Article

In patient-centered practice, instruments need to assess outcomes
that are meaningful to patients with hand conditions. It is unclear which
assessment tools address these subjective perspectives best.
The aim of this study was to establish the construct validity of the Canadian
Occupational Performance Measure (COPM) in relation to the Disabilities of Arm,
Shoulder, and Hand (DASH) questionnaire and the Michigan Hand Outcomes
Questionnaire (MHQ) in people with hand conditions. It was hypothesized that COPM
scores would correlate with DASH and MHQ total scores only to a moderate degree
and that the COPM, DASH questionnaire, and MHQ would all correlate weakly with
measures of hand impairments. DESIGN: This was a validation study. METHODS: The
COPM, DASH questionnaire, and MHQ were scored, and then hand impairments were
measured (pain [numerical rating scale], active range of motion [goniometer],
grip strength [dynamometer], and pinch grip strength [pinch meter]). People who
had received postsurgery rehabilitation for flexor tendon injuries, extensor
tendon injuries, or Dupuytren disease were eligible. RESULTS: Seventy-two
participants were included. For all diagnosis groups, the Pearson coefficient of
correlation between the DASH questionnaire and the MHQ was higher than .60,
whereas the correlation between the performance scale of the COPM and either the DASH questionnaire or the MHQ was lower than .51. Correlations of these
assessment tools with measures of hand impairments were lower than .46.
LIMITATIONS: The small sample sizes may limit the generalization of the results.
CONCLUSIONS: The results supported the hypotheses and, thus, the construct
validity of the COPM after surgery in people with hand conditions.
CI - (c) 2015 American Physical Therapy Association.
Canada

Langue : ANGLAIS