Barbier Olivier, Penta Massimo, Thonnard Jean-Louis
Department of Orthopaedic Surgery, University of Louvain and St-Luc Hospital, Avenue Hippocrate, 10, 1200 Brussels, Belgium.
Hand Clin. 2003 Aug;19(3):371-8, vii. doi: 10.1016/s0749-0712(02)00150-6.
This article is a brief review of the outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health. Several tools currently exist to quantify outcome in hand surgery at the impairment level (eg, mobility, hand strength, cutaneous sensation, dexterity). According to the World Health Organization's paradigm, however, activity limitations and participation restrictions are also clinically relevant. The authors have recently built a measure of an upper limb-impaired individual's ability to manage manual activities in daily life. Participation and quality of life are difficult outcomes to measure because they are multidimensional and depend on such factors as functional abilities, general physical health, financial security, and stability of the social and familial environment.
本文是一篇根据《国际功能、残疾和健康分类》对手和腕部结局评估的简要综述。目前有几种工具可用于量化手部手术在损伤水平（如活动度、握力、皮肤感觉、灵巧性）的结局。然而，根据世界卫生组织的模式，活动受限和参与限制在临床上也具有相关性。作者最近构建了一种测量上肢受损个体在日常生活中进行手动活动能力的方法。参与和生活质量是难以测量的结局，因为它们是多维度的，并且取决于功能能力、总体身体健康、经济保障以及社会和家庭环境的稳定性等因素。
