Moberg Pick-Up Test: Difference between revisions

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== Objective  ==
== Objective  ==
Moberg pickup test (MPUT) is a standardized test to assess for hand dexterity and functional sensibility. It is a timed test first used in neuro-rehabilitation to evaluate hand motor activity. It is simple and quick to administer, easy to replicate and inexpensive to acquire.<br>
Moberg pickup test (MPUT) is a standardized test to assess for [https://www.physio-pedia.com/Hand_Function hand dexterity] and functional sensibility. It is a timed test first used in neuro-rehabilitation to evaluate hand motor activity. It is simple and quick to administer, easy to replicate and inexpensive to acquire.<ref name=":0">Santos-Eggimann B, Ballan K, Fustinoni S, Büla C. [https://www.sciencedirect.com/science/article/abs/pii/S1525861020302796 Measuring Slowness in Old Age: Times to Perform Moberg Picking-Up and Walking Speed Tests.] Journal of the American Medical Directors Association. 2020 May 11</ref><br>


== Intended Population  ==
== Intended Population  ==
Moberg Pickup test is used to evaluate functional performance in patients with hand pathologies that include:
Moberg Pickup test is used to evaluate functional performance in patients with hand pathologies that include:
* Carpal tunnel syndrome (16)
* [https://www.physio-pedia.com/Carpal_Tunnel_Syndrome Carpal tunnel syndrome]<ref name=":1">Amirjani N, Ashworth NL, Olson JL, Morhart M, Ming Chan K. [https://onlinelibrary.wiley.com/doi/full/10.1111/j.1529-8027.2011.00312.x Discriminative validity and test–retest reliability of the Dellon‐modified Moberg pick‐up test in carpal tunnel syndrome patients.] Journal of the Peripheral Nervous System. 2011 Mar;16(1):51-8.</ref>
* Hand inflammatory disease
* Hand inflammatory disease
** Rheumatoid  arthritis (14)
** [https://www.physio-pedia.com/Hand_Rheumatoid_Arthritis Rheumatoid  arthritis]<ref name=":2">Silva PG, Jones A, Fernandes AD, Natour J. Moberg [https://www.sciencedirect.com/science/article/abs/pii/S0894113016301454 Picking-Up Test in patients with hand osteoarthritis]. Journal of Hand Therapy. 2017 Oct 1;30(4):522-8.</ref><ref name=":3">Stamm TA, Ploner A, Machold KP, Smolen J. [https://onlinelibrary.wiley.com/doi/full/10.1002/art.11378 Moberg picking‐up test in patients with inflammatory joint diseases:] A survey of suitability in comparison with button test and measures of disease activity. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2003 Oct 15;49(5):626-32.</ref>
* Osteoarthritis (19)
* [[Osteoarthritis]]<ref name=":2" />
* Peripheral nerve injury
* [https://www.physio-pedia.com/Nerve_entrapment Peripheral nerve injury]


== Method of Use  ==
== Method of Use  ==
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The MPUT is done in two phases; 1) with eyes open, and 2) with eyes closed. For each phase of the test, the dominant hand is tested first.
The MPUT is done in two phases; 1) with eyes open, and 2) with eyes closed. For each phase of the test, the dominant hand is tested first.


The test uses a plastic desk-blotter, a plastic box, 12 small metallic objects (screws, paper clips, diameter ring, safety pin, small nuts, coins and key) and a stopwatch. The desk-blotter is placed lengthwise on a table. Individuals are seated in a chair facing it, their self-reported dominant hand resting on the table beside the desk-blotter Ambidextrous individuals are asked to pick a small object on the table; the spontaneously chosen hand is considered as dominant. The box is placed on the desk-blotter and the 12 objects are dispersed randomly close to the box on the side of the dominant hand. Individuals are instructed to pick up each object one-by-one and place them in the box as quickly as possible, without sliding them. Time is recorded from the start order until the last object is dropped off. (1)
The test uses a plastic desk-blotter, a plastic box, 12 small metallic objects (screws, paper clips, diameter ring, safety pin, small nuts, coins and key) and a stopwatch. The desk-blotter is placed lengthwise on a table. Individuals are seated in a chair facing it, their self-reported dominant hand resting on the table beside the desk-blotter Ambidextrous individuals are asked to pick a small object on the table; the spontaneously chosen hand is considered as dominant. The box is placed on the desk-blotter and the 12 objects are dispersed randomly close to the box on the side of the dominant hand. Individuals are instructed to pick up each object one-by-one and place them in the box as quickly as possible, without sliding them. Time is recorded from the start order until the last object is dropped off.<ref name=":0" />


{{#ev:youtube|fxr5c_Uh5ss|300}}<ref>Moberg Pickup Test. Available from: https://www.youtube.com/watch?v=fxr5c_Uh5ss&t=68s [last accessed 22/10/2020]</ref>  
{{#ev:youtube|fxr5c_Uh5ss|300}}<ref>Moberg Pickup Test. Available from: https://www.youtube.com/watch?v=fxr5c_Uh5ss&t=68s [last accessed 22/10/2020]</ref>  
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'''Scoring:'''
'''Scoring:'''


