Construct Validity of the Canadian Occupational Performance Measure in Participants With Tendon Injury and Dupuytren Disease

Abstract

The results supported the hypotheses and, thus, the construct validity of the COPM after surgery in people with hand conditions.

Novel patient-specific visual analogue survey (PVS) is validated in patients treated with collagenase injection for Dupuytren's disease

“…Our findings are consistent with previous reports that Dupuytren’s patients’ assessments of their symptoms and function do not correlate with QuickDASH and other standardised measurements, and support the use of patient-specific outcome measures in this population 10 13 14 18. However, the absence of correlation does not negate the usefulness of objective measures, when using PVS, but argues for including them based on the knowledge that they report on non-overlapping aspects of DC and its treatment.…”

“…The QuickDASH may have not been very responsive for Dupuytren’s because we excluded its optional sports module. The patient-specific COPM was developed in 1993, and it has been validated for Dupuytren’s 18. The PVS is similar to the COPM with regard to activity choice and rating, but unlike the COPM, which requires a semi-structured interview with a trained occupational therapist, PVS does not require any person other than the patient him/herself to provide information about their health state 25.…”

“…The Michigan Hand Questionnaire has been found to be of limited value for Dupuytren’s 16 17. The Canadian Occupational Performance Measure (COPM) is patient specific and has been validated for Dupuytren’s, but it is not a PROM, as it must be administered by a trained therapist who guides the patients’ choices 18…”

The Short Physical Performance Battery is a discriminative tool for identifying patients with COPD at risk of disability

“…As hypothesized, we found that the SPPB scores were moderately correlated with the quadriceps strength measurement and only slightly correlated with the handgrip strength measurement. It is well known that bodily functions, such as muscle strength, are related to functional activities, 1 , 2 , 19 , 27 partly because a certain amount of strength is necessary for the satisfactory completion of most functional activities. From this perspective, and because the activities in the SPPB rely mostly on lower-extremity strength, we expected the SPPB scores to be more highly correlated with quadriceps strength than with handgrip muscle strength.…”

Estudo da musculatura flexora de dedos a partir da análise das curvas força-tempo

“…Os dinamômetros hidráulicos, amplamente utilizados na clínica de Terapia Ocupacional, fornecem ao seu usuário unicamente a informação sobre a força máxima alcançada durante o teste de esforço isométrico máximo, não se mostram, por tanto, capazes de registrar outros parâmetros associados à expressão de força, tais como a manutenção da força e seu tempo de sustentação. O uso de força máxima de preensão prediz apenas 37% do desempenho das atividades cotidianas (VEN-STEVENS et al, 2015), sendo fundamental para tais as sustentações de posições ao longo de todo o período das tarefas, utilizando para tanto (em detrimento da força máxima), a força de resistência, que por sua vez não pode ser mensurada pelos dinamômetros hidráulicos.…”