Performance-based outcome measures of dexterity and hand function in person with hands and wrist injuries: A scoping review of measured constructs.

• Majority of the outcome measures used speed as a criterion for performance. • Newer outcome measures increasingly focus on representing daily activities and qualitative aspect of performance. • No outcome measure included in this review covered all the theoretical aspects and scope of dexterity an...

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Publicado en:Journal of Hand Therapy Vol. 35; no. 2; pp. 200 - 215
Autores principales: Yong, Joshua, MacDermid, Joy C, Packham, Tara, Bobos, Pavlos, Richardson, Julie, Moll, Sandra
Formato: research systematic review tables/charts Journal Article
Publicado: Elsevier B.V. Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 08941130
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      dt: Apr2022
      vid: 35
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      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        157691426
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        10.1016/j.jht.2021.04.017
        157691426
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        atl: Performance-based outcome measures of dexterity and hand function in person with hands and wrist injuries: A scoping review of measured constructs.
      aug:
        au:
          Yong, Joshua
          MacDermid, Joy C
          Packham, Tara
          Bobos, Pavlos
          Richardson, Julie
          Moll, Sandra
        affil: Sengkang General Hospital, Singapore
      sug:
        subj:
          Psychomotor Performance
          Outcome Assessment
          Functional Status
          Agility
          Hand Physiology
          Hand Injuries
          Wrist Injuries
          Human
          Scoping Review
          Qualitative Studies
          Medline
          Embase
          CINAHL Database
          Psycinfo
          Psychometrics
          Content Analysis
          Activities of Daily Living
          Leisure Activities
      ab: • Majority of the outcome measures used speed as a criterion for performance. • Newer outcome measures increasingly focus on representing daily activities and qualitative aspect of performance. • No outcome measure included in this review covered all the theoretical aspects and scope of dexterity and hand function. • As the terms: hand function and dexterity are not clearly defined, clinicians and researchers need to ensure that the outcome measure they select reflects the attribute they want to measure. Dexterity impairments are common and disabling. Currently, there is no consensus on an operational definition to measure dexterity. This review aims to provide an overview of constructs measured by performance-based outcome measures of dexterity and hand function (PBOMD) validated for use in persons with musculoskeletal hand and wrist conditions. Scoping review, with qualitative content analysis. MEDLINE, Embase, CINAHL, PsycINFO were searched from inception until November 2019. Three reviewers identified studies investigating the psychometric properties of PBOMD in persons with hand and wrist conditions. Original articles and manuals of validated PBOMD were obtained. Reviewers independently extracted and performed a content analysis of constructs comparing the theoretical concepts of dexterity and function. Twenty PBOMD were identified. PBOMD featured 1-57 tasks and 1-8 potential grasps patterns per tool. Description of the constructs measured indicated overlap between dexterity and hand function. In newer tools, there was a greater representation of daily activities to include domains like self-care and domestic life; and measurement of qualitative aspects of performance. Concurrently, there was less focus on mobility. The majority of identified tools (70%) used speed as the criterion evaluation of performance. None of the PBOMD evaluated dexterity associated with leisure activities or modern technologies like smartphones, nor measured the ability to adapt to changing demands when completing tasks. Hand function and dexterity are imprecisely defined and operationalized in PBOMD. Dexterity is a complex construct that current PBOMD incompletely captures. PBOMD often quantified as the speed of movement, ignoring other important aspects like accommodating environmental changes during task performance. Clinicians should consider tasks included in PBOMD, the quantification method, and each PBOMD's limitations when choosing PBOMD.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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