Pub Date : 2020-03-01DOI: 10.1177/1758998319887526
Susan B Stinton, E. Pappas, D. Edgar, N. Moloney
Introduction Driving performance, as assessed using a driving simulator, after distal radius fracture has not been previously studied. Our aims were to undertake a pilot study to assess feasibility via: (i) acceptability of driving simulation for this assessment purpose, (ii) recruitment and retention, (iii) sample size calculation. Preliminary evaluations of differences in driving performance between individuals recovering from distal radius fracture and controls were conducted to confirm if the methodology provided meaningful results to aid in justification for future studies. Methods Driving performance of 22 current drivers (aged 21–81 years), recruited by convenience sampling, was assessed using a driving simulator. The fracture group included those recovering from distal radius fracture managed with open reduction and internal fixation using a volar plate. The control group were uninjured individuals. Assessment was performed approximately five weeks post-surgery and follow-up assessment two weeks later. Acceptability outcome measures included pain and simulator sickness scores, feasibility measures included retention rates and measures of driving performance included time spent speeding, time spent out of the lane, standard deviation of lateral position and hazard reactions. Results The assessment was completed by 91% of participants; two participants dropped out secondary to simulator sickness. Retention rates were 83%. Preliminary results suggest those with distal radius fracture spent more time out of the lane and less time speeding. Conclusion This method was sensitive, acceptable and feasible according to the parameters of this pilot study. The results from this small sample suggest that between-group differences in driving performance are measurable using driving simulation five weeks following distal radius fracture.
{"title":"Driving performance following a wrist fracture: A pilot study using a driving simulator","authors":"Susan B Stinton, E. Pappas, D. Edgar, N. Moloney","doi":"10.1177/1758998319887526","DOIUrl":"https://doi.org/10.1177/1758998319887526","url":null,"abstract":"Introduction Driving performance, as assessed using a driving simulator, after distal radius fracture has not been previously studied. Our aims were to undertake a pilot study to assess feasibility via: (i) acceptability of driving simulation for this assessment purpose, (ii) recruitment and retention, (iii) sample size calculation. Preliminary evaluations of differences in driving performance between individuals recovering from distal radius fracture and controls were conducted to confirm if the methodology provided meaningful results to aid in justification for future studies. Methods Driving performance of 22 current drivers (aged 21–81 years), recruited by convenience sampling, was assessed using a driving simulator. The fracture group included those recovering from distal radius fracture managed with open reduction and internal fixation using a volar plate. The control group were uninjured individuals. Assessment was performed approximately five weeks post-surgery and follow-up assessment two weeks later. Acceptability outcome measures included pain and simulator sickness scores, feasibility measures included retention rates and measures of driving performance included time spent speeding, time spent out of the lane, standard deviation of lateral position and hazard reactions. Results The assessment was completed by 91% of participants; two participants dropped out secondary to simulator sickness. Retention rates were 83%. Preliminary results suggest those with distal radius fracture spent more time out of the lane and less time speeding. Conclusion This method was sensitive, acceptable and feasible according to the parameters of this pilot study. The results from this small sample suggest that between-group differences in driving performance are measurable using driving simulation five weeks following distal radius fracture.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"64 1","pages":"26 - 36"},"PeriodicalIF":1.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84742557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-01DOI: 10.1177/1758998319875759
Joanna Burdon, S. Taplin, S. Kay, D. Wilks
Introduction Hand and upper limb transplants are becoming internationally recognised as an effective treatment to improve function and quality of life in carefully selected patients. A comprehensive functional assessment and rehabilitation programme are an essential component of the multi-disciplinary assessment and treatment approach. Although there is an increasing body of published data on the surgical techniques and outcomes following hand transplant, little exists in the literature to guide the hand therapist. Method The pre-transplant functional assessments and rehabilitation programme provided for patients undergoing hand transplantation in the UK are described and critically analysed. The UK programme is based on that provided in Lyon, France, but adapted to suit the resources and structure of the UK National Health Service. Results Twelve patients have received a functional assessment as part of the multi-disciplinary hand transplant assessment process, with the loss of autonomy a key reason for patients seeking hand transplant. Six of these patients have received hand transplants, with patients more than one year post-transplant having achieved good and fair outcomes according to the Hand Transplantation Score System. Conclusions Although hand and upper limb transplant surgery is innovative, the therapy provided is based on the fundamental principles of good communication, accurate assessment and delivery of a bespoke rehabilitation programme; values which are common to all areas of hand therapy practice. A future study reporting the long-term outcomes of patients following hand transplant in the UK is needed to allow the effectiveness of the programme to be evaluated.
