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Mapping hand functioning in hand osteoarthritis: comparing self-report instruments with a comprehensive hand function

Tanja Stamm1, Mona Mathis, Daniel Aletaha

  • 1Vienna Medical University, Vienna, Austria. Stamm@meduniwien.ac.at

Arthritis and Rheumatism
|October 2, 2007
PubMed
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This study found that the Arthritis Impact Measurement Scales 2 Short Form (AIMS2-SF) and the Health Assessment Questionnaire (HAQ) best explained hand function in osteoarthritis patients. For quicker assessments, the Moberg Picking-Up Test (MPUT) or Button Test (BT) are recommended.

Area of Science:

  • Rheumatology
  • Orthopedics
  • Rehabilitation Medicine

Background:

  • Hand osteoarthritis (OA) significantly impacts daily activities and quality of life.
  • Accurate assessment of hand function is crucial for managing hand OA.
  • Existing self-report instruments vary in their ability to capture hand function deficits.

Purpose of the Study:

  • To identify which self-report questionnaires best correlate with objective hand function measurements in patients with hand OA.
  • To evaluate the utility of commonly used hand OA assessment tools against a comprehensive hand function test.

Main Methods:

  • 100 patients with hand OA completed six self-report questionnaires (AIMS2-SF, AUSCAN, Cochin, FIHOA, HAQ, SACRAH).
  • Hand function was objectively measured using the Jebsen-Taylor Hand Function Test (JTHFT) and three shorter tests (MPUT, BT, grip strength).

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  • Correlation analyses were performed to determine the relationship between self-report instruments and JTHFT scores, controlling for age where applicable.

    • Main Results:

    • The AIMS2-SF total score showed the highest raw correlation with the JTHFT.
    • The HAQ demonstrated the highest correlation when age was controlled.
    • Among shorter tests, the MPUT had the highest raw correlation with JTHFT; the BT had the highest correlation when age was controlled.

    Conclusions:

    • A combination of a general arthritis self-report instrument and a hand OA-specific instrument is recommended for comprehensive hand function assessment.
    • For brief assessments, the MPUT or BT are suitable alternatives for evaluating hand function in hand OA.
    • These findings aid clinicians in selecting appropriate tools for evaluating hand function in hand OA patients.