J. A. Sarkar N. Mion L. C. (2022). Use of robots to encourage social engagement between older adults. Geriatric Nursing 43 97\u2013103. https:\/\/doi.org\/10.1016\/J.GERINURSE.2021.11.008","DOI":"10.1016\/j.gerinurse.2021.11.008"},{"key":"e_1_3_3_32_1","doi-asserted-by":"crossref","unstructured":"Mestre T. A. Forjaz M. J. Mahlknecht P. Cardoso F. Ferreira J. J. Reilmann R. Sampaio C. Goetz C. G. Cubo E. Martinez-Martin P. Stebbins G. T. Development the M. of the M. D. S. C. on R. S. (2018). Rating scales for motor symptoms and signs in Huntington\u2019s disease: Critique and recommendations. Movement Disorders Clinical Practice 5(2) 111. https:\/\/doi.org\/10.1002\/MDC3.12571","DOI":"10.1002\/mdc3.12571"},{"key":"e_1_3_3_33_1","doi-asserted-by":"crossref","unstructured":"Mlinac M. E. Feng M. C. (2016). Assessment of activities of daily living self-care and independence. Archives of Clinical Neuropsychology 31(6) 506\u2013516. https:\/\/doi.org\/10.1093\/ARCLIN\/ACW049","DOI":"10.1093\/arclin\/acw049"},{"key":"e_1_3_3_34_1","doi-asserted-by":"crossref","unstructured":"Pastore-Wapp M. Lehnick D. Nef T. Bohlhalter S. Vanbellingen T. (2021). Combining repetitive transcranial magnetic stimulation and video game-based training to improve dexterity in Parkinson\u2019s disease: Study protocol of a randomized controlled trial. Frontiers in Rehabilitation Sciences 2 Article 777981. https:\/\/doi.org\/10.3389\/FRESC.2021.777981\/BIBTEX","DOI":"10.3389\/fresc.2021.777981"},{"key":"e_1_3_3_35_1","doi-asserted-by":"crossref","unstructured":"Perez A. M. Pluske J. Marchant-Forde J. N. Tallet C. Rakotomahandry M. Herlemont S. Prunier A. (2019). Evidence of pain stress and fear of humans during tail docking and the next four weeks in piglets (Sus scrofa domesticus). Frontiers in Veterinary Science 6 Article 462. https:\/\/doi.org\/10.3389\/fvets.2019.00462","DOI":"10.3389\/fvets.2019.00462"},{"key":"e_1_3_3_36_1","doi-asserted-by":"crossref","unstructured":"Quinn L. Busse M. Dal Bello-Haas V. (2013). Management of upper extremity dysfunction in people with Parkinson disease and Huntington disease: Facilitating outcomes across the disease lifespan. Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists 26(2) 148\u2013155. https:\/\/doi.org\/10.1016\/J.JHT.2012.11.001","DOI":"10.1016\/j.jht.2012.11.001"},{"key":"e_1_3_3_37_1","doi-asserted-by":"crossref","unstructured":"Quinn L. Reilmann R. Marder K. Gordon A. M. (2001). Altered movement trajectories and force control during object transport in Huntington\u2019s disease. Movement Disorders: Official Journal of the Movement Disorder Society 16(3) 469\u2013480. https:\/\/doi.org\/10.1002\/MDS.1108","DOI":"10.1002\/mds.1108"},{"key":"e_1_3_3_38_1","doi-asserted-by":"crossref","unstructured":"Rao A. K. Gordon A. M. Marder K. S. (2011). Coordination of fingertip forces during precision grip in premanifest Huntington\u2019s disease NIH public access. Movement Disorders 26(5) 862\u2013869. https:\/\/doi.org\/10.1002\/mds.23606","DOI":"10.1002\/mds.23606"},{"key":"e_1_3_3_39_1","doi-asserted-by":"crossref","unstructured":"Ringk\u00f8bing S. P. Larsen I. U. J\u00f8rgensen K. Vinther-Jensen T. Vogel A. (2020). Cognitive screening tests in Huntington gene mutation carriers: Examining the validity of the mini-mental state examination and the Montreal cognitive assessment. Journal of Huntington\u2019s Disease 9(1) 59\u201368. https:\/\/doi.org\/10.3233\/JHD-190350","DOI":"10.3233\/JHD-190350"},{"key":"e_1_3_3_40_1","doi-asserted-by":"crossref","unstructured":"Rosenblatt A. Kumar B. V. Margolis R. L. Welsh C. S. Ross C. A. (2011). Factors contributing to institutionalization in patients with