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Purdue Pegboard Test -A new diagnostic method for the assessment of

chemotherapy-induced polyneuropathy in breast cancer patients

Conference Paper · February 2020

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3 authors, including:

Marc Heydenreich Gerrit-René Walke

Private Kliniken Dr. Dr. med. Nebel Vogtland-Klinik Bad Elster GmbH & Co.KG, GER… Private Kliniken Dr. Dr. med. Nebel GmbH & CoKG, Vogtland-Klinik Bad Elster, GER…
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 Vogtland Klinik Bad Elster
Fachklinik für medizinische Rehabilitation
Forststraße 3 Purdue Pegboard Test – A new diagnostic method for the
08645 Bad Elster
assessment of chemotherapy-induced polyneuropathy in breast
cancer patients
Im Dienste der Gesundheit

…steht für uns der Mensch im Mittelpunkt Heydenreich, Marc (1), Walke, G.-R. (1), Zermann, D.-H. (2)

(1) Fachbereich Sport- und Trainingswissenschaft, Vogtland-Klinik Bad Elster

(2) Fachabteilung für Urologie, Uroonkologie und Nephrologie, Vogtland-Klinik Bad Elster

Introduction Results
Polyneuropathy is a common side effect of neurotoxic chemotherapy in
dominant hand

Number of inserted pins

breast cancer patients. Aim of this study was the evaluation of the purdue
15 13,4
pegboard test in diagnostics of polyneuropathy induced functional deficits. 12,3

10

Methods 0
89 patients (mean age 66,4 y) suffering on chemotherapy induced baseline after 21 days
Figure 2: Results dominant hand
polyneuropathy in fingers and hands. Their manual dexterity and bimanual
not dominant hand

Number of inserted pins

coordination were examined by using a Purdue Pegboard Test.
15
The execution of the Purdue Pegboard Test was done at the beginning and 12 12,6

at the end of a three-week inpatient rehabilitation. 10

Purdue Pegboard baseline

0
after 21 days
Figure 3: Results not dominant hand
both hands
Number of inserted pins

15

9,9 10,3
10

0
baseline after 21 days
Figure 4: Results both hands
Assembly Test
Number of insert pins

25 23,5
A B 20
22,7

Figure 1:
15
A Purdue Pegboard
B test setup 10
5
Results 0
baseline after 21 days
For the dominant [mean score 12.3 (SD 2.6) to 13.4 (SD 2.5); effect size Figure 5: Results assembly test
d=0.6] and non-dominant side [mean score 12.0 (SD 2.5) to 12.6 (SD 2.7);
effect size d=0.4], the functionality during rehabilitation was significantly
improved (p <0.001). The bimanual test (mean score 9.9 (SD 2.6) to 10.3
Conclusion
A specialized rehabilitation program after breast cancer therapy allows the
(SD 2.3); effect size d=0.2) showed a significant difference (p=0.05). At the
improvement of functional deficits and neuropathic symptoms. Especially
assembly test [mean score 22.7 (SD 7.8) to 23.5 (SD 8.2); effect size
chemotherapy patients with polyneuropathy benefit from occupational
d=0.2], no significant difference was found (p=0.154).
therapy.

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34. DEUTSCHER KREBSKONGRESS 2020