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Related Experiment Video

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Design, Fabrication, and Administration of the Hand Active Sensation Test HASTe
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Development of the modified simple test for evaluating hand function (modified STEF): Construct, reliability,

Keisuke Irie1, Hirokatsu Iseki1, Satomi Okamoto2

  • 1Department of Rehabilitation Medicine, Kanazawa Medical University Hospital, Ishikawa, Japan; Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Ishikawa, Japan.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|November 5, 2017
PubMed
Summary

The modified Simple Test for Evaluating Hand Function (STEF) demonstrates high reliability and validity for assessing hand function. This updated tool shows greater responsiveness compared to the original STEF and the Purdue Pegboard Test (PPT).

Keywords:
Modified simple test for evaluating hand functionReliabilityResponsivenessValidity

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Occupational Therapy

Background:

  • There is a lack of international consensus on standardized hand function evaluation methods.
  • Numerous performance tests exist, but none are universally adopted for measuring finger dexterity and overall hand function.

Purpose of the Study:

  • To conduct a clinimetric evaluation of the modified Simple Test for Evaluating Hand Function (STEF).
  • To assess the reliability, validity, and responsiveness of the modified STEF, a widely used tool in Japan.

Main Methods:

  • Clinimetric evaluation study involving healthy individuals and patients with hand injuries, inflammatory diseases, or cervical spondylosis.
  • Assessed intrarater and inter-rater reliability using intraclass correlation coefficients (ICC).
  • Evaluated criterion validity against the original STEF, Purdue Pegboard Test (PPT), and Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and measured responsiveness using standardized response means.

Main Results:

  • The modified STEF exhibited high intrarater (ICC1.1 ≥ 0.80) and inter-rater (ICC2.1 ≥ 0.80) reliability.
  • Demonstrated significant criterion validity with strong positive correlation to the STEF (r=0.89) and moderate positive correlation to the PPT (r=0.69), and a negative correlation to DASH (r=-0.34).
  • The modified STEF showed greater responsiveness (0.89) compared to the original STEF (0.71) and PPT (0.68), though less than DASH (1.11).

Conclusions:

  • The modified STEF is a reliable and valid instrument for measuring hand function.
  • It offers improved responsiveness over the original STEF and PPT, making it a valuable tool for clinical assessment.
  • The modified STEF and DASH questionnaire should be used complementarily for comprehensive activity and participation assessment.