Prospective multicentre validation study of a new standardised version of the 400-point hand assessment
Abstract Background Hand rehabilitation needs valid evaluation tools; the 400-point Hand Assessment (HA) is an exhaustive but not standardised tool. The aim of this study was to validate a standardised version of this test. Methods A modified version and a standardised prototype was made for this pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03303-4 |
| _version_ | 1828812623213232128 |
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| author | Michel Konzelmann Cyrille Burrus Colette Gable François Luthi Jean Paysant |
| author_facet | Michel Konzelmann Cyrille Burrus Colette Gable François Luthi Jean Paysant |
| author_sort | Michel Konzelmann |
| collection | DOAJ |
| description | Abstract Background Hand rehabilitation needs valid evaluation tools; the 400-point Hand Assessment (HA) is an exhaustive but not standardised tool. The aim of this study was to validate a standardised version of this test. Methods A modified version and a standardised prototype was made for this prospective validation study (four centres, three countries). Psychometric properties studied: reliability (intra-rater and inter-rater, standard error of measurement [SEM], minimum detectable change [MDC],internal consistency); content validity, construct validity with Jebsen Taylor hand function test, QuickDASH, MOS-SF 36 and pain; responsiveness, using an anchor-based approach (ROC curve with area under curve, mean response change) with calculation of MCID. For SEM, MDC and responsiveness, QuickDASH was used for comparison. Results One hundred and seventy-six patients with hand/wrist injuries were included between May 2013 and February 2015. One hundred and seventy were available for final analysis: 67% men; mean age 43.4 ± 13.2 years; both manual and office workers (46, 5% of each); 37% had a hand or wrist fracture. Reliability: ICC intra-rater = 0.967 [0.938–0.982]; inter-rater = 0.868 [0.754–0.932]. Distribution-based approach: for 400-point HA/QuickDASH: SEM = 3.48/4.52, MDC = 9.065/12.53, internal consistency of 400-point HA: Cronbach α = 0.886. Validity: Content validity was good according to COSMIN guidelines. Construct validity: correlation coefficient: Jebsen-Taylor hand function test = − 0.573 [− 0.666–0.464], QuickDASH = − 0.432 at T0 [− 0.545–0.303], − 0.551 at T3 [− 0.648–0.436]; MOS-SF 36 physical component = 0.395 [0.263–0.513]; no correlation with MOS-SF 36 mental component = 0.142 [− 0.009 + 0.286] and pain = − 0.166 [− 0.306 + 0.018]. Responsiveness: Anchor-based approach: AUC Δ400-point HA = 0.666 [0.583–0.749], AUC ΔQuickDASH = 0.556 [0.466–0.646]. MCID (optimal ROC curve cut-off): 6.07 for 400-point HA, − 2.27 for QuickDASH. MCID with mean response change + 12.034 ± 9.067 for 400-point HA and − 8.03 ± –9.7 for QuickDASH. The patient’s global impression of change was only correlated with the Δ400-point HA. Conclusions The 400-point HA standardised version has good psychometric properties. For responsiveness, we propose an MCID of at least 12.3/100. However, these results must be confirmed in other populations and pathologies. Trial registration This study was retrospectively registered into ISCTRN registry (Number ISRCTN25874481 ) the 07/02/2019. |
| first_indexed | 2024-12-12T09:47:03Z |
| format | Article |
| id | doaj.art-bdd83be75844457eadc177cd36429d0d |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T09:47:03Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-bdd83be75844457eadc177cd36429d0d2022-12-22T00:28:22ZengBMCBMC Musculoskeletal Disorders1471-24742020-05-0121111810.1186/s12891-020-03303-4Prospective multicentre validation study of a new standardised version of the 400-point hand assessmentMichel Konzelmann0Cyrille Burrus1Colette Gable2François Luthi3Jean Paysant4Department for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsecDepartment for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsecRegional institute of physical medecine and rehabilitationDepartment