{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T12:56:31Z","timestamp":1781787391164,"version":"3.54.5"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T00:00:00Z","timestamp":1491004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004381","name":"Western University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004381","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000029","name":"Institute of Gender and Health","doi-asserted-by":"publisher","award":["FRN: 122070"],"award-info":[{"award-number":["FRN: 122070"]}],"id":[{"id":"10.13039\/501100000029","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Background: The relationship of routinely measured grip and motion measures may be related to hand dexterity. This has not yet been thoroughly examined following a distal radius fracture (DRF). The purpose of this study was to investigate if impairments in range of motion (ROM) and grip strength predict hand dexterity 6 months following a DRF. Methods: Patients with DRFs were recruited from a specialized hand clinic. Hand grip was assessed with a J-Tech dynamometer; ROM was measured using standard landmarks and a manual goniometer. Multiple regression analyses were performed to identify whether potential predictors (grip, ROM, age, hand dominance, and sex) were associated with 3-month or 6-month outcomes in large- and small-object subtests of the NK dexterity test in the affected hand. Results: Age, sex, and arc motion for radial-ulnar deviation were significant predictors of large-object hand dexterity explaining the 23% of the variation. For small-object hand dexterity, age and flexion-extension arc motion were significant predictors explaining 11% of the variation at 3 month after the fracture (n = 391). At 6 months post injury (n = 319), grip strength, arc motion for flexion-extension, and age were found to be significant predictors of large-object dexterity explaining 34% of the variance. For the small objects, age, grip strength, sex, and arc motion of radial-ulnar deviation explained 25% of the variation. Conclusions: Although this confirms that the impairments in ROM and grip that occur after a DRF can explain almost one-third of the variation in hand dexterity, it also suggests the need for dexterity testing to provide more accurate assessment.<\/jats:p>","DOI":"10.1177\/1558944717701242","type":"journal-article","created":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T04:55:47Z","timestamp":1491022547000},"page":"441-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Do Impairments Predict Hand Dexterity After Distal Radius Fractures? A 6-Month Prospective Cohort Study"],"prefix":"10.1177","volume":"13","author":[{"given":"Pavlos","family":"Bobos","sequence":"first","affiliation":[{"name":"Roth|McFarlane Hand and Upper Limb Centre Clinical Research Lab, St. Joseph\u2019s Health Centre, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily A.","family":"Lalone","sequence":"additional","affiliation":[{"name":"Roth|McFarlane Hand and Upper Limb Centre Clinical Research Lab, St. Joseph\u2019s Health Centre, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruby","family":"Grewal","sequence":"additional","affiliation":[{"name":"Roth|McFarlane Hand and Upper Limb Centre Clinical Research Lab, St. Joseph\u2019s Health Centre, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,1]]},"reference":[{"key":"bibr1-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80192-4"},{"key":"bibr2-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90003-9"},{"key":"bibr3-1558944717701242","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001610010190"},{"key":"bibr4-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2012.09.003"},{"key":"bibr5-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.09.016"},{"key":"bibr6-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2004.10.007"},{"key":"bibr7-1558944717701242","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"issue":"1","key":"bibr8-1558944717701242","first-page":"760","volume":"29","author":"Ghandi Dezfuli M","year":"2015","journal-title":"Med J Islam Repub 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