Assessment following Hand Trauma: A Review of some Commonly Employed Methods

Bücher, Catherine; Hume, Kenneth I.

doi:10.1177/175899830200700303

Cited by 13 publications

(7 citation statements)

References 47 publications

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“…Initial content was determined via literature review (Bücher & Hume 2002) and expert discussion via individual interviews. Two non-medical participants and five therapists then reviewed the question-naire.…”

Section: Questionnaire Developmentmentioning

confidence: 99%

“…This has subsequently been further explored and concerns remain regarding patient relevance and the sensitivity and specificity of some measures (Bücher et al 2003). A literature review (Bücher & Hume 2002) suggests variable quality of assessment tools and anecdotally, some practitioners report inconsistency between recommended assessment guidelines and practice -suggestions that are confirmed in part in the literature (Jerosch-Herold 2002, Pratt & Burr 2001, Marcuzzi et al 1998. It was hypothesised that factors influencing practice might include limitations of time, resources, expertise and training opportunities.…”

Section: Introductionmentioning

confidence: 99%

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A Survey of Current Hand Assessment Practice in the UK

Büher

Hume

2003

The British Journal of Hand Therapy

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A range of physical assessment strategies is available to hand therapists although approaches to their use may be variable. Inconsistent use of standardised assessments may compromise the information available to therapists to provide an evidence base for, and inform, practice. Potential research opportunities may also be lost as comparative studies are difficult in such circumstances. This study aimed to review hand therapy assessment practices in the UK. Following a pilot study, a survey of the membership of BAHT (n=493) was undertaken using a self-completed postal questionnaire and a 50.5% response rate (n=249) was secured. Findings suggest that UK hand therapists are using assessment tools of variable accuracy in an environment of limited resources. Therapist time invested in physical measurement may be providing a poor return in terms of the quality of information generated. The need for accurate and easy-to-use measurement tools is evident as is the desire for patient-centred outcome measures. User-friendly and inexpensive measurement tools might facilitate hand therapy research, minimise the potential for researcher bias and enhance the evidence base for hand therapy. Subsequent work has begun to explore assessment tools that may evaluate patient outcome more effectively.

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Section: Questionnaire Developmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Survey of Current Hand Assessment Practice in the UK

Büher

Hume

2003

The British Journal of Hand Therapy

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“…Although hand impairments can cause activity limitations, this relationship is rather complex (9)(10)(11). It is, thus, important to assess not only body functions (impairments), but also a person's (limitations to perform) activities in order to determine how different hand conditions impact the daily lives of individual patients (6,8,(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

“…This, however, requires consensus on which of the available validated instruments, that are also reliable and responsive, should be used to assess (and preferably predict) a patient's functioning and/or to evaluate outcomes of different interventions. Many tools are available to assess impairments and activity limitations in patients with hand conditions, but there is currently no standardized accepted core set for use with this patient group (6,12,14,18,20). To support the development of such a core set, we first conducted 2 systematic reviews in order to identify 23 instruments that can be used to evaluate activity limitations in patients with hand conditions (18,19).…”

Section: Introductionmentioning

confidence: 99%

Instruments for assessment of impairments and activity limitations in patients with hand conditions: A European Delphi study

Ven-Stevens¹,

Graff²,

Selles³

et al. 2015

J Rehabil Med

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“…fl exor tendon injury has the potential to compromise function, create disability and impact on a patient's well being, as declared explicitly by Bucher and Hume (2003). The process of tendon repair and subsequent rehabilitation is a traumatic and potentially devastating experience.…”

Section: Introductionmentioning

confidence: 99%

Patients’ Concerns With The Journey Through Flexor Tendon Rehabilitation – A Prospective Patient-Centred Satisfaction Survey

Branford

Pratt

Burr

et al. 2007

The British Journal of Hand Therapy

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Flexor tendon rehabilitation is an involved and protracted process during which everyday activities are diffi cult. The aim of this study was to conduct a patientcentred satisfaction assessment, tailored to hand therapy patients undergoing fl exor rehabilitation, to gain an understanding of their experience, and to identify potential areas for improving the quality of their care. A prospective questionnaire survey, incorporating elements of generic patientcentred and upper limb outcome measures, was completed, over a six month period, by consenting hand therapy patients during their rehabilitation at three, seven and 12 weeks post-fl exor-tendon surgery. Forty-three subjects fi tted the inclusion criteria for the study. Thirty-two subjects (74%) gave informed written consent and were recruited to this study. Two thirds (12 out of 18) of males and all females had diffi culties with everyday activities at seven weeks. More females (7 out of 8 [88%]) than males (11 out of 18 [61%]) responded that life was not in their control. Five out of eight females and six out of 14 males reported feeling concerned about their hand at 12 weeks. Interestingly, approximately 40% of respondents wanted more information throughout rehabilitation, with half of females requesting more at seven and 12 weeks. This study suggests that there should be a strong therapist-led emphasis on providing verbal and written information throughout fl exor rehabilitation to increase knowledge and reduce associated anxiety. The importance of this in improving patients' experience of the process cannot be overestimated.

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Assessment following Hand Trauma: A Review of some Commonly Employed Methods

Cited by 13 publications

References 47 publications

A Survey of Current Hand Assessment Practice in the UK

A Survey of Current Hand Assessment Practice in the UK

Instruments for assessment of impairments and activity limitations in patients with hand conditions: A European Delphi study

Patients’ Concerns With The Journey Through Flexor Tendon Rehabilitation – A Prospective Patient-Centred Satisfaction Survey

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