Faculty of Health Sciences, Physiotherapy Department, University of Malaga, Malaga, Spain.
IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
J Hand Ther. 2021 Jul-Sep;34(3):439-445. doi: 10.1016/j.jht.2020.03.011. Epub 2020 Sep 17.
This is a longitudinal, observational, multicenter, cohort study.
Thumb carpometacarpal (CMC) osteoarthritis (OA) is associated with more pain and restrictions than other hand OA. The use of patient-identified occupational performance goals to guide hand therapy treatment and to measure clinical outcomes is fundamental for a patient-centered intervention. The COPM enables subjects to identify goals for hand therapy and engage in a subject-specific therapeutic process.
The purpose of this study is to evaluate the convergent validity and responsiveness of the COPM to evaluate the relationship between the patient's self-perception and satisfaction of performance in everyday living and pain intensity, upper limb function, and manual ability.
Eligible participants to multiple hand therapy centers were recruited. Outcomes measures (VAS scale, QuickDASH, MAM-36, and the COPM questionnaire) were measured at the baseline and 3 months after.
One hundred forty-five (n = 145) consecutive patients for five different hand rehabilitation centers with symptomatic thumb CMC OA were screened for eligibility criteria. COPM-P and COPM-S were the most responsive instruments, with an area under the curve of 0.88 (95% CI 0.79-0.96) and 0.88 (95% CI 0.80-0.96), respectively.
Although more investigation in this area is necessary to conclude that the COPM is the best option to evaluate the effectiveness of hand therapy interventions for thumb OA. The COPM focuses on function and occupation and, in comparison with others upper limb scales, does not require the use of another complementary scale for addressing both satisfaction and ADL status. COPM is an instrument with a good convergent validity and responsiveness to evaluate the relationship between the patient's self-perception and satisfaction in thumb CMC OA.
这是一项纵向、观察性、多中心、队列研究。
拇指腕掌（CMC）骨关节炎（OA）比其他手部 OA 引起更多疼痛和限制。使用患者确定的职业表现目标来指导手部治疗治疗并衡量临床结果是患者为中心干预的基础。COPM 使受试者能够确定手部治疗目标，并参与特定于主题的治疗过程。
本研究的目的是评估 COPM 的收敛有效性和响应能力，以评估患者对日常生活中表现的自我感知和满意度与疼痛强度、上肢功能和手动能力之间的关系。
从多个手部治疗中心招募符合条件的参与者。在基线和 3 个月后测量结果测量（VAS 量表、快速 DASH、MAM-36 和 COPM 问卷）。
对五个不同手部康复中心的 145 名（n = 145）有症状的拇指 CMC OA 连续患者进行了筛选，以确定合格标准。COPM-P 和 COPM-S 是最敏感的工具，曲线下面积分别为 0.88（95%CI 0.79-0.96）和 0.88（95%CI 0.80-0.96）。
尽管需要在该领域进行更多研究才能得出结论，即 COPM 是评估拇指 OA 手部治疗干预效果的最佳选择。COPM 侧重于功能和职业，与其他上肢量表相比，不需要使用另一个补充量表来解决满意度和 ADL 状态。COPM 是一种具有良好收敛有效性和响应能力的工具，可评估患者对拇指 CMC OA 的自我感知和满意度之间的关系。
