Content and psychometric evaluations of questionnaires for assessing physical function in people with arm–shoulder–hand disorders. A systematic review of the literature

Wiitavaara, Birgitta; Florin, Jan

doi:10.1080/09638288.2021.1979109

Cited by 11 publications

(5 citation statements)

References 68 publications

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“…The DASH is a tool for evaluating hand function status, disability, and symptoms and has been used extensively in interventional research to evaluate functional outcomes following hand burns. Although physical function is better measured by healthcare professionals through physical examination and observation, in their systematic review, Wiitavaara and Florin (2022) stated that the DASH, a patient-reported outcome measure, represents ADLs and gross motor tasks and performance, which is a practical way to assess physical function. After the intervention in the present study, patients had lower DASH mean scores (mean = −27 points); a 10-point difference in DASH mean score reflected a minimally significant clinical change, according to Gummesson et al (2003).…”

Section: Discussionmentioning

confidence: 99%

“…However, more research is needed to determine the validity of the self-reported DASH as a functional outcome predictor in patients with burns, as well as to create or validate existing objective hand functional outcome instruments. Outcome measurement has evolved into a tool for describing, monitoring, reporting, and evaluating the effects of health interventions on patients (Wiitavaara & Florin, 2022). Nurses will be able to improve the early and long-term rehabilitation process, not just the outcomes, by measuring functional outcomes for patients with burns (Wiitavaara & Florin, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Outcome measurement has evolved into a tool for describing, monitoring, reporting, and evaluating the effects of health interventions on patients (Wiitavaara & Florin, 2022). Nurses will be able to improve the early and long-term rehabilitation process, not just the outcomes, by measuring functional outcomes for patients with burns (Wiitavaara & Florin, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Sofar,

Wazqar,

Syam

2024

Rehabilitation Nursing

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Purpose The model of early rehabilitation for people with burns is still relatively novel in developing countries such as Egypt. The study examined the effect of a nurse-led rehabilitation program on functional outcomes in patients with severe hand burns. Design A quasi-experimental design was used in this study. Methods The study was completed in the burn unit of a teaching university hospital in Alexandria, Egypt, with a convenience sample of 80 patients with severe hand burns. Participants were consecutively assigned to one of two groups: control (n = 40), which received only routine hospital care and clinical interventions, or intervention (n = 40), which received routine hospital care and clinical interventions and a 4-week nurse-led rehabilitation program (health education including audiovisual aids and burn rehabilitation education booklet, social support, and hand rehabilitation exercises). To assess functional outcomes, both groups were given pre- and posttests of the Disabilities of the Arm, Shoulder and Hand outcome and the Hand Motor Function Observational Checklist questionnaires. Descriptive and inferential statistics were conducted. Results Functional outcomes were significantly improved in the intervention participants compared to the control participants (t = 5.710, p < .001). The differences in index scores between the two groups were statistically significant (p < .001). Clinical Relevance The study provides information for burn rehabilitation nurses in developing countries to develop and test early interventions that improve functional outcomes in this population. Conclusions A 4-week nurse-led program can be a beneficial intervention for improving functional outcomes in adult patients with severe hand burns who are undergoing rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Sofar,

Wazqar,

Syam

2024

Rehabilitation Nursing

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“…Certain questionnaires focused on carrying out daily activities and pain, such as the DASH, the QuickDASH and the PWRE questionnaire (41,42,44), while others included emotional aspects related to postoperative recoveries, such as SFMA, the Global QoR-40K and the EQ-ED-3L (43,46,51). Consequently, it is challenging to compare the score obtained from various questionnaires and the functional recovery may not be generalizable between studies due to the lack of standardization in the eld (52).…”

Section: Discussionmentioning

confidence: 99%

Functional Recovery with Peripheral Nerve Block Versus General Anesthesia for Upper Limb Surgery: A Systematic Review