Huntington\u2019s disease. Movement Disorders: Official Journal of the Movement Disorder Society 26(9) 1711\u20131716. https:\/\/doi.org\/10.1002\/MDS.23716","DOI":"10.1002\/mds.23716"},{"key":"e_1_3_3_41_1","doi-asserted-by":"crossref","unstructured":"Ruiz-Idiago J. M. Floriach M. Mareca C. Salvador R. L\u00f3pez-Send\u00f3n J. L. Ma\u00f1an\u00e9s V. Esther C. Natividad M. Mu\u00f1oz E. Santacruz P. Noguera M. F. Vivancos L. Roy P. Pomarol-Clotet E. Sarr\u00f3 S. (2017). Spanish validation of the problem behaviors assessment-short (PBA-s) for Huntington\u2019s disease. The Journal of Neuropsychiatry and Clinical Neurosciences 29(1) 31\u201338. https:\/\/doi.org\/10.1176\/APPI.NEUROPSYCH.16020025","DOI":"10.1176\/appi.neuropsych.16020025"},{"key":"e_1_3_3_42_1","doi-asserted-by":"crossref","unstructured":"Rupp J. Blekher T. Jackson J. Beristain X. Marshall J. Hui S. Wojcieszek J. Foroud T. (2010). Progression in prediagnostic Huntington disease. Journal of Neurology Neurosurgery & Psychiatry 81 379\u2013384. https:\/\/doi.org\/10.1136\/jnnp.2009.176982","DOI":"10.1136\/jnnp.2009.176982"},{"key":"e_1_3_3_43_1","doi-asserted-by":"crossref","unstructured":"Sim\u00f3n-Vicente L. Cuesta-Garc\u00eda C. Rivadeneyra-Posadas J. Mariscal N. Aguado L. Miguel-P\u00e9rez I. Saiz-Rodr\u00edguez M. Garc\u00eda-Bustillo \u00c1. Mu\u00f1oz-Siscart I. Pi\u00f1eiro D. Cubo E. (2023). Occupational performance in Huntington\u2019s disease: A cross-sectional study. British Journal of Occupational Therapy 86(6) 432\u2013440. https:\/\/doi.org\/10.1177\/03080226231156523","DOI":"10.1177\/03080226231156523"},{"key":"e_1_3_3_44_1","doi-asserted-by":"crossref","unstructured":"Thrane G. Thrane G. Sunnerhagen K. S. Murphy M. A. (2020). Upper limb kinematics during the first year after stroke: The stroke arm longitudinal study at the University of Gothenburg (SALGOT). Journal of Neuro Engineering and Rehabilitation 17(1) 1\u201312. https:\/\/doi.org\/10.1186\/S12984-020-00705-2\/TABLES\/3","DOI":"10.1186\/s12984-020-00705-2"},{"key":"e_1_3_3_45_1","doi-asserted-by":"crossref","unstructured":"Winder J. Y. Achterberg W. P. Marinus J. Gardiner S. L. Roos R. A. C. (2018). Assessment scales for patients with advanced Huntington\u2019s disease: Comparison of the UHDRS and UHDRS-FAP. Movement Disorders Clinical Practice 5(5) 527\u2013533. https:\/\/doi.org\/10.1002\/MDC3.12646","DOI":"10.1002\/mdc3.12646"},{"key":"e_1_3_3_46_1","doi-asserted-by":"crossref","unstructured":"Youssov K. Dolbeau G. Maison P. Boiss\u00e9 M. F. De Langavant L. C. Roos R. A. C. Bachoud-L\u00e9vi A. C. (2013). Unified Huntington\u2019s disease rating scale for advanced patients: Validation and follow-up study. Movement Disorders: Official Journal of the Movement Disorder Society 28(12) 1717\u20131723. https:\/\/doi.org\/10.1002\/MDS.25654","DOI":"10.1002\/mds.25654"}],"container-title":["OTJR: Occupational Therapy Journal of Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15394492251355942","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15394492251355942","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15394492251355942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:35:23Z","timestamp":1788158123000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15394492251355942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,16]]},"references-count":45,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15394492251355942"],"URL":"https:\/\/doi.org\/10.1177\/15394492251355942","relation":{},"ISSN":["1539-4492","1938-2383"],"issn-type":[{"value":"1539-4492","type":"print"},{"value":"1938-2383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,16]]}}}