WITHDRAWN: WHICH QUESTIONNAIRE IS BEST? THE RELIABILITY, VALIDITY AND EASE OF USE OF THE PATIENT EVALUATION MEASURE, THE DISABILITIES OF THE ARM, SHOULDER AND HAND AND THE MICHIGAN HAND OUTCOME MEASURE

2007 ◽  
Author(s):  
J DIAS ◽  
R RAJAN ◽  
J THOMPSON
Keyword(s):  
Outcome Measure ◽  
Ease Of Use ◽  
Patient Evaluation ◽  
Evaluation Measure

WHICH QUESTIONNAIRE IS BEST? THE RELIABILITY, VALIDITY AND EASE OF USE OF THE PATIENT EVALUATION MEASURE, THE DISABILITIES OF THE ARM, SHOULDER AND HAND AND THE MICHIGAN HAND OUTCOME MEASURE

2008 ◽  
Vol 33 (1) ◽  
pp. 9-17 ◽  
Author(s):  
J. J. DIAS ◽  
R. A. RAJAN ◽  
J. R. THOMPSON
Keyword(s):  
Outcome Measure ◽  
Random Order ◽  
Time Correlation ◽  
Ease Of Use ◽  
Dash Score ◽  
Outcome Questionnaire ◽  
Patient Evaluation ◽  
Pain Sensation ◽  
Evaluation Measure ◽  
Very High

The Patient Evaluation Measure (PEM), The Michigan Hand Outcome Questionnaire (MHQ) and the Disabilities of the Arm, Shoulder and Hand (DASH) score were assessed independent of their originators for reliability, construct and criterion validity and acceptability, using an ease of use questionnaire. These were administered in random order to 100 patients with different hand and wrist disorders and with different impairments of movement, pain, sensation and strength. The internal consistency of all three questionnaires was very high suggesting redundancy in the questions. All questionnaires were reproducible and valid for finger and wrist disorders, but less for nerve disorders. All had poor construct validity. The PEM was the easiest to understand and complete, taking the least time. Correlation between the scales is high and conversion equations were calculated. All three are reliable and reproducible patient completed questionnaires, but the PEM is the easiest to use. The validity of all is suspected for nerve disorders.

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

2005 ◽  
Vol 30 (4) ◽  
pp. 350-354 ◽  
Author(s):  
J. L. HOBBY ◽  
C. WATTS ◽  
D. ELLIOT
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Outcome Measure ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Objective Measures ◽  
Dash Score ◽  
Patient Evaluation ◽  
Tunnel Syndrome ◽  
Evaluation Measure

The aim of this study was to assess the validity of the Patient Evaluation Measure questionnaire (PEM) as an outcome measure in carpal tunnel syndrome. The PEM was compared to the DASH questionnaire and to objective measurements of hand function. We also compared its responsiveness to changes following carpal tunnel release with that of the DASH score. Twenty-four patients completed the PEM and DASH questionnaires before and 3 months after open carpal tunnel release. Grip strength, static two-point discrimination and the nine-hole peg test were measured. There was a significant correlation between individual items of the PEM and the objective measures. There was also strong correlation between PEM and DASH scores. The PEM showed a greater responsiveness to change (effect size 0.97) than the DASH score (effect size 0.49). The PEM correlates well with objective measures of hand function and the DASH score when used in carpal tunnel syndrome. It is more responsive to change than the DASH score. It is very simple to complete and score and is an appropriate and practical outcome measure in carpal tunnel syndrome.

scholarly journals A clinical experience with a hierarchically controlled myoelectric hand prosthesis with vibro-tactile feedback

1993 ◽  
Vol 17 (1) ◽  
pp. 56-64 ◽  
Author(s):  
P. J. Kyberd ◽  
N. Mustapha ◽  
F. Carnegie ◽  
P. H. Chappell
Keyword(s):  
Sensory Feedback ◽  
Grip Force ◽  
Outcome Measure ◽  
Control Method ◽  
Hierarchical Control ◽  
Tactile Feedback ◽  
Ease Of Use ◽  
Direct Control ◽  
Improved Performance ◽  
Electronic Controller

Improved performance of externally powered myoelectric hands is possible when the direct control of the digit flexion and grip force are given over to an electronic controller which frees the operator to concentrate on other demands. Design: A commercial myoelectric hand was modified to take the new touch and slip sensors and novel control method. Subject: An adult male with a traumatic mid-forearm amputation. Outcome measure: The range and ease of use of the prosthetics system. Result: The hand was easily and usefully operated in the home and work environment. Conclusion: Hierarchical control of a hand is possible using sensory feedback to a sophisticated electronic controller. Such a control method reduces the demands on the user's concentration and enhances the hand's range.

Trapeziectomy for Trapeziometacarpal Joint Osteoarthritis: Is Ligament Reconstruction and Temporary Stabilisation of the Pseudarthrosis with a Kirschner Wire Important?