{"title":"The functional assessment and rehabilitation programme of the UK hand and upper limb transplant service","authors":"Joanna Burdon, S. Taplin, S. Kay, D. Wilks","doi":"10.1177/1758998319875759","DOIUrl":"https://doi.org/10.1177/1758998319875759","url":null,"abstract":"Introduction Hand and upper limb transplants are becoming internationally recognised as an effective treatment to improve function and quality of life in carefully selected patients. A comprehensive functional assessment and rehabilitation programme are an essential component of the multi-disciplinary assessment and treatment approach. Although there is an increasing body of published data on the surgical techniques and outcomes following hand transplant, little exists in the literature to guide the hand therapist. Method The pre-transplant functional assessments and rehabilitation programme provided for patients undergoing hand transplantation in the UK are described and critically analysed. The UK programme is based on that provided in Lyon, France, but adapted to suit the resources and structure of the UK National Health Service. Results Twelve patients have received a functional assessment as part of the multi-disciplinary hand transplant assessment process, with the loss of autonomy a key reason for patients seeking hand transplant. Six of these patients have received hand transplants, with patients more than one year post-transplant having achieved good and fair outcomes according to the Hand Transplantation Score System. Conclusions Although hand and upper limb transplant surgery is innovative, the therapy provided is based on the fundamental principles of good communication, accurate assessment and delivery of a bespoke rehabilitation programme; values which are common to all areas of hand therapy practice. A future study reporting the long-term outcomes of patients following hand transplant in the UK is needed to allow the effectiveness of the programme to be evaluated.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"43 1","pages":"18 - 25"},"PeriodicalIF":1.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81445140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-01DOI: 10.1177/1758998319871075
Nathan Short, M. Blair, C. Crowell, Abby Loewenstein, Annie Lynch, Ravina Nakum, A. Warner
Introduction Technology use among the millennial population is increasing and related postural compromise may lead to cumulative trauma disorder symptomology. The aim of this study was to explore trends of hand-held mobile technology use and upper extremity cumulative trauma disorder symptomology among a sample of millennials. Methods A convenience sample of graduate students (n = 42) was used for the study. Demographic and technology use information was obtained through self-report using the smartphone screen time tracking feature. Cumulative trauma disorder symptomology was assessed through administration of various orthopedic special tests. Results On average, participants spent 2 h and 23 min per day using hand-held mobile devices. Out of 42 participants, 54.8% tested positive for at least one orthopedic special test. The symptomatic group spent 2 h and 29 min using hand-held mobile devices, while the asymptomatic group spent 2 h and 4 min. The most common positive orthopedic special tests were Finkelstein’s test (n = 19; 36%), hyperabduction (Wright’s) test (n = 13; 25%), and the elbow flexion test (n = 10; 18.9%), indicating symptoms associated with De Quervain’s tenosynovitis, thoracic outlet syndrome, and cubital tunnel syndrome, respectively. Discussion Results were consistent with prior research on time spent using hand-held mobile technology and cumulative trauma disorder among millennials. Additionally, a difference in mean time spent using mobile technology between the asymptomatic and symptomatic groups was found, suggesting a relationship which warrants further research.
