Journal of hand therapy : official journal of the American Society of Hand Therapists
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Observational two-stage. ⋯ 2c.
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Comparative Study
Assessing validity of the QuickDASH and SF-12 as surveillance tools among workers with neck or upper extremity musculoskeletal disorders.
The purpose of this article was to assess validity of the regional Disabilities of Arm, Shoulder, and Hand (QuickDASH) and Short-Form 12 (SF-12) for surveillance purpose. We compared the predictive, discriminate, and concurrent validity of the QuickDASH and SF-12 among 231 workers with specific clinical diagnoses of neck or upper extremity musculoskeletal disorders (UEMSDs) and 175 workers with symptoms only. ⋯ The QuickDASH disability scores were moderately correlated with the PCS-12 scores (rho=-0.40) among the clinical cases. Either QuickDASH or PCS-12 can be used as a simple surveillance tool in an active working population.
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The purpose of this study was to evaluate the efficacy of custom thermoplastic splinting designed to limit metacarpalphalangeal (MCP) joint flexion for trigger finger as a first treatment option. This study was a single group, prepost design with 28 participants fit with a low-profile custom thermoplastic MCP blocking (ring) splint. The pre- and post outcome measures included: stages of stenosing tenosynovitis (SST), grip strength, Numeric Pain Rating Scale (NPRS), the number of triggering events in ten active fists, and participant perceived improvement in symptoms. ⋯ After the use of a splint, there were statistically significant improvements in the SST, NPRS, the number of triggering events in ten active fists, and in the participant perceived improvement in symptoms. Grip strength did not significantly change. This study demonstrated a benefit from the use of a custom thermoplastic splint for an isolated incidence of trigger finger based on chosen outcome measures.
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The aim was to test the reliability and validity of the German version of the Patient-rated Wrist Evaluation (PRWE) for patients with acute distal radius fractures. To estimate the reliability and construct validity, 44 patients completed a questionnaire booklet containing the German PRWE, the Short Form-36 (SF-36), and the Disability of the Arm, Shoulder, and Hand (DASH) four to six weeks after the fracture, and the PRWE again seven days later. For reliability, the intraclass correlation coefficient (ICC) was 0.94 for the PRWE total score. ⋯ The PRWE total score showed a moderate correlation with the DASH (0.62) and the SF-36 subscale bodily pain (0.58). Low correlations were found with other scales of the SF-36. Based on our results the German PRWE is a practical, reliable, and valid instrument and can be recommended to measure patient-rated pain and disability in German-speaking patients with acute distal radius fracture.