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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Evaluation of Non Diseased Specified Outcome Measures in Hand Injuries to Assess Activity and Participation Based on ICF Content

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  • presenting/speaker Maryam Farzad - Uswr, Tehran, Iran
  • Erfan Shafiee - Uswr, Tehran, Iran
  • Fereydoun Layeghi - Uswr, Tehran, Iran

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1021

doi: 10.3205/19ifssh1460, urn:nbn:de:0183-19ifssh14601

Published: February 6, 2020

© 2020 Farzad et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Clinical issue/s: The upper extremity is integral to activities of daily living, self-care, work, leisure, and social activities. Any injury that affects this part of the body can impair its structure and function.

Clinical reasoning: The objective of the study is to provide information about non disease specified outcome measures which evaluate disability in patients who have impairments in hand and upper extremity and to find the extent to which they are evaluating "disability" based on ICF hand Core Set.

Innovative, analytical or new approach: MEDLINE, CINAHL, GOOGLE SCHOLAR, OVID and SCIENCE DIRECT databases were systematically searched for studies on non disease specified outcome measures used to evaluate upper extremity function. We reviewed titles and abstracts of the identified studies to determine whether the studies met predefined eligibility criteria. All the outcome measures which had eligibility included. After full text review, 7 non disease specified outcome measures in hand were identified. Studies were extracted, and the information retrieved from them. All the outcome measures which had incuded, were linked with ICF hand core set disability part(activity and participation). All of them only linked to 16 (42 %) components of ICF hand Core Set, which were most activity and less participation from ICF. None of the non disease specified out come measures in hand injuries cover all domains of disability from the ICF Hand Core Set.

Contribution to advancing HT practice: ICF contains some of components from activity and participation category, which not considered in measures, like; Changing basic body position (d410), Catching (d4455) Preparing meals (d630) Moving around using equipment (d465). Reviewing the content of the ICF components that are not considered in measures, indicated that most of them which focused on the concepts assisting others; d660, doing house work; d640) could be defined as participation. Also, based on ICF texonomy involvement in life situation is considered as participation.