Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture

MacDermid, Joy C.; Richards, Rickelle; Donner, Allan; Bellamy, N.; Roth, James H.

doi:10.1053/jhsu.2000.jhsu25a0330

Cited by 364 publications

(250 citation statements)

References 25 publications

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“…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).…”

Section: What Should Be Assessed?mentioning

confidence: 99%

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: What Should Be Assessed?mentioning

confidence: 99%

Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

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“…The decision for surgical treatment and the mode of surgical treatment was decided collectively. The primary outcome was measured by Patient Rated Wrist Evaluation (PRWE) [15,16] at 3 rd , 6 th &12 th month. The PRWE is a 15-item patient-reported measure of pain and function, specific to the wrist.…”

Section: Methodsmentioning

confidence: 99%

Functional outcome of distal end radius fractures treated with periarticular locking plates

Bt¹,

Km²,

P³

2017

Int. J. Orthop. Sci.

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Introduction: Currently, the majority of intra-articular fractures of the distal radius are managed by the volar approach. It is useful to have a family of plates to address this complex fracture pattern from both a volar and dorsal approach. The purpose of this study is to asses the management of comminuted distal radius fractures with fragment specific plate fixation. Material and Methods:The study was a retrospective study conducted including two trauma centers, over a period of one year. The primary outcome was measured by Patient Rated Wrist Evaluation (PRWE) at 3 rd , 6 th &12 th month. Secondary outcomes were assessed with radiographic measures (shortening (ulnar variance), dorsal angulation, radial tilt, articular step) measured at presentation, postreduction and between 6 weeks and 12 months). Results: From a study population of 50 patients the study group showed 16% of type A, 36% of type B and 48% of type C fractures. At the 6 month follow-up, there was a mean of 15 0 of radial inclination, 2.5-mm radial shortening in 10 of the patients with type C fractures, no articular incongruity and a mean volar tilt of 3°. The score at 3 rd month ranged from 45 to 70 with the mean score of 57.2±8.52, the score at 6 th month ranged from 20 to 32 with the mean score of 25.3±3.6 and the score at 12 th month ranged from 0 to 12 with mean score of 6.18±3.11. Conclusion:The lack of deterioration of the radiological parameters and the consistent improvement of the PRWE scores underline the versatility and stability provided by the fragment specific plates. Thus through this study we have come to the conclusion that fragment specific plates show better functional outcome in distal end radius fractures.

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“…Understanding that functional metrics would not capture all aspects of the patient's experience and post-operative recovery, the CTQ was designed for use with CTS patients, and is more responsive than traditional functional metrics. (34) (29,30) These instruments adequately evaluate function, ADLs, and pain, and DASH is shown to be highly responsive in the first 3 months after injury when functional metrics are more difficult to evaluate. (29) A third questionnaire, the PRWE, has also been found to have a large effect size and slightly greater responsiveness than DASH.…”

Section: Practical Decisions In Instrument Selectionmentioning

confidence: 99%

“…(28) In contrast, for patients after distal radius fracture fixation, MHQ and DASH are significantly more responsive than SF-36. (29,30) The challenge in hand surgery is deciding which metrics should be used for each patient population. Although the number of available PROs continues to grow, the number of valid and robust outcomes measures remains few and inconsistently utilized.…”

Section: Choosing An Outcomes Instrumentmentioning

confidence: 99%

“…(29) A third questionnaire, the PRWE, has also been found to have a large effect size and slightly greater responsiveness than DASH. (29) This instrument, although robust for wrist pathology, has not been validated for use with as many other upper extremity disorders. The questionnaires also evaluate patient satisfaction, which functional metrics do not explore.…”

Section: Practical Decisions In Instrument Selectionmentioning

confidence: 99%

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Measuring Outcomes in Hand Surgery

Giladi

Chung

2008

Clinics in Plastic Surgery

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SynopsisMethods for measuring outcomes after hand and upper extremity surgery continue to evolve, yet remain inconsistent in quality. In this article we review the use of patient-reported outcomes measures in upper extremity surgery patients, and provides a practical guide to questionnaire selection, assessment, and utilization. We also present the future direction of health services research, and how it will drive changes in measuring outcomes in hand surgery. KeywordsPatient-reported outcomes; hand surgery outcomes; patient-reported measures of hand function; COSMIN; CAT; PROMIS; Health services research OVERVIEWThe upper extremity is a highly specialized functional, sensory, and aesthetic unit. The upper extremity can also suffer a unique range of insults. In 2010, the United States Bureau of Labor Statistics reported the annual incidence rate of hand injuries at 25.1 per 10,000 workers, and the most frequently injured population were young, active workers.(1) When the costs of medical care, rehabilitation, and productivity loss are computed, for this younger population of trauma patients as well as the often-older population with arthritis, neuropathies, and other sources of pain and functional loss, the burden of hand pathology is massive.(2) How we as providers evaluate and manage hand pathology is critical to individuals and society as a whole.On the national level, as health care delivery and reimbursement in the United States undergoes rapid and substantial change, the focus on quality and value of care continues to increase. A shift towards value-based insurance models has begun.(3, 4) These programs aim to reduce patient costs and increase access and utilization of high-value treatments, while discouraging low-value treatments. "Choosing Wisely" and other similar campaigns © 2012 Elsevier Inc. All rights reserved.Corresponding Author: Kevin C. Chung, MD, MS, Section of Plastic Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 E. Medical Center Drive, Ann Arbor, MI, kecchung@umich.edu,. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. are also emphasizing appropriate and evidence-based surgical interventions.(5) Fee for service reimbursement is changing, and quality of care will play an increasing role in provider compensation.(6, 7) This all has resulted in a renewed focus on the need for highquality evidence to support provider decision-making and delivery of care.In the US, Canada, the UK, and many other nations, health services research has been a substantial area of focus for over 15 years.(8, 9) This field analyzes how pati...

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Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture

Cited by 364 publications

References 25 publications

Occupational therapy hand assessment practices: Cause for concern?

Occupational therapy hand assessment practices: Cause for concern?

Functional outcome of distal end radius fractures treated with periarticular locking plates

Measuring Outcomes in Hand Surgery

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