{"title":"Mobile technology and cumulative trauma symptomology among millennials","authors":"Nathan Short, M. Blair, C. Crowell, Abby Loewenstein, Annie Lynch, Ravina Nakum, A. Warner","doi":"10.1177/1758998319871075","DOIUrl":"https://doi.org/10.1177/1758998319871075","url":null,"abstract":"Introduction Technology use among the millennial population is increasing and related postural compromise may lead to cumulative trauma disorder symptomology. The aim of this study was to explore trends of hand-held mobile technology use and upper extremity cumulative trauma disorder symptomology among a sample of millennials. Methods A convenience sample of graduate students (n = 42) was used for the study. Demographic and technology use information was obtained through self-report using the smartphone screen time tracking feature. Cumulative trauma disorder symptomology was assessed through administration of various orthopedic special tests. Results On average, participants spent 2 h and 23 min per day using hand-held mobile devices. Out of 42 participants, 54.8% tested positive for at least one orthopedic special test. The symptomatic group spent 2 h and 29 min using hand-held mobile devices, while the asymptomatic group spent 2 h and 4 min. The most common positive orthopedic special tests were Finkelstein’s test (n = 19; 36%), hyperabduction (Wright’s) test (n = 13; 25%), and the elbow flexion test (n = 10; 18.9%), indicating symptoms associated with De Quervain’s tenosynovitis, thoracic outlet syndrome, and cubital tunnel syndrome, respectively. Discussion Results were consistent with prior research on time spent using hand-held mobile technology and cumulative trauma disorder among millennials. Additionally, a difference in mean time spent using mobile technology between the asymptomatic and symptomatic groups was found, suggesting a relationship which warrants further research.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"37 1","pages":"11 - 17"},"PeriodicalIF":1.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75563335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-01DOI: 10.1177/1758998320907116
J. Ikonen, S. Hulkkonen, Jorma Ryhänen, Arja Häkkinen, Jaro Karppinen, Jaro Karppinen, Jussi P. Repo
Introduction The construct validity of the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) has previously been questioned. The purpose of this study was to evaluate the measurement properties of the Finnish version of the DASH for assessing disability in patients with hand complaints using Rasch Measurement Theory. Methods A cohort of 193 patients with typical hand and wrist complaints were recruited at a surgery outpatient clinic. The DASH scores were analysed using the Rasch model for differential item functioning, unidimensionality, fit statistics, item residual correlation, coverage/targeting and reliability. Results In the original DASH questionnaire, the item response thresholds were disordered for 2 of 30 of the items. The item fit was poor for 9 of 30 of the items. Unidimensionality was not supported. There was substantial residual correlation between 87 pairs of items. Item reduction (chi square 95, degrees of freedom 50, p < 0.001) and constructing two testlets led to unidimensionality (chi square 0.64, degrees of freedom 4, p = 0.96). Person separation index was 0.95. The testlets had good fit with no differential item functioning towards age or gender. Conclusion Unidimensionality of the original Finnish version of the DASH was not supported, meaning the questionnaire seems to gauge traits other than disability alone. Hence, the clinician must be careful when trying to measure change in patients’ scores. Item reduction or the creation of testlets did not lead to good alternatives for the original Finnish DASH. Differential item functioning showed that the original Finnish scale exhibits minor response bias by age in one item. The original Finnish DASH covers different levels of ability well among typical hand surgery patients.
{"title":"The structural validity of the Finnish version of the Disabilities of the Arm, Shoulder and Hand: A Rasch model analysis","authors":"J. Ikonen, S. Hulkkonen, Jorma Ryhänen, Arja Häkkinen, Jaro Karppinen, Jaro Karppinen, Jussi P. Repo","doi":"10.1177/1758998320907116","DOIUrl":"https://doi.org/10.1177/1758998320907116","url":null,"abstract":"Introduction The construct validity of the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) has previously been questioned. The purpose of this study was to evaluate the measurement properties of the Finnish version of the DASH for assessing disability in patients with hand complaints using Rasch Measurement Theory. Methods A cohort of 193 patients with typical hand and wrist complaints were recruited at a surgery outpatient clinic. The DASH scores were analysed using the Rasch model for differential item functioning, unidimensionality, fit statistics, item residual correlation, coverage/targeting and reliability. Results In the original DASH questionnaire, the item response thresholds were disordered for 2 of 30 of the items. The item fit was poor for 9 of 30 of the items. Unidimensionality was not supported. There was substantial residual correlation between 87 pairs of items. Item reduction (chi square 95, degrees of freedom 50, p < 0.001) and constructing two testlets led to unidimensionality (chi square 0.64, degrees of freedom 4, p = 0.96). Person separation index was 0.95. The testlets had good fit with no differential item functioning towards age or gender. Conclusion Unidimensionality of the original Finnish version of the DASH was not supported, meaning the questionnaire seems to gauge traits other than disability alone. Hence, the clinician must be careful when trying to measure change in patients’ scores. Item reduction or the creation of testlets did not lead to good alternatives for the original Finnish DASH. Differential item functioning showed that the original Finnish scale exhibits minor response bias by age in one item. The original Finnish DASH covers different levels of ability well among typical hand surgery patients.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"99 1","pages":"10 - 3"},"PeriodicalIF":1.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76859774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-19DOI: 10.1016/j.jht.2019.10.001
