Combat Casualty Hand Burns: Evaluating Impairment and Disability during Recovery

Chapman, Ted T.; Richard, Reg; Hedman, Travis L.; Renz, Evan M.; Wolf, Steven E.; Holcomb, John B.

doi:10.1197/j.jht.2007.12.003

Cited by 25 publications

(9 citation statements)

References 25 publications

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“…We investigated that Impairment (scored by AMA guide 6th edition) had a medium correlation with disability (scored by DASH) in patients with hand and upper extremity injuries. Our finding of a medium correlation of AMA impairment rating with DASH is partly in agreement with the findings of prior studies [5,14,31].…”

Section: Discussionsupporting

confidence: 93%

“…It is believed that activity limitation can be the consequence of any impairment, but participation may or not be restricting under influence of personal or environmental factors. [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…So the level of disability, which is being measured by them, is not pure activity or participation level of the patients. the relationship of impairment and disability (if considered as participation restriction) is important to the treatment plan [14]. More disability than expected can be due to personal and environmental effect on participation and may respond to treatments based on cognitive behavioral therapy [16].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries

et al. 2016

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The aim of this paper is to analyze the relation between components of disability with distinguished score of impairment, activity and participation questionnaire based on clinical data of persons with hand injuries. Impairment was evaluated by use of AMA guide 6th edition and disability by DASH questionnaire on Convenience sample of patients (N= 117), with chronic hand injuries. Linking and allocating items of the DASH were done based on the ICF Core Set for Hand Conditions and the opinions of a group of experts from different related fields. Data was analyses by using Kappa index, Chi square test and a set of Pearson, Part and Partial correlations coefficient. Most of the DASH items were allocated to the activity; one to four of the items could not be classified and 0 to 22 were classified as having overlap. Participation and activity scores correlated positively with each other (r>0.80). Impairment had high correlation with activity and participation scores (>73). With controlling the effect of each or both construct, this relation between them with impairment diminished but still significant between activity and impairment. There is a huge overlap in definition of activity and participation. The most effecting item in relation of disability and impairment is activity restriction. Participation had no relation with impairment.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries

et al. 2016

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“…A study of patients with hand fractures found a small correlation between AMA impairment ratings and DASH scores 6 months after hand trauma (correlation coefficients, 0.3-0.4). Chapman et al [5] found a moderate correlation (r = 0.50) between impairment and disability at discharge and a moderately high correlation (r = 0.74) at followup in the early part of recovery after burn injury and a large correlation 4 months after burn injuries. In contrast, van Oosterom et al [40] found no correlation between AMA impairment rating and DASH an average of 7.5 years after phalangeal fracture.…”

Section: Discussionmentioning

confidence: 99%

“…Two individuals with the same impairment may experience very different levels of disability [31]. Given that the primary focus of hand therapy interventions is less disability, the relationship of impairment and disability is important to the treatment plan [5]. More disability than expected may respond to treatments based on cognitive-behavioral therapy [18].…”

Section: Introductionmentioning

confidence: 99%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Any loss or deviation in body function and structure is considered impairment, whereas limitations on activities are fundamental to the definition of disability. Although it seems intuitive that the two should be closely related, this might not be the case; there is some evidence that psychosocial factors are more important determinants of disability than are objective impairments. However, the degree to which this is the case has been incompletely explored.Questions/purposes The purpose of this study was to determine if disability (as measured by the Disabilities of the Arm, Shoulder and Hand [DASH] and the Michigan Hand Questionnaire [MHQ]) and pain intensity correlate with impairment (as measured by the American Medical Association [AMA] impairment guide). Secondary study questions addressed the effect of pain intensity and symptom of depression on predicting disability. Methods Impairment and disability were evaluated in a sample of 107 hand-injured patients a mean of 11 months after injury. Impairment rating was performed prospectively. From the patients who came for therapy, they were invited to fill out the questionnaire and evaluated for impairment rating. Response variables of DASH, MHQ, and visual analog scale pain intensity values were collected at the same setting. Other explanatory variables included demographic, injury-related, and psychological factors (symptoms of depression measured with the Beck Depression Inventory). Initial bivariate and multivariate analyses were performed to determine correlations of disability and pain to impairment rating and other exploratory variables.Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123 Clin Orthop Relat Res (2015) 473:3470-3476 DOI 10.1007/s11999-015-4228-7 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results Disability as measured by the DASH showed intermediate correlation with AMA impairment (r = 0 .38, beta = 0.36, p = 0.000). Together with gender, it accounted for only 22% of the variability in DASH scores. Similarly, MHQ score correlated with impairment rating (r = À0.24, beta = À0.23, p \ 0.05). However, together with age, injured hand accounted for only 19% of the variability in MHQ scores. However, pain intensity did not correlate with impairment (r = À0.46, p [ 0.05). Interestingly...

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