Inter-rater reliability for measurement of passive physiological range of motion of upper extremity joints is better if instruments are used: a systematic review

Pol, Rachel J. van de; Trijffel, Emiel van; Lucas, Cees

doi:10.1016/s1836-9553(10)70049-7

Cited by 104 publications

(66 citation statements)

References 43 publications

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“…Assessment of range of motion (goniometry) and strength (manual muscle testing and/or dynamometry) were used frequently by respondents in this study. However, additional assessment, such as the Michigan Hand Questionnaire 67 , DASH 45 or Jebsen-Taylor Hand Function test 44 , is required to quantify the functional implications of these conditions 20,22,23,29,30 . The findings from this study, however, showed that assessments addressing activity and participation were used infrequently or not at all.…”

Section: Discussionmentioning

confidence: 99%

“…It would be expected that assessing clients with nerve injury would require measurement tools to assess range of motion, strength, sensibility ( 19,23,[29][30][31][32] . However, the respondents in this study used these assessments infrequently or not at all.…”

Section: Discussionmentioning

confidence: 99%

“…Such tools are in demand in South Africa as muscle, bone and peripheral nerves are among the most prominent structures injured and/or affected in hand conditions. Twenty-one articles 19,20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] reporting 11 tools were identified. The tools were framed within the ICF (see Table1).…”

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confidence: 99%

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Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

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Introduction: Assessment is critical for measuring improvement, or lack thereof, and demonstrating the outcome of intervention. In response to the lack of research in this area, this study aimed to determine the assessment practices of occupational therapists working with clients with hand conditions. Methods: A quantitative cross sectional survey design was used. A convenience sample of occupational therapists was recruited from five provinces. Respondents completed a questionnaire developed for the study that comprised demographic information, assessments used, frequency of use and factors influencing assessment choice. Data were analysed with Statistica version 11. Results: Eighty-one respondents (n=114) completed questionnaires representing a 71% response rate. Goniometry (84.0%), manual muscle testing (76.5%) and testing for flexor tendon function (76.3%) were used most frequently. The most common reasons for not using assessments were lack of availability and unfamiliarity. Conclusion: It is of concern that the assessment practices of participants in this study focussed primarily on the assessment of body function and structure with few therapists using activity and participation measures. This could seriously limit the evidence needed to verify the outcomes achieved through occupational therapy intervention in the treatment of hand conditions.evidence of the interventions provided 5 . If therapists do not assess, they will not be able to produce evidence of the effects of the interventions offered which poses a threat to funding of services. This claim is supported in the Western Cape Department of Health Healthcare 2030 plan 6 that states that there will be an increased move towards outcome based intervention with priority being given to interventions aimed at desirable outcomes. At the time of conducting this study, no research to determine the assessment practices of occupational therapists working with hand conditions within South Africa had been published. Assessment practices are understood to encompass the type of assessment used, the frequency of use and the reasons for non-use within a particular area of practice. This study therefore set out to provide an updated account of these practices by South African occupational therapists working with clients with hand conditions. LITERATURE REVIEWA client-centred approach should be applied in assessment to obtain a "careful understanding" of the individual before starting occupational therapy intervention 7:253 . This type of approach is more likely to ensure that the client is engaged in the occupational therapy process which will encourage greater client cooperation 8 . In a client-centred approach, the client and therapist work together to establish the occupational performance problems and to set goals for the required intervention. Assessment has to take place for this to be possible. Standardised assessment provides quantitative information, useful for tracking the client's progress and demonstrating the outcome of therapy 44United Kingdom the au...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

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“…Accessory mobility testing is an integral part of manual therapy [30] and is assessed passively by an external force that allows the physical therapist assess joint restrictions or increased movement of a joint [30] [31]. The passive movement of the joint promotes an environment conducive to the physical therapist acknowledging an end-feel, [31].…”

Section: /28mentioning

confidence: 99%

A Combination of Manual Therapy, Movement Systems, and Biopsychosocial Approaches for the Treatment of Upper Limb Adverse Neural Tissue Tension: A Case Report