2009 ◽  
Vol 34 (3) ◽  
pp. 312-321 ◽  
Author(s):  
T. R. C. DAVIS ◽  
A. PACE
Keyword(s):  
Ligament Reconstruction ◽  
Kirschner Wire ◽  
The Other ◽  
Patient Evaluation ◽  
Trapeziometacarpal Joint ◽  
Outcome Scores ◽  
Trapeziometacarpal Joint Osteoarthritis ◽  
Evaluation Measure ◽  
Improved Function ◽  
Tendon Interposition

This randomised prospective study compared two operations for trapeziometacarpal joint osteoarthritis: trapeziectomy with Flexor carpi radialis ligament reconstruction, tendon interposition and Kirschner wire insertion followed by splintage for 6 weeks (T+LRTI) and excision of the trapezium with no Kirschner wire and immobilisation of the thumb in a soft bandage for only 3 weeks (T). Sixty-seven thumbs with trapeziectomy (T) and 61 with trapeziectomy and ligament reconstruction and tendon interposition (T+LRTI) were assessed preoperatively and at 3-months and 1-year after surgery. Forty-seven percent and 73% of patients reported no pain or only aching after use at 3-months and 1-year respectively and the DASH and Patient Evaluation Measure (PEM) outcome scores reduced postoperatively indicating improved function. However the pain, DASH and PEM scores, and also key and tip thumb pinch and all the other clinical outcome measures, did not differ significantly between the two groups at either 3-months or 1-year after surgery.

The Clinical Outcome of Scaphoid Fracture Malunion at 1 Year

2009 ◽  
Vol 34 (1) ◽  
pp. 40-46 ◽  
Author(s):  
D. P. FORWARD ◽  
H. P. SINGH ◽  
S. DAWSON ◽  
T. R. C. DAVIS
Keyword(s):  
Clinical Outcome ◽  
Correlation Analysis ◽  
Grip Strength ◽  
Clinical Assessment ◽  
Scaphoid Fracture ◽  
Ct Scans ◽  
Patient Evaluation ◽  
Scaphoid Fractures ◽  
Significant Relationships ◽  
Evaluation Measure

The aim of this study was to assess the effect of malunion of scaphoid fractures on the clinical outcome at 1 year. Forty-two consecutive patients with united scaphoid waist fractures which had been treated non-operatively underwent longitudinal CT scans to confirm union and assess malunion at 12 to 18 weeks after injury. A blind clinical assessment was made and the Patient Evaluation Measure (PEM) and DASH questionnaires were completed by all the patients 1 year after injury. The group consisted of 38 men and four women with a mean age of 31 years at the time of injury. Correlation analysis revealed no significant relationships between any of the outcome measures (range of motion, grip strength and PEM and DASH scores) and any of the three measures of malunion (height-to-length ratio, the dorsal cortical angle and the lateral intra-scaphoid angle).

Outcomes of Hand Surgery

1995 ◽  
Vol 20 (6) ◽  
pp. 841-855 ◽  
Author(s):  
A. C. MACEY ◽  
F. D. BURKE ◽  
K. Abbott ◽  
N. J. Barton ◽  
E. Bradbury ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Audit Committee ◽  
Hand Surgery ◽  
British Society ◽  
Patient Evaluation ◽  
Evaluation Measure

The findings are presented of a conference on Outcomes of Hand Surgery organized by the audit committee of British Society for Surgery of the Hand in 1993. Measures of outcome in terms of movement, power, sensibility, pain, activities of daily living, complications and patient satisfaction are considered, and an example of a patient evaluation measure given as an appendix.

scholarly journals Basal thumb osteoarthritis surgery improves health state utility irrespective of technique: a study of UK Hand Registry data

2020 ◽  
Vol 45 (5) ◽  
pp. 436-442 ◽  
Author(s):  
Jennifer C. E. Lane ◽  
Jeremy N. Rodrigues ◽  
Dominic Furniss ◽  
Edward Burn ◽  
Robert Poulter ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Registry Data ◽  
Health State Utility ◽  
Health State ◽  
Patient Evaluation ◽  
Level Of Evidence ◽  
Related Quality ◽  
Health Related ◽  
Evaluation Measure ◽  
Eq5d Index

We used UK Hand Registry data to study two aspects of basal thumb osteoarthritis surgery: first, whether health-related quality of life improves after surgery. Second, whether results from trials comparing simple trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition are reproducible in routine clinical practice. Prospectively collected EQ5D index and Patient Evaluation Measure part 2 data were compared at baseline and at 3, 6, and 12 months postoperatively in 1456 patients (median age 67 years; 78% female). A mixed-effects regression model was also used to determine the postoperative trajectory of these variables. There was a significant improvement in the EQ5D index (median + 0.15; (interquartile range 0 to 0.40)) and Patient Evaluation Measure (–22; (–33 to –10)) by 1 year postoperatively and with no meaningful difference between the two techniques. This study demonstrates health state utility gains after basal thumb osteoarthritis surgery regardless of surgical techniques used. Level of evidence: III

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