for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsecRegional institute of physical medecine and rehabilitationAbstract Background Hand rehabilitation needs valid evaluation tools; the 400-point Hand Assessment (HA) is an exhaustive but not standardised tool. The aim of this study was to validate a standardised version of this test. Methods A modified version and a standardised prototype was made for this prospective validation study (four centres, three countries). Psychometric properties studied: reliability (intra-rater and inter-rater, standard error of measurement [SEM], minimum detectable change [MDC],internal consistency); content validity, construct validity with Jebsen Taylor hand function test, QuickDASH, MOS-SF 36 and pain; responsiveness, using an anchor-based approach (ROC curve with area under curve, mean response change) with calculation of MCID. For SEM, MDC and responsiveness, QuickDASH was used for comparison. Results One hundred and seventy-six patients with hand/wrist injuries were included between May 2013 and February 2015. One hundred and seventy were available for final analysis: 67% men; mean age 43.4 ± 13.2 years; both manual and office workers (46, 5% of each); 37% had a hand or wrist fracture. Reliability: ICC intra-rater = 0.967 [0.938–0.982]; inter-rater = 0.868 [0.754–0.932]. Distribution-based approach: for 400-point HA/QuickDASH: SEM = 3.48/4.52, MDC = 9.065/12.53, internal consistency of 400-point HA: Cronbach α = 0.886. Validity: Content validity was good according to COSMIN guidelines. Construct validity: correlation coefficient: Jebsen-Taylor hand function test = − 0.573 [− 0.666–0.464], QuickDASH = − 0.432 at T0 [− 0.545–0.303], − 0.551 at T3 [− 0.648–0.436]; MOS-SF 36 physical component = 0.395 [0.263–0.513]; no correlation with MOS-SF 36 mental component = 0.142 [− 0.009 + 0.286] and pain = − 0.166 [− 0.306 + 0.018]. Responsiveness: Anchor-based approach: AUC Δ400-point HA = 0.666 [0.583–0.749], AUC ΔQuickDASH = 0.556 [0.466–0.646]. MCID (optimal ROC curve cut-off): 6.07 for 400-point HA, − 2.27 for QuickDASH. MCID with mean response change + 12.034 ± 9.067 for 400-point HA and − 8.03 ± –9.7 for QuickDASH. The patient’s global impression of change was only correlated with the Δ400-point HA. Conclusions The 400-point HA standardised version has good psychometric properties. For responsiveness, we propose an MCID of at least 12.3/100. However, these results must be confirmed in other populations and pathologies. Trial registration This study was retrospectively registered into ISCTRN registry (Number ISRCTN25874481 ) the 07/02/2019.http://link.springer.com/article/10.1186/s12891-020-03303-4Hand- 400-point hand assessment- functional evaluation-rehabilitation-MCID-MDC-reliability-validity |
| spellingShingle | Michel Konzelmann Cyrille Burrus Colette Gable François Luthi Jean Paysant Prospective multicentre validation study of a new standardised version of the 400-point hand assessment BMC Musculoskeletal Disorders Hand- 400-point hand assessment- functional evaluation-rehabilitation-MCID-MDC-reliability-validity |
| title | Prospective multicentre validation study of a new standardised version of the 400-point hand assessment |
| title_full | Prospective multicentre validation study of a new standardised version of the 400-point hand assessment |
| title_fullStr | Prospective multicentre validation study of a new standardised version of the 400-point hand assessment |
| title_full_unstemmed | Prospective multicentre validation study of a new standardised version of the 400-point hand assessment |
| title_short | Prospective multicentre validation study of a new standardised version of the 400-point hand assessment |
| title_sort | prospective multicentre validation study of a new standardised version of the 400 point hand assessment |
| topic | Hand- 400-point hand assessment- functional evaluation-rehabilitation-MCID-MDC-reliability-validity |
| url | http://link.springer.com/article/10.1186/s12891-020-03303-4 |
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