Bemgård Marianne, Archenholtz Birgitha
a Department of Occupational Therapy , Sahlgrenska University Hospital Mölndal , Mölndal , Sweden.
b Strategic Department of Quality Development , Sahlgrenska University Hospital , Göteborg , Sweden.
Scand J Occup Ther. 2018 Nov;25(6):466-474. doi: 10.1080/11038128.2017.1323950. Epub 2017 May 5.
Distal radius fracture (DRF) often causes reduced ability to perform activities of daily living (ADLs). There is a need for recurrent evaluation of the ability to perform ADL in the early stage of rehabilitation as a complement to traditional functional measures.
Develop a short and simple performance test for use in clinical practice through modification of the Sollerman Grip Function Test (GFT).
DRF patients and controls performed the GFT. The tasks that discriminated patients from controls were calculated for sensitivity to change and correlated to the QuickDASH questionnaire at three subsequent occasions. Interrater reliability was tested.
Twelve GFT tasks discriminated DRF patients from healthy controls. One task was excluded due to heavy load. Remaining 11 tasks were all sensitive to change. Four tasks with correlation to the QuickDASH and representing the grip types most frequently used in ADL came to constitute the Wrist Performance Test (WPT). A test-retest showed satisfactory interrater reliability (rs = 0.87).
A short performance test was developed through modification of the GFT. It is easy to use in clinical practice to evaluate the rehabilitation process after DRF.
桡骨远端骨折（DRF）常导致日常生活活动（ADL）能力下降。在康复早期，需要反复评估ADL能力，作为传统功能测量的补充。
通过修改索勒曼握力功能测试（GFT），开发一种简短且简单的用于临床实践的性能测试。
DRF患者和对照组进行GFT测试。计算区分患者与对照组的任务对变化的敏感性，并在随后三个时间点与QuickDASH问卷相关联。测试了评分者间信度。
12项GFT任务可区分DRF患者与健康对照组。由于负荷过重，排除一项任务。其余11项任务均对变化敏感。与QuickDASH相关且代表ADL中最常用握力类型的4项任务构成了腕部性能测试（WPT）。重测显示评分者间信度令人满意（rs = 0.87）。
通过修改GFT开发了一种简短的性能测试。它易于在临床实践中用于评估DRF后的康复过程。
