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Functional hand evaluations: a review.

S D McPhee1

  • 1Ireland Army Community Hospital, Fort Knox, Kentucky.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 1, 1987
PubMed
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Current hand function evaluations often miss key aspects of patient capabilities. This study found no common elements across evaluations, suggesting a need for patient-centered, task-based assessments for accurate hand function portrayal.

Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Occupational Therapy

Background:

  • Functional hand evaluations are crucial for assessing patient capabilities.
  • Current descriptions of hand prehension patterns often focus only on static aspects, neglecting dynamic components.
  • Accurate hand function assessment requires considering numerous factors including anatomy, mobility, strength, sensation, coordination, and patient-specific conditions.

Purpose of the Study:

  • To review various descriptions of hand prehension patterns.
  • To analyze 11 functional hand evaluations for common elements.
  • To determine the suitability of current evaluations for diverse patient populations.

Main Methods:

  • Systematic review of existing literature on hand prehension patterns.

Related Experiment Videos

  • Analysis of 11 distinct functional hand evaluations.
  • Comparative assessment for commonalities in methodology and scope.

    • Main Results:

    • No common elements were identified across the reviewed hand prehension pattern descriptions and functional evaluations.
    • Existing evaluations do not universally cater to all patient types.
    • Significant variability exists in the assessment of hand dexterity.

    Conclusions:

    • Current functional hand evaluations lack standardized common elements.
    • A "one-size-fits-all" approach to hand function assessment is inadequate.
    • Future evaluations should prioritize tasks reflecting real-world, everyday functional activities for comprehensive assessment.