COSMIN database

Clinimetric properties of instruments to assess activities in patients with hand injury: a systematic review of the literature

van de Ven-Stevens, L. A., Munneke, M., Terwee, C. B., Spauwen, P. H., and van der Linde, H.
OBJECTIVE: To perform a systematic review of the literature to assess the clinimetric properties of instruments measuring limitations of activity.

DATA SOURCES: The Medline, Cochrane Library, Picarta, Occupational Therapy-seeker, and CINAHL databases were searched for English or Dutch language articles published between 2001 and 2006.

STUDY SELECTION: Two reviewers independently reviewed the identified publications for eligibility (based on the title and abstract), methodologic criteria, and clinimetric properties. To evaluate the available information of the clinimetric properties, the quality criteria for instrument properties were used.

DATA EXTRACTION: All the clinimetric properties of the 23 instruments were described based on the publications that were included.

DATA SYNTHESIS: In total, 103 publications were retrieved, 79 of which were eligible for inclusion. Of these, 54 met the methodologic quality criteria. Twenty-three instruments were reviewed, divided into (1) pegboard tests measuring fine hand use only; (2) instruments measuring fine hand use only, by picking up, manipulating, and placing different objects; (3) instruments measuring single tasks (and fine hand use) by scoring task performance; and (4) questionnaires. The reliability, validity, and responsiveness of only 5 instruments were adequately described in the literature; the description of the clinimetric properties of the other instruments was inadequate.

CONCLUSIONS: None of the instruments had a positive rating for all the clinimetric properties.
Arch Phys Med Rehabil
1532-821X (Electronic)
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
2 - Interviews
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
AHFT - Arthritis Hand Function Test
BBT - Box and Block Test
COPM - Canadian Occupational Performance Measure   
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
FDT - Functional Dexterity Test
Grooved Pegboard Test
JTHFT - Jebsen Taylor Hand Function Test (versions: MJTHFT) [alias: JTT]   
MHQ - Michigan Hand outcomes Questionnaire (versions: BriefMHQ)   
MMDT - Minnesota Manual Dexterity Test [alias: CMDT - Complete Minnesota Dexterity Test][alias: MDT]   
MPUT - Moberg Pick-Up Test
NHPT - Nine-Hole Peg Test   
O'Neill Hand Function Assessment
PPBT - Purdue Pegboard Test
Radboud Skills Test
RTFD - Rosenbusch Test of Finger Dexterity
SHAP - Southampton Hand Assessment Procedure
SHFSS - Subjective Hand Function Scoring System
SHT - Sollerman Hand Function Test (alias SHFT)
Smith hand function evaluation
SODA - Sequential Occupational Dexterity Assessment   
UEFT - Upper Extremity Function Test
UEPTE - Upper Extremity Performance Test for the Elderly [alias: TEMPA - Test d’Evaluation des Membres Supérieurs de Personnes Agées]