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

OBJECTIVE: To reach multidisciplinary European consensus on the assessment tools
for impairments and activity limitations in patients with hand conditions.
DESIGN: Electronic Delphi method. SUBJECTS: Thirty experts from European
societies for hand therapy, hand surgery, and physical and rehabilitation
medicine. METHODS: In 3 rounds, participants were asked which of 13 preselected
categories of the Brief International Classification of Functioning, Disability
and Health (ICF) Core Set for Hand Conditions should be assessed. In addition,
they were asked to choose which of 55 preselected instruments they preferred for
each category by confirming or rejecting instrument-specific statements. RESULTS:
All 13 preselected ICF categories were considered relevant. Consensus was based
on >/= 75% agreement. After 3 rounds, 9 instruments were selected: Shape Texture
Identification Test, Semmes Weinstein Monofilament Test, Visual Analogue Scale
for pain, goniometer, Jamar Dynamometer, Pinch Gauge Device, Cold Intolerance
Symptom Severity questionnaire, Canadian Occupational Performance Measure, and
Disabilities of the Arm, Shoulder and Hand Questionnaire. It remained undecided
whether to use the Nine-Hole Pegboard Test or the Purdue Pegboard Test.
CONCLUSION: In this European Delphi study, multidisciplinary consensus was
reached on 9 assessment tools for impairments and activity limitations in
patients with hand conditions addressing 13 categories of the Brief ICF Core Set
for Hand Conditions.

Langue : ANGLAIS

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