Shinost¹,

Pratt²,

Smith³

2017

OALib

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Background and Purpose: Peripheral nerve injuries can result from a multitude of causes including trauma, poor posture, and altered movement patterns. Adverse neural tension is a possible consequence to insult to the nervous system which can lead to dysfunction and fear avoidance behaviors. The purpose of this case report is to demonstrate the use of a multimodal approach in the physical therapy treatment of a patient who sustained an occupational upper extremity injury which resulted in adverse neural tissue tension of multiple peripheral nerves. Case Description: The patient was a 40-year-old female who sustained an injury to the second right metacarpophalangeal joint. Impairments included joint hypomobility, decreased muscle function, and movement system dysfunction. The patient was treated six times over a two-week period. Intervention: The physical therapy treatment administered to the patient included manual therapy, exercises focused on improving movement systems impairment, exercise focused on improving neural excursion, and patient education based on the biopsychosocial model. The treatments were focused on improving function of work-related activities to decrease disability to promote regular and full job duties. Outcomes: Outcome measures include the Numeric Pain Rating Scale (NPRS), Fear Avoidance Beliefs Questionnaire of Work and Physical Activity (FABQ-W and FABQ-PA, respectively), and the Quick Disability of the Arm, Shoulder and Hand (QuickDASH). After six visits there was an NPRS rating of 0/10 with rest and activity; the FABQ-W improved from 17/42 to 10/42; the FABQ-PA improved from 15/24 to 3/24; the QuickDASH improved from 22% symptom 2/28OALib Journal related disability to 9% and improved from 75% disability with work-related tasked to 0% disability. Discussion: Interventions of joints mobilization, neuromuscular reeducation using the movement systems approach, and concepts focused on the biopsychosocial approach were determined to be an integral combination in the patient's successful return to full work-related duties.

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“…49,50 It is important to identify contractures to implement appropriate treatments and monitor change. 51 Passive joint range of motion can be measured quantitatively with a goniometer 52 however, for the purposes of this data set the committee recommends the use of visual and physical assessment to determine the loss in joint range of motion. Only obvious loss in joint range of motion that can be readily seen or easily felt should be recorded as a contracture.…”

Section: Contracturementioning

confidence: 99%

International spinal cord injury musculoskeletal basic data set

et al. 2012

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Objectives: To develop an International Spinal Cord Injury (SCI) Musculoskeletal Basic Data Set as part of the International SCI Data Sets to facilitate consistent collection and reporting of basic musculoskeletal findings in the SCI population. Setting: International. Methods: A first draft of an SCI Musculoskeletal Basic Data Set was developed by an international working group. This was reviewed by many different organizations, societies and individuals over 9 months. Revised versions were created successively. Results: The final version of the International SCI Musculoskeletal Basic Data Set contains questions on neuro-musculoskeletal history before spinal cord lesion; presence of spasticity/spasms; treatment for spasticity within the last 4 weeks; fracture(s) since the spinal cord lesion; heterotopic ossification; contracture; the location of degenerative neuromuscular and skeletal changes due to overuse after SCI; SCI-related neuromuscular scoliosis; the method(s) used to determine the presence of neuromuscular scoliosis; surgical treatment of the scoliosis; other musculoskeletal problems; if any of the musculoskeletal challenges above interfere with activities of daily living. Instructions for data collection and the data collection form are freely available on the International Spinal Cord Society (ISCoS) website (www.iscos.org.uk). Conclusion: The International SCI Musculoskeletal Basic Data Set will facilitate consistent collection and reporting of basic musculoskeletal findings in the SCI population.

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Inter-rater reliability for measurement of passive physiological range of motion of upper extremity joints is better if instruments are used: a systematic review

Cited by 104 publications

References 43 publications

Occupational therapy hand assessment practices: Cause for concern?

Occupational therapy hand assessment practices: Cause for concern?

A Combination of Manual Therapy, Movement Systems, and Biopsychosocial Approaches for the Treatment of Upper Limb Adverse Neural Tissue Tension: A Case Report

International spinal cord injury musculoskeletal basic data set

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