School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
Burns. 2013 Feb;39(1):16-23. doi: 10.1016/j.burns.2012.08.020. Epub 2012 Sep 15.
Hand function is one of the most important goals of burn rehabilitation and is a consensually important functional outcome. The purpose of this article is to review the available hand function measures commonly used for burn patients and to summarize their psychometric properties and clinical utilities to serve as guidelines for clinical practice and research. An online-database search of PubMed, MEDLINE, CINAHL and PsychInfo was performed. One hundred and seventeen articles were found and 23 of them met the inclusion and exclusion criteria. The eight identified measurement instruments were then classified into three categories: traditional component measures, performance measures and patient-reported outcome measures. Each type of hand function measure has its unique characteristics and limitations. Traditional component measures only reflect hand impairments, and may not represent hand function status. Performance measures have not been validated in the burn population and do not correlate well with patient-reported outcomes. Patient-reported outcome measures have not been rigorously validated in the burn population. A discussion of how clinicians choose these measures reflecting the purposes of their measurements and goals of intervention is provided. Moreover, future studies are suggested to develop burn-specific hand function measures.
手功能是烧伤康复的最重要目标之一，也是共识性的重要功能结局。本文旨在综述烧伤患者常用的手部功能评估方法，并总结其心理测量学特性和临床实用性，为临床实践和研究提供指导。我们对 PubMed、MEDLINE、CINAHL 和 PsychInfo 进行了在线数据库检索。共发现 117 篇文章，其中 23 篇符合纳入和排除标准。然后将这 8 种确定的测量工具分为三类：传统成分测量、表现测量和患者报告的结果测量。每种类型的手部功能测量都有其独特的特点和局限性。传统的成分测量仅反映手部损伤，可能无法代表手部功能状态。表现测量在烧伤人群中尚未得到验证，与患者报告的结果相关性不佳。患者报告的结果测量在烧伤人群中尚未得到严格验证。讨论了临床医生如何选择这些反映测量目的和干预目标的测量方法。此外，建议开展烧伤特异性手部功能测量方法的研究。
