University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands.
University of Groningen, University Medical Center Groningen, Center for Rehabilitation Medicine, P.O. Box 30.002, 9750 RA Haren, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Groningen Spine Center, Groningen, The Netherlands.
Appl Ergon. 2014 May;45(3):686-92. doi: 10.1016/j.apergo.2013.09.006. Epub 2013 Oct 3.
The aim of this study was to develop a more efficient (i.e. shortened) protocol for hand function capacity evaluation and to test the agreement of the protocol compared to the original protocol. 643 Healthy subjects performed tests for hand function. Agreement between two shortened protocols was compared with an existing protocol. The original protocol was performed once and the proposed shortened protocol differed in the number of trials which were reduced by statistical elimination. Agreement was determined with Intraclass Correlation Coefficients (ICC) and Limits of Agreement (LoA). Excellent ICCs (≥0.91) were observed in all proposed protocols except for the one trial purdue pegboard test protocol. For all tests of hand function, shorter protocols are valid to determine hand function. For Tip Pinch Strength testing, Palmar Pinch Strength testing and the Purdue Pegboard test, a two-trial protocol is recommended, because the LoA were considerable, which could affect decision-making with regards to hand capacity. For the Hand Grip strength test, the Key Pinch Strength test and the Complete Minnesota Dexterity Test, a one-trial protocol is recommended, because the LoA were acceptable. It was concluded that for healthy subjects, this shorter protocol is a reliable measure. Further testing of the short form hand FCE protocols should be completed on patients with disabling conditions prior to widespread use of these protocols among clinical samples.
本研究旨在开发一种更有效的（即缩短的）手功能容量评估方案，并测试与原始方案相比该方案的一致性。643 名健康受试者进行了手部功能测试。比较了两种简化方案之间的一致性与现有方案。原始方案进行了一次，而提出的简化方案在通过统计消除减少的试验次数上有所不同。使用组内相关系数（ICC）和一致性界限（LoA）来确定一致性。除了一项试验普渡钉板测试方案外，所有提出的方案均观察到极好的 ICC（≥0.91）。对于所有手部功能测试，较短的方案都可以有效地确定手部功能。对于指尖捏力测试、掌部捏力测试和普渡钉板测试，建议使用两试方案，因为 LoA 相当大，这可能会对手部容量的决策产生影响。对于握力测试、关键指捏力测试和完整明尼苏达灵巧度测试，建议使用一试方案，因为 LoA 是可接受的。结论是，对于健康受试者，这种简化方案是一种可靠的测量方法。在这些方案在临床样本中广泛使用之前，应在有残疾状况的患者中进一步测试这些简化的手功能 FCE 方案。
