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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Reliability of an instrument for screening hand profiles: The Practical Hand Evaluation
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Reliability of an instrument for screening hand profiles: The Practical Hand Evaluation

机译：用于筛选手型材的仪器的可靠性：实际的手工评估

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Study DesignPsychometric study with 2-week interval. IntroductionMusculoskeletal hand complaints are common among manual workers. Mismatch between anthropometric hand features and tasks can affect the ability to perform hand activities, with an increased risk of complaints. Although screening of these features may improve diagnosis and treatment, no validated screening tool is available. The Practical Hand Evaluation (PHE) screening tool might fill this gap, but its psychometric properties are unknown. Purpose of the StudyTo test the reliability of the PHE and to explore the feasibility of item reduction of the PHE. MethodsRight-hand profiles of 117 healthy volunteers (66 women, 51 men; mean age, 22.8 years) were independently assessed 4 times by 6 couples of researchers using the PHE, twice on day 1 and twice 2-3 weeks later. Intrarater and inter-rater reliability (intraclass correlations), standard error of measurement (SEM), potential confounding factors (gender, joint hyperlaxity, and measurement order) affecting the instrument's reliability (limits of agreement), and collinearity between the PHE items were determined (variation inflation factor analysis and hierarchical clustering of correlation coefficients). ResultsThe intrarater and inter-rater reliabilities of the PHE were good for 12 of 14 items (86%;r?=?0.67-0.90). Absolute SEM varied between 2.01 and 9.23?mm. The percentage of shifts of at least 2 classes in a repeated measurement was <15%. Cluster analysis identified 6 clusters of hand items. DiscussionThe reliability for nearly all PHE items is good. Measurement errors were substantial relative to variances in the reference population, but not to gender, joint laxity and order of administration. Clustering into 6 seperated clusters of items was possible. ConclusionsThe PHE fulfills many of the criteria for screening of anthropometrics of the hand. Its reliability is high. The SEM might be improved with future adaptations toward a digital photographic PHE. Reduction to 6 items seems also possible.
机译：用2周间隔研究表达式学习。简介usculoskeletal诉讼在体力劳动者中常见。人体测量特征和任务之间的不匹配会影响执行手动活动的能力，增加投诉的风险。虽然这些特征的筛查可以改善诊断和治疗，但没有可用的扫描工具。实际的手工评估（PHE）筛选工具可能填充这种差距，但其心理测量属性未知。研究的目的是测试PHE的可靠性并探讨PHE的物品减少的可行性。通过117名健康志愿者（66名女性，51名男子;平均年龄，22.8岁）的备注手动概况独立评估了使用PHE的6对研究人员的4次，第1天和2-3周后两次。在确定仪器可靠性（协议限制）和PHE项目之间的相连性的情况下，测量的标准误差（SEM），测量标准误差（SEM），潜在的混淆因素（性别，关节超硬，和测量顺序），并确定了PHE项目之间的联合性（相关系数的变异通胀因子分析和分层聚类）。结果患者的植物和税前可靠性有益于12项中的12项（86％; r？= 0.67-0.90）。绝对SEM在2.01和9.23之间变化。重复测量中至少2个类别的偏移百分比<15％。群集分析确定了6个手簇。讨论几乎所有PHE项目的可靠性都很好。测量误差相对于参考人群中的差异非常重要，但不是性别，关节松弛和行政秩序。聚集成6个分离的物品集群。结论PHE符合筛选手筛选人类的许多标准。它的可靠性很高。未来适应数字摄影手表可能会改善SEM。减少到6个项目似乎也可能。

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