Performance of the Michigan Hand Outcomes Questionnaire in hand osteoarthritis

Kroon, Féline P B; Boersma, Anton R; Boonen, Annelies; Beest, S. van; Damman, W.; Heijde, Desirée van der; Rosendaal, Frits R.; Kloppenburg, Margreet

doi:10.1016/j.joca.2018.07.018

Cited by 19 publications

(15 citation statements)

References 28 publications

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“…The first found a between‐group difference of −7.5 (95% CI −12.7 to −2.4) for the MHQ overall function scale and of −6.3 (95% CI −12.2 to −0.3) for the MHQ ADL scale (corrected for age, sex, and body mass index) (104). The other study found no difference in MHQ overall function and a small difference in MHQ ADL nonerosive vs. erosive patients (median 81.3 [interquartile range {IQR} 69.8‐90.2] vs. median 76.8 [IQR 64.5‐87.9]; P = 0.04) (103). The latter study further demonstrated that MHQ overall function and ADL scales both differed statistically significantly between patients who indicated their complaints to be acceptable vs. those who indicated theirs to be unacceptable, which is in line with other function instruments.…”

Section: Michigan Hand Outcomes Quistionnairementioning

confidence: 97%

“…In patients with hand OA, correlations of the MHQ overall hand function and ADL scales were 0.65 and 0.81 with the AUSCAN function (103), 0.63 and 0.81 with the FIHOA (103) and 0.44 and 0.76 with the DASH (101). Correlations with grip strength were weaker (0.39 and 0.42) (103). One study in patients with RA reported correlations with a performance‐based hand function test, the JTHFT, of 0.62 and 0.74 (95).…”

Section: Michigan Hand Outcomes Quistionnairementioning

confidence: 99%

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Measures of Hand Function

Stadt¹,

Kroon²,

Kloppenburg³

2020

Arthritis Care & Research

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Section: Michigan Hand Outcomes Quistionnairementioning

confidence: 97%

Section: Michigan Hand Outcomes Quistionnairementioning

confidence: 99%

Measures of Hand Function

Stadt¹,

Kroon²,

Kloppenburg³

2020

Arthritis Care & Research

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“…The MHQ is a well-established and commonly used tool for patients with RA and consists of six subscales that evaluate overall hand function, daily life activities, work performance, self-reported pain, esthetics, and satisfaction [29]. The final score ranges from 0 to 100, with higher scores indicating better performance, except for the pain domain, where higher scores represent more pain [30]. The MHQ has proven to be valid, reliable, and sensitive for people with hand RA, with good test-retest reliability (r = 0.66) and acceptable to excellent internal consistency (α = 0.66-0.90) [31].…”

Section: Outcomes {12} Primary Outcomesmentioning

confidence: 99%

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol

Sánchez-Laulhé

Romero

Blanquero

et al. 2020

Trials

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Background Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA)-related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA. Methods The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programs, self-management, and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up. Discussion This study will evaluate the effectiveness of a tele-rehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient’s status and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care. Trial registration ClinicalTrials.gov NCT04263974. Registered on 7 March 2020. Date of last update 15 April 2020. Ethics committee code: PI_RH_2018.

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“…The MHQ is a well-established and commonly used tool for patients with RA, and consists of six subscales that evaluate overall hand function, daily life activities, work performance, self-reported pain, aesthetics, and satisfaction (29). The nal score ranges from 0 to 100, with higher scores indicating better performance, except for the pain domain, where higher scores represent more pain (30). The MHQ has proven to be valid, reliable and sensitive for people with hand RA, with good test-retest reliability (r = 0.66) and acceptable to excellent internal consistency (α = 0.66 -0.90) (31).…”

Section: Primary Outcomesmentioning

confidence: 99%

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

Sánchez-Laulhé¹,

Romero

Blanquero

et al. 2020

Preprint

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• Background: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA) related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA.• Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programmes, self-management and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up.• Discussion: This study will evaluate the effectiveness of a telerehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient´s status, and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care.• Trial registration: ClinicalTrials.gov Identifier: NCT04263974. Registered 7 March 2020. Date of last update 15 April 2020. Ethics committee code: PI_RH_2018.

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Performance of the Michigan Hand Outcomes Questionnaire in hand osteoarthritis

Abstract: MHQ has several unique aspects and advantages justifying its use in hand OA, including the unique assessment of work performance, aesthetics, and satisfaction. However, MHQ, AUSCAN and FIHOA appear to measure different aspects of pain and function.

Cited by 19 publications

References 28 publications

Measures of Hand Function

Measures of Hand Function

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

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