BACKGROUND: Although many activities depend on intact fine motor skills no standardized assessment has been broadly established. The 20 cents test (20-C-T) was developed in 2009 and takes less than 5 mins. The quality criteria were investigated within the framework of this study. PATIENTS AND METHODS: A total of 300 geriatric patients participated in the study. The classification of occupational therapists based on standardized anamnesis and clinical examination served as the gold standard. Physiotherapists blinded to the study particulars applied the 20-C-T. RESULTS: Every fourth patient suffered from deficits in fine motor skills relevant to everyday life. The 20-C-T correlated with the clinical severity level and was also feasible for patients with intermediate impairment of cognition or vision. Handedness, age and sex were without significant influence. Intrarater and interrater reliability were good. CONCLUSION: Standardized testing of fine motor skills should be included in geriatric screening and basic assessment. The quality criteria of the 20-C-T show that it can be used for this purpose. Further diagnostic steps are recommended whenever a geriatric patient needs more than 40 s for the task.
BACKGROUND: Although many activities depend on intact fine motor skills no standardized assessment has been broadly established. The 20 cents test (20-C-T) was developed in 2009 and takes less than 5 mins. The quality criteria were investigated within the framework of this study. PATIENTS AND METHODS: A total of 300 geriatric patients participated in the study. The classification of occupational therapists based on standardized anamnesis and clinical examination served as the gold standard. Physiotherapists blinded to the study particulars applied the 20-C-T. RESULTS: Every fourth patient suffered from deficits in fine motor skills relevant to everyday life. The 20-C-T correlated with the clinical severity level and was also feasible for patients with intermediate impairment of cognition or vision. Handedness, age and sex were without significant influence. Intrarater and interrater reliability were good. CONCLUSION: Standardized testing of fine motor skills should be included in geriatric screening and basic assessment. The quality criteria of the 20-C-T show that it can be used for this purpose. Further diagnostic steps are recommended whenever a geriatric patient needs more than 40 s for the task.
Authors: Johanna Geritz; Sara Maetzold; Maren Steffen; Andrea Pilotto; Marta F Corrà; Mariana Moscovich; Maria C Rizzetti; Barbara Borroni; Alessandro Padovani; Annekathrin Alpes; Corinna Bang; Igor Barcellos; Ralf Baron; Thorsten Bartsch; Jos S Becktepe; Daniela Berg; Lu M Bergeest; Philipp Bergmann; Raquel Bouça-Machado; Michael Drey; Morad Elshehabi; Susan Farahmandi; Joaquim J Ferreira; Andre Franke; Anja Friederich; Corinna Geisler; Philipp Hüllemann; Janne Gierthmühlen; Oliver Granert; Sebastian Heinzel; Maren K Heller; Markus A Hobert; Marc Hofmann; Björn Jemlich; Laura Kerkmann; Stephanie Knüpfer; Katharina Krause; Maximilian Kress; Sonja Krupp; Jennifer Kudelka; Gregor Kuhlenbäumer; Roland Kurth; Frank Leypoldt; Corina Maetzler; Luis F Maia; Andreas Moewius; Patricia Neumann; Katharina Niemann; Christian T Ortlieb; Steffen Paschen; Minh H Pham; Thomas Puehler; Franziska Radloff; Christian Riedel; Marten Rogalski; Simone Sablowsky; Elena M Schanz; Linda Schebesta; Andreas Schicketmüller; Simone Studt; Martina Thieves; Lars Tönges; Sebastian Ullrich; Peter P Urban; Nuno Vila-Chã; Anna Wiegard; Elke Warmerdam; Tobias Warnecke; Michael Weiss; Julius Welzel; Clint Hansen; Walter Maetzler Journal: BMC Geriatr Date: 2020-02-06 Impact factor: 3.921