COSMIN database

Clinimetric Evaluation of Measurement Tools Used in Hand Therapy to Assess Activity and Participation

Schoneveld, K., Wittink, H., and Takken, T.
STUDY DESIGN: Systematic review.

INTRODUCTION: A number of measurement tools with strong clinimetric properties address activities and participation in hand-injured persons.

PURPOSE OF THE STUDY: To evaluate clinimetric quality of measurement tools assessing activities and participation in patients with hand injuries.

METHODS: The electronic databases Medline, Cochrane library, EMBASE, PEDro, Cumulative Index to Nursing and Allied Health Literature (ClNAHL), and Allied and Complementary Medicine Database (AMED) were searched for appropriate literature. Descriptive data of included tools were given, and their clinimetric quality was scored with specific criteria.

RESULTS: The literature search identified 696 publications, referring to 15 measurement tools that met the inclusion criteria. For most of the included tests, applicability was good, whereas information on clinimetric properties was often lacking, especially for the performance tests. Overall, the Disabilities of the Arm, Shoulder, and Hand (DASH) was the most extensively studied tool with positive ratings for all criteria, closely followed by the Michigan Hand Outcomes Questionnaire (MHQ). Of the performance tests, the Functional Dexterity Test (FDT) received the best ratings.

CONCLUSIONS: Optimal measurement tool selection depends highly on the purpose of measurement and the type of hand injury.
<Go to ISI>://WOS:000268983200004
Journal of Hand Therapy
Publication year:
Functional status:
Physical functioning
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Injury, poisoning and certain other consequences of external causes
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
4 - Performance-based tests
6 - Clinical rating scales
BBT - Box and Block Test
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
FDT - Functional Dexterity Test
Grooved Pegboard Test
HFS - Hand Function Sort
JTHFT - Jebsen Taylor Hand Function Test [alias: JTT]   
MHQ - Michigan Hand outcomes Questionnaire   
MPUT - Moberg Pick-Up Test
NHPT - Nine-Hole Peg Test   
NKHDT - NK Hand Dexterity Test
PEM - Patient Evaluation Measure
PPBT - Purdue Pegboard Test
PRWE - Patient-Rated Wrist Evaluation [alias: PRWHE - Patient Rated Wrist/Hand Evaluation]   
SHAP - Southampton Hand Assessment Procedure
SHT - Sollerman Hand Function Test