Article

OBJECTIVE: (1) To identify outcome measures used in studies of persons with
traumatic upper limb injury and/or amputation; and (2) to evaluate focus,
content, and psychometric properties of each measure. DATA SOURCES: Searches of
PubMed and CINAHL for terms including upper extremity, function, activities of
daily living, outcome assessment, amputation, and traumatic injuries. STUDY
SELECTION: Included articles had a sample of >/=10 adults with limb trauma or
amputation and were in English. Measures containing most items assessing
impairment of body function or activity limitation were eligible. DATA
EXTRACTION: There were 260 articles containing 55 measures that were included.
Data on internal consistency; test-retest, interrater, and intrarater
reliability; content, structural, construct, concurrent, and predictive validity;
responsiveness; and floor/ceiling effects were extracted and confirmed by a
second investigator. DATA SYNTHESIS: The mostly highly rated performance measures
included 2 amputation-specific measures (Activities Measure for Upper Limb
Amputees and University of New Brunswick Test of Prosthetic Function skill and
spontaneity subscales) and 2 non-amputation-specific measures (Box and Block Test
and modified Jebsen-Taylor Hand Function Test light and heavy cans tests). Most
highly rated self-report measures were Disabilities of the Arm, Shoulder and
Hand; Patient Rated Wrist Evaluation; QuickDASH; Hand Assessment Tool;
International Osteoporosis Foundation Quality of Life Questionnaire; and Patient
Rated Wrist Evaluation functional recovery subscale. None were amputation
specific. CONCLUSIONS: Few performance measures were recommended for patients
with limb trauma and amputation. All top-rated self-report measures were suitable
for use in both groups. These results will inform choice of outcome measures for
these patients.
CI - Published by Elsevier Inc.

Langue : ANGLAIS