A. Wolff, Yatindra Patel, Esther M. Zusstone, S. Wolfe
{"title":"Self-identified functional limitations improve in patients with degenerative wrist arthritis after surgery.","authors":"A. Wolff, Yatindra Patel, Esther M. Zusstone, S. Wolfe","doi":"10.1016/j.jht.2019.10.001","DOIUrl":"https://doi.org/10.1016/j.jht.2019.10.001","url":null,"abstract":"","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"38 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82142347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-04DOI: 10.1177/1758998319876953
Rochelle Furtado, G. Nazari, J. Macdermid
Introduction The shoulder is the leading site of musculoskeletal pain. Patient-reported outcomes, such as the Shoulder Pain and Disability Index (SPADI), allow us to assess shoulder pain in a clinical setting. Since the SPADI was developed in English, many cultures have cross-culturally adapted the SPADI for clinical use. The purpose of this review was to assess the translation and cross-cultural adaptation procedures and measurement properties of the adapted SPADI. Methods A systematic review was performed on cultural adaptations of the SPADI accessible through MEDLINE, CINAHL, EMBASE and/or Google Scholar. Included were prospective cohort studies that used an adapted version of the SPADI. All studies were evaluated according to the guidelines for cross-cultural adaptations and the guidelines for measurement properties. Results The search retrieved 19 studies that met the inclusion criteria. According to the recommended guidelines for cross-cultural adaptations, 16 studies performed 100% of the steps and 1 study performed 80% of the steps. When evaluating the studies’ psychometric properties based on the quality criteria, none of the studies reported all recommended measurement properties. The measurement property of reliability was reported fully by 74% of studies. Internal consistency was fully reported by 74% of studies. None of the studies were able to fully report responsiveness, agreement and/or construct validity. Conclusions Whilst the majority of studies followed proper translation procedures, testing of the measurement properties were inadequate. Therefore, it is recommended that the current adapted versions of the SPADI undergo further evaluation before use in clinical practice.
{"title":"A systematic review of the cross-cultural adaptations and measurement properties of the Shoulder Pain and Disability Index","authors":"Rochelle Furtado, G. Nazari, J. Macdermid","doi":"10.1177/1758998319876953","DOIUrl":"https://doi.org/10.1177/1758998319876953","url":null,"abstract":"Introduction The shoulder is the leading site of musculoskeletal pain. Patient-reported outcomes, such as the Shoulder Pain and Disability Index (SPADI), allow us to assess shoulder pain in a clinical setting. Since the SPADI was developed in English, many cultures have cross-culturally adapted the SPADI for clinical use. The purpose of this review was to assess the translation and cross-cultural adaptation procedures and measurement properties of the adapted SPADI. Methods A systematic review was performed on cultural adaptations of the SPADI accessible through MEDLINE, CINAHL, EMBASE and/or Google Scholar. Included were prospective cohort studies that used an adapted version of the SPADI. All studies were evaluated according to the guidelines for cross-cultural adaptations and the guidelines for measurement properties. Results The search retrieved 19 studies that met the inclusion criteria. According to the recommended guidelines for cross-cultural adaptations, 16 studies performed 100% of the steps and 1 study performed 80% of the steps. When evaluating the studies’ psychometric properties based on the quality criteria, none of the studies reported all recommended measurement properties. The measurement property of reliability was reported fully by 74% of studies. Internal consistency was fully reported by 74% of studies. None of the studies were able to fully report responsiveness, agreement and/or construct validity. Conclusions Whilst the majority of studies followed proper translation procedures, testing of the measurement properties were inadequate. Therefore, it is recommended that the current adapted versions of the SPADI undergo further evaluation before use in clinical practice.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"1 1","pages":"107 - 115"},"PeriodicalIF":1.0,"publicationDate":"2019-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76823439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-03DOI: 10.1016/j.jht.2019.04.002
Sudhagar Gangatharam
{"title":"Anconeus syndrome: A potential cause for lateral elbow pain and its therapeutic management-A case report.","authors":"Sudhagar Gangatharam","doi":"10.1016/j.jht.2019.04.002","DOIUrl":"https://doi.org/10.1016/j.jht.2019.04.002","url":null,"abstract":"","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"26 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87485574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-31DOI: 10.1016/j.jht.2019.02.002
Nathan Short, Michelle Mays, R. Ford, Ethan Fahrney
{"title":"Proposed method for goniometric measurement of scapular protraction and retraction.","authors":"Nathan Short, Michelle Mays, R. Ford, Ethan Fahrney","doi":"10.1016/j.jht.2019.02.002","DOIUrl":"https://doi.org/10.1016/j.jht.2019.02.002","url":null,"abstract":"","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"55 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84834463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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