'''Table 1'''. Normative values for Moberg Pick-Up Test (2)
Table 1. Normative values for Moberg Pick-Up Test<ref>Amirjani N, Ashworth NL, Gordon T, Edwards DC, Chan KM. [https://onlinelibrary.wiley.com/doi/full/10.1002/mus.20750 Normative values and the effects of age, gender, and handedness on the Moberg Pick‐Up Test. Muscle & Nerve]: Official Journal of the American Association of Electrodiagnostic Medicine. 2007 Jun;35(6):788-92.</ref>
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== Evidence  ==
== Evidence  ==
Several studies have shown MPUT to be a good test in evaluating the functional performance of upper limbs in rheumatology (14, 15), patients with carpal tunnel syndrome, osteoarthritis (19), and in absence of upper limb pathology (17, 18). Albeit reported a good to excellent test-retest and inter-rater reliability of the MPUT (16, 17).<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span>
Several studies have shown MPUT to be a good test in evaluating the functional performance of upper limbs in rheumatology, patients with carpal tunnel syndrome, osteoarthritis, and in absence of upper limb pathology.<ref name=":2" /><ref name=":3" /><ref name=":4">D'souza SA, Kishan V. MOBERG PICK-UP TEST (INDIAN VERSION): TEST-RETEST RELIABILITY AND NORMATIVE VALUES FOR INDIAN ADULTS OF 30 TO 60 YEARS. Indian Journal of Occupational Therapy. 2010 Sep 1;42(3).</ref> Moberg pickup test is reported to have a good to excellent test-retest and inter-rater reliability.<ref name=":1" /><ref name=":4" /><span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span>
== References  ==
== References  ==


<references />
<references />

Revision as of 01:19, 24 October 2020

Original Editor - Agoro Bukola Zainab

Top Contributors - Agoro Bukola Zainab and Shaimaa Eldib  

Objective[edit | edit source]

Moberg pickup test (MPUT) is a standardized test to assess for hand dexterity and functional sensibility. It is a timed test first used in neuro-rehabilitation to evaluate hand motor activity. It is simple and quick to administer, easy to replicate and inexpensive to acquire.[1]

Intended Population[edit | edit source]

Moberg Pickup test is used to evaluate functional performance in patients with hand pathologies that include:

Method of Use[edit | edit source]

Equipments Required:

  • 60 x 30 cm Plastic desk-blotter
  • 3 x 8 x 5 cm Plastic box
  • 12 Small metallic objects
    • 5 cm fine screw
    • 2.3 cm wide screw
    • 3.3 and 2.8 cm paper clips
    • 1.4 cm diameter ring
    • 3.8 cm safety pin
    • Two (2) small nuts
    • One (1) wing nut
    • 2.8 cm and 2.2 cm diameter coins
    • 5.5 cm key
  • Stopwatch

Description:

The MPUT is done in two phases; 1) with eyes open, and 2) with eyes closed. For each phase of the test, the dominant hand is tested first.

The test uses a plastic desk-blotter, a plastic box, 12 small metallic objects (screws, paper clips, diameter ring, safety pin, small nuts, coins and key) and a stopwatch. The desk-blotter is placed lengthwise on a table. Individuals are seated in a chair facing it, their self-reported dominant hand resting on the table beside the desk-blotter Ambidextrous individuals are asked to pick a small object on the table; the spontaneously chosen hand is considered as dominant. The box is placed on the desk-blotter and the 12 objects are dispersed randomly close to the box on the side of the dominant hand. Individuals are instructed to pick up each object one-by-one and place them in the box as quickly as possible, without sliding them. Time is recorded from the start order until the last object is dropped off.[1]

[5]

Scoring:

Table 1. Normative values for Moberg Pick-Up Test[6]

Young (20 – 39 years) Middle-aged (40 – 59 years) Old (60+ years)
Female Male Female Male Female Male
Eyes open
Dominant hand 12.0 12.3 12.6 16.5 16 16.8
Nondominant hand 12.5 14.0 13.3 18.0 18.0 15.4
Eyes closed
Dominant hand 23.8 22.5 23.0 27.8 27.8 29.9
Nondominant hand 23.6 21.6 24.1 31.5 31.5 31.23

Evidence[edit | edit source]

Several studies have shown MPUT to be a good test in evaluating the functional performance of upper limbs in rheumatology, patients with carpal tunnel syndrome, osteoarthritis, and in absence of upper limb pathology.[3][4][7] Moberg pickup test is reported to have a good to excellent test-retest and inter-rater reliability.[2][7]

References[edit | edit source]

  1. 1.0 1.1 Santos-Eggimann B, Ballan K, Fustinoni S, Büla C. Measuring Slowness in Old Age: Times to Perform Moberg Picking-Up and Walking Speed Tests. Journal of the American Medical Directors Association. 2020 May 11
  2. 2.0 2.1 Amirjani N, Ashworth NL, Olson JL, Morhart M, Ming Chan K. Discriminative validity and test–retest reliability of the Dellon‐modified Moberg pick‐up test in carpal tunnel syndrome patients. Journal of the Peripheral Nervous System. 2011 Mar;16(1):51-8.
  3. 3.0 3.1 3.2 Silva PG, Jones A, Fernandes AD, Natour J. Moberg Picking-Up Test in patients with hand osteoarthritis. Journal of Hand Therapy. 2017 Oct 1;30(4):522-8.
  4. 4.0 4.1 Stamm TA, Ploner A, Machold KP, Smolen J. Moberg picking‐up test in patients with inflammatory joint diseases: A survey of suitability in comparison with button test and measures of disease activity. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2003 Oct 15;49(5):626-32.
  5. Moberg Pickup Test. Available from: https://www.youtube.com/watch?v=fxr5c_Uh5ss&t=68s [last accessed 22/10/2020]
  6. Amirjani N, Ashworth NL, Gordon T, Edwards DC, Chan KM. Normative values and the effects of age, gender, and handedness on the Moberg Pick‐Up Test. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine. 2007 Jun;35(6):788-92.
  7. 7.0 7.1 D'souza SA, Kishan V. MOBERG PICK-UP TEST (INDIAN VERSION): TEST-RETEST RELIABILITY AND NORMATIVE VALUES FOR INDIAN ADULTS OF 30 TO 60 YEARS. Indian Journal of Occupational Therapy. 2010 Sep 1;42(3).