The functional impact of a traumatic hand injury on people who live in rural and remote locations

Kingston, Gail; Tanner, Bronwyn; Gray, Marion

doi:10.3109/09638280903114410

Cited by 25 publications

(21 citation statements)

References 22 publications

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“…The researcher's experience of working with residents of rural and remote North Queensland and issues raised in a preliminary survey facilitated the development of questions [3,20]. The questions explored participants' experience and opinion of the treatment they received for their hand injury, the role of the rehabilitation program in their recovery and suggestions for change to health care provision in the rural and remote area that they resided [3].…”

Section: Interviewsmentioning

confidence: 99%

“…Participants in this research study had initially responded to a retrospective survey following their attendance at The Townsville Hospital Occupational Therapy Department [3,20]. Fifteen participants were purposively selected from the survey respondents to ensure a representative mix of gender, age groups, injury type and location of residence.…”

Section: Recruitment Strategymentioning

confidence: 99%

“…Healing time frames, precautions, and optimal treatment approaches are unique to each of these structures [2]. Due to the nature of work in rural and remote locations, any injury to the hand can result in significant impact on a person's ability to undertake work and leisure tasks [3]. Such impacts can affect a person's career and financial security with potential for reduced quality of life, increased stress and disruption to emotional wellbeing [4,5].…”

Section: Introductionmentioning

confidence: 99%

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The experience of medical and rehabilitation intervention for traumatic hand injuries in rural and remote North Queensland: a qualitative study

Kingston

Judd

Gray

2014

Disability and Rehabilitation

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Section: Interviewsmentioning

confidence: 99%

Section: Recruitment Strategymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The experience of medical and rehabilitation intervention for traumatic hand injuries in rural and remote North Queensland: a qualitative study

Kingston

Judd

Gray

2014

Disability and Rehabilitation

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“…2 The Upper Extremity Functional Index (UEFI) is a patient-reported outcome measure (PROM) for quantifying UE function 3 that has been used in several studies of people with musculoskeletal UE problems. [4][5][6][7][8] Recently, we performed a Rasch analysis of the tool that informed its modification to a 15-item interval-level PROM (UEFI-15). 9 Psychometric properties of the UEFI-15 have not been compared to the original version, nor has the positive minimal clinically important difference (pMCID) been determined for either measure.…”

Section: Ré Sumémentioning

confidence: 99%

Reliability and Validity of Two Versions of the Upper Extremity Functional Index

Chesworth

Hamilton²,

Walton³

et al. 2014

Physiotherapy Canada

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Purpose: To examine the reliability, validity, and sensitivity to change of the 20-item version and the Rasch-refined 15-item version of the Upper Extremity Functional Index (UEFI-20 and UEFI-15, respectively) and to determine the impact of arm dominance on the positive minimal clinically important difference (pMCID). Methods: Adults with upper-extremity (UE) dysfunction completed the UEFI-20, Upper Extremity Functional Scale (UEFS), Pain Limitation Scale, and Pain Intensity Scale at their initial physiotherapy assessment (Time 1); 24-48 hours later (Time 2); and 3 weeks into treatment or at discharge, whichever came first (Time 3). Demographics, including working status, were obtained at Time 1. Global ratings of change (GRC) were provided by the treating physiotherapist and patient at Time 3. The UEFI-15 was calculated from relevant items in the UEFI-20. The intra-class correlation coefficient (ICC) and minimal detectable change (MDC) quantified test-retest reliability (Time 1-Time 2). Cross-sectional convergent validity was determined by the association (Pearson's r) between Time 1 measures of function and pain. Known-groups validity was evaluated with a one-way ANOVA across three levels of working status. Longitudinal validity was determined by the association (Pearson's r) between function and pain change scores (Time 1-Time 3). Receiver operating characteristic (ROC) curves estimated the pMCID using Time 1-Time 3 change scores and average patient/therapist GRC. Results: Reliability for the UEFI-20 and UEFI-15 was the same (ICC ¼ 0.94 for both measures). MDC values were 9.4/80 for the UEFI-20 and 8.8/100 for the UEFI-15. Crosssectional, known-groups, and longitudinal validity were confirmed for both UEFI measures. pMCID values were 8/80 for the UEFI-20 and 6.7/100 for the UEFI-15; pMCID was higher for people whose non-dominant arm was affected. Conclusions: Both UEFI measures show acceptable reliability and validity. Arm dominance affects pMCID. The UEFI-15 is recommended because it measures only one dimension: UE function.

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“…This leads to having to turn to volunteers, which, unfortunately, are few and far between (4,10). On a more individual perspective, professional opportunities in rural areas for all people with or without disability are few (11).…”

Section: Introductionmentioning

confidence: 99%

Participation in Leisure and Sports by People with Disability Living in Rural Areas; Vision of Stakeholders in Quebec

Belley-Ranger

Roult

Carbonneau

et al. 2016

Ann. Appl. Sport Sci

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People with disability face many constraints that affect their participation in leisure and sports, which can be seen in the gaps in the scientific literature. This study aims to document the specific issues in the leisure and sports participation of people with disability in rural areas. Qualitative research has documented the rurality-related items. Overall, stakeholders (n = 35) working with people with disability in rural areas were met in focus groups (n = 4). Strengths and difficulties have emerged from these testimonials. Being near the community facilitates awareness towards people with disability. However, one of the difficulties refers to the limited number of people with disability in the communities which obstructs the deployment of the leisure and sport offer. The second difficulty is the small number of volunteers and the problem of succession. Finally, availability and dilapidated infrastructure affects the participation in sports and recreation by people with disability in rural areas.

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The functional impact of a traumatic hand injury on people who live in rural and remote locations

Cited by 25 publications

References 22 publications

The experience of medical and rehabilitation intervention for traumatic hand injuries in rural and remote North Queensland: a qualitative study

The experience of medical and rehabilitation intervention for traumatic hand injuries in rural and remote North Queensland: a qualitative study

Reliability and Validity of Two Versions of the Upper Extremity Functional Index

Participation in Leisure and Sports by People with Disability Living in Rural Areas; Vision of Stakeholders in Quebec

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