Carlyle K, Day S
Department of Biomedical Engineering, Faculty of Engineering, University of Strathclyde, Glasgow, United Kingdom.
EPSRC Centre for Doctoral Training in Prosthetics and Orthotics, University of Salford, United Kingdom.
Can Prosthet Orthot J. 2022 Dec 25;5(2):39023. doi: 10.33137/cpoj.v5i2.39023. eCollection 2022.
The human hand is critical in assisting with activities of daily living (ADL). Amputation of the hand can affect a person physically, socially and psychologically. Knowledge of outcome measures used to assess upper limb activity of intact and amputee populations may aid in guiding research to develop applicable measurement tools specific to the amputee population. Tools could aid developments in prosthetic design and prescription, which benefit both users and healthcare researchers.
This literature review examined outcome measurement tools used with non-amputee and amputee populations to assess hand activity. The objectives were to identify which characteristics of hand activity are captured by currently available measurement tools.
Searches were conducted using PubMed, Cochrane and ProQuest for studies investigating hand activity for amputee and non-amputee populations. A total of 15 studies were included. PRISMA guidelines were used to assist with study selection. Data extraction and narrative synthesis were carried out.
A total of 32 outcome measures were found. Frequently used tools were: Box and Block Test, Swedish Disabilities of the Arm Shoulder and Hand Questionnaire, and range of motion. Studies employed a combination of 2 to 12 tools. Themes extracted were: importance of function and quality of life, the need for realistic tasks, and the need for outcome measures specific of the population.
There is a gap in research surrounding outcome measurement tools used to assess hand activity in the amputee population. A combination of outcome measures are required to obtain insight into the hand activities of intact and amputee populations. Function and quality of life are important aspects to consider when describing hand activity.
人手对于协助日常生活活动至关重要。手部截肢会在身体、社交和心理方面对人产生影响。了解用于评估健全人群和截肢人群上肢活动的结果测量指标，可能有助于指导研发适用于截肢人群的测量工具。这些工具可助力假肢设计和处方的发展，使使用者和医疗保健研究人员都受益。
本系统综述考察了用于非截肢人群和截肢人群以评估手部活动的结果测量工具。目的是确定现有测量工具能够捕捉手部活动的哪些特征。
使用PubMed、Cochrane和ProQuest进行检索，以查找研究截肢人群和非截肢人群手部活动的研究。共纳入15项研究。采用PRISMA指南协助进行研究选择。进行了数据提取和叙述性综合分析。
共发现32种结果测量指标。常用工具包括：箱块测试、瑞典手臂、肩部和手部残疾问卷以及活动范围。研究使用了2至12种工具的组合。提取的主题包括：功能和生活质量的重要性、对现实任务的需求以及对特定人群结果测量指标的需求。
在用于评估截肢人群手部活动的结果测量工具方面，研究存在空白。需要结合多种结果测量指标，以深入了解健全人群和截肢人群的手部活动。在描述手部活动时，功能和生活质量是需要考虑的重要方面。
