Schoneveld Karin, Wittink Harriet, Takken Tim
Utrecht University, The Netherlands; Rehabilitation Department, Medical Centre Alkmaar, The Netherlands.
J Hand Ther. 2009 Jul-Sep;22(3):221-35; quiz 236. doi: 10.1016/j.jht.2008.11.005. Epub 2009 Mar 10.
Systematic review.
A number of measurement tools with strong clinimetric properties address activities and participation in hand-injured persons.
To evaluate clinimetric quality of measurement tools assessing activities and participation in patients with hand injuries.
The electronic databases Medline, Cochrane library, EMBASE, PEDro, Cumulative Index to Nursing and Allied Health Literature (ClNAHL), and Allied and Complementary Medicine Database (AMED) were searched for appropriate literature. Descriptive data of included tools were given, and their clinimetric quality was scored with specific criteria.
The literature search identified 696 publications, referring to 15 measurement tools that met the inclusion criteria. For most of the included tests, applicability was good, whereas information on clinimetric properties was often lacking, especially for the performance tests. Overall, the Disabilities of the Arm, Shoulder, and Hand (DASH) was the most extensively studied tool with positive ratings for all criteria, closely followed by the Michigan Hand Outcomes Questionnaire (MHQ). Of the performance tests, the Functional Dexterity Test (FDT) received the best ratings.
Optimal measurement tool selection depends highly on the purpose of measurement and the type of hand injury.
2a-.
系统评价。
一些具有强大测量学特性的测量工具可用于评估手部受伤者的活动与参与情况。
评估用于评估手部受伤患者活动与参与情况的测量工具的测量学质量。
检索电子数据库Medline、Cochrane图书馆、EMBASE、PEDro、护理及相关健康文献累积索引（ClNAHL）以及补充与替代医学数据库（AMED）以查找相关文献。给出纳入工具的描述性数据，并依据特定标准对其测量学质量进行评分。
文献检索共识别出696篇出版物，涉及15种符合纳入标准的测量工具。对于大多数纳入测试，适用性良好，但测量学特性方面的信息常常缺失，尤其是性能测试方面。总体而言，上肢、肩部和手部功能障碍量表（DASH）是研究最为广泛的工具，所有标准评分均为阳性，紧随其后的是密歇根手部结果问卷（MHQ）。在性能测试中，功能灵活性测试（FDT）评分最佳。
最佳测量工具的选择高度依赖于测量目的和手部损伤类型。
2a- 。
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