Héroux

Bessette

Belley‐Côté

et al. 2022

Preprint

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Background Peripheral nerve block is a common anesthetic technique used during orthopedic upper limb surgery. Injection of local anesthetics around the target nerve inhibits the action of voltage-dependent sodium channels, inhibiting neurotransmission of pain impulses and providing motor immobility. Compared to general anesthesia, it could improve functional recovery by inhibiting nociceptive impulses and inflammation, thus reducing postoperative pain and immobilization and improving postoperative rehabilitation. This systematic review evaluates the impact of peripheral nerve block versus general anesthesia on postoperative functional recovery following orthopedic upper limb surgery. Methods We searched CENTRAL, MEDLINE, CINHAL, EMBASE, and Scopus trial databases from inception until September 2021 for studies comparing peripheral nerve block to general anesthesia. We collected data on functional recovery, range of motion, patient satisfaction, quality of life, and return to work. We pooled studies using a random-effects model and summarized the quality of evidence with the GRADE approach. Results We assessed 373 citations and 19 full-text articles for eligibility, and included six studies. Six studies reported on functional recovery, but failed to detect a significant superiority of peripheral nerve block over general anesthesia (3 RCT studies, N= 160; SMD -0.15; CI at 95% -0.60-0.3; I2=45%; p=0.07; low quality of evidence and 3 observational studies, N= 377; SMD -0.35; CI at 95% -0.71-0.01; I2=64%; p=0.06; very low quality of evidence). Conclusions Current literature is limited and fails to identify the benefit of peripheral nerve block on functional recovery. More studies are needed to assess the impact on long-term recovery. Considering the potential impact on clinical practice and training, a prospective study on functional recovery is ongoing (NCT04541745). Trial Registration: PROSPERO ID CRD42018116298. Registered on December 4, 2018.

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“…The patient self-report measures included the following: 1) Numerical Pain Rating Scale (NPRS); 2) Global Perceived Effect (GPE) or Global Rating of Change (GROC) scale; and 3) Neck Disability Index (NDI) or the Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH). These are valid measures with established minimum detectable change (MDC) and minimum clinically important differences (MCID) [13][14][15][16][17]. Statistically significant change in these has been reported as a change of +/-2/10 on NPRS, +/-5 points on GROC, 19% on NDI, and 15% on QuickDASH [13][14][15]17,18].…”

Section: Figure 1: Cervical Flexion Rotation Test Figure 2: Cervical ...mentioning

confidence: 99%

Utilization of the Cervical Flexion Rotation Test to Confirm Rotation Directional Preference in People With Neck Pain: A Case Series

Post,

Schenk,

Fargnoli

2023

Cureus

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Despite the prevalence of neck pain, evidence is lacking regarding the relationship of pathophysiology to function in people with neck conditions. Although movement-based diagnoses based on directional preference (DP) are described for lumbar spinal conditions, how these diagnoses guide interventions is not supported in the Cervical Spine Clinical Practice Guidelines. To date, there are no case studies in the literature that demonstrate the efficacy of cervical spine management based on a rotation DP. This case series highlights patient response to repeated end-range neck movements to inform DP and how the cervical flexion rotation test (CFRT) was used as a clinical baseline to assess mechanical and symptomatic changes. Three consecutive patients were evaluated by a physical therapist fellow trained in orthopedic manual physical therapy and diplomaed in mechanical diagnosis and therapy. The patients' baseline pain ranged from 3 to 7/10 on the Numerical Pain Rating Scale (NPRS), and disability scores ranged from 20% to 52.6% on patient-reported outcome (PRO) measures. All three cases demonstrated a limited and painful CFRT. Examination procedures included repeated end-range movement testing in the sagittal and frontal and transverse planes. Across five to six visits in five to eight weeks, a decrease in the primary outcome measures from baseline to discharge were observed: NPRS, 50-85%; PRO, 60-82%. The CFRT may be a key baseline when screening patients with neck pain for DP. Following repeated end-range sagittal and frontal plane movements, the rapid change in the CFRT following targeted upper cervical rotation techniques confirmed a rotation DP.

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Content and psychometric evaluations of questionnaires for assessing physical function in people with arm–shoulder–hand disorders. A systematic review of the literature

Abstract: Florin (2021): Content and psychometric evaluations of questionnaires for assessing physical function in people with arm-shoulder-hand disorders. A systematic review of the literature, Disability and Rehabilitation,

Cited by 11 publications

References 68 publications

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Functional Recovery with Peripheral Nerve Block Versus General Anesthesia for Upper Limb Surgery: A Systematic Review

Utilization of the Cervical Flexion Rotation Test to Confirm Rotation Directional Preference in People With Neck Pain: A Case Series

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