Development and Reliability of the PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Development and Reliability of PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment
研究概览
简要总结
The aim of this study is to examine the development of a conceptual framework and provide evidence for reliability of a comprehensive hand therapy evaluation score. This approach provides a new standardized tool for upper extremity (UE) evaluation. Components of Pain, Range of Motion (ROM), Edema, Sensibility, Strength (PRESS), and self-reported Function were combined to create a baseline. Each assessment tool used for the PRESS to Function Approach assists in determining appropriate interventions.
详细描述
In this study, investigators used the innovative PRESS to Function Approach and Composite Score to describe the development and piloting of a systematic standard for upper extremity evaluation. Using existing instruments with substantial evidence of validity and reliability is more cost-effective than starting from scratch to develop and validate an instrument. This Approach and Score will provide occupational therapists an accurate measure to track the progression of a patient. The hypothesis for this study is Press to Function components will demonstrate utility for measuring clinical and patient-reported function when used as a comprehensive assessment tool.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of upper extremity disorder as the primary diagnosis
- •Surgical and nonsurgical Diagnoses
- •Age 21 years or older
排除标准
- •Concomitant Diseases (i.e cerebralvascular accident, cerebral palsy, spinal cord injury)
- •Full Body Lymphedema
- •Individuals who did not complete at least one reassessment
研究组 & 干预措施
Single Arm Clinical Trial
Participants with various upper extremity disorders are provided treatment/interventions and evaluated at baseline, 3-6 weeks, and at discharge using the PRESS to Function Approach
干预措施: Upper Extremity Rehabilitation (Other)
结局指标
主要结局
Development and Reliability of PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment
时间窗: 4 weeks - 16 weeks depending on diagnosis and protocol
The Development of the PRESS (pain, range of motion (ROM), edema, sensibility, strength) to Function Approach created a composite score. The PRESS to Function Composite Score combines subjective and objective measures to provide a single value to evaluate treatment prognosis. The six outcome measures (pain, ROM, edema, sensibility, strength, and function) were summed for 900 points to create a single score. The higher the score the less the overall disability.
次要结局
- Strength (Grip and Pinch)(4 weeks - 16 weeks depending on diagnosis and protocol)
- Function with Quick Disability of the Arm, Shoulder, and Hand (DASH)(4 weeks - 16 weeks depending on diagnosis and protocol)
- Pain Scale(4 weeks - 16 weeks depending on diagnosis and protocol)
- Range of Motion (ROM)(4 weeks - 16 weeks depending on diagnosis and protocol)
- Edema(4 weeks - 16 weeks depending on diagnosis and protocol)
- Sensibility(4 weeks - 16 weeks depending on diagnosis and protocol)