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Upper limb prosthetic outcome measures: Review and content comparison based on International Classification of Functioning, Disability and Health
Örebro University, School of Health and Medical Sciences.
Centre for Rehabilitation Research, Örebro University Hospital, Örebro.
Örebro University Hospital, Örebro, Sweden .ORCID iD: 0000-0003-4247-2236
2010 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 34, no 2, p. 109-128Article, review/survey (Refereed) Published
Abstract [en]

The International Classification of Functioning, Disability and Health (ICF) has been recommended as a framework for evaluation of aspects of health. The aim of this study was to compare the contents of outcome measures for upper limb prosthesis users by using the ICF. Measurement focus and psychometric properties of these measures were also investigated. Outcome measures that used upper limb prosthesis users as subjects in their development and psychometric evaluations were selected. The psychometric studies (n - 14) were reviewed and scored and the items in the measures were linked to the ICF. One measure for all ages (ACMC), five paediatric measures (CAPP-FSI, CAPP-PSI, PUFI, UBET and UNB) and two adult measures (OPUS and TAPES) were selected. The concepts extracted (n - 393) were linked to 54 categories in the ICF. The ACMC, CAPP-FSI, UBET, UNB and PUFI measure categories mostly under the ICF component 'Activity and participation'. The TAPES and OPUS also measure ICF categories that describe the emotional and social status of a person. The main conclusion is that the use of a mixture of outcome measures would give a better picture on the aspects of our clients. Measures that focus on the social interaction in paediatric users are required.

Place, publisher, year, edition, pages
2010. Vol. 34, no 2, p. 109-128
Keyword [en]
Upper limb prosthetics, outcome measures, upper limb, prosthetics
National Category
Nursing Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-12848DOI: 10.3109/03093641003776976ISI: 000283117200001PubMedID: 20470058Scopus ID: 2-s2.0-77952471108OAI: oai:DiVA.org:oru-12848DiVA: diva2:384675
Available from: 2011-01-10 Created: 2011-01-03 Last updated: 2017-12-11Bibliographically approved
In thesis
1. The Assessment of Capacity for Myoelectric Control: Psychometric evidence and comparison with upper limb prosthetic outcome measures
Open this publication in new window or tab >>The Assessment of Capacity for Myoelectric Control: Psychometric evidence and comparison with upper limb prosthetic outcome measures
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Evaluation of outcomes using validated prosthetic outcome measures (OMs) is a current priority in upper limb (UL) prosthetics, and OMs with psychometric evidence toward UL prosthesis users are thus necessary. The “Assessment of Capacity for Myoelectric Control” (ACMC) is a tool that assesses the ability to control a myoelectric prosthetic hand. Some psychometric aspects of the ACMC have been previously investigated, but others are still lacking. A major part of this thesis was thus to search and assess the psychometric evidence of the ACMC. Data were collected from prosthesis users of different ages, prosthetic sides, and sexes. Rasch analysis was used to search for validity evidence and activity influence on the users’ ACMC ability measures, while reliability statistics was used to search for reliability evidence. Overall, the validity evidence was satisfactory in terms of unidimensionality, item technical quality, item difficulty, and relation to prosthetic wearing time. In terms of activity influence, the majority of prosthesis users received similar ability measures in different activities. Reliability evidence was also satisfactory in terms of test-retest reliability and rater agreements (intra- and interrater).

Besides the ACMC, several other prosthetic OMs have been developed in recent years. A comparison of these OMs would help professionals to select appropriate tools for clinical practice. Thus, a comparison of the validated UL prosthetic OMs was performed with an emphasis on what health aspects they cover. Eight OMs were chosen, and their contents were linked to the “International Classification of Functioning, Disability and Health” (ICF). The results showed that the contents from different OMs were linked to the ICF categories in “Body functions,” “Activity and Participation,” and “Environmental Factors.”

In conclusion, the use of a mixture of OMs is recommended to cover different aspects of health. Based on the evidence in this thesis, the ACMC can be recommended to measure the ability to control a myoelectric hand.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 85
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 48
Keyword
capacity, comparison, icf, myoelectric control, psychometric evidence, upper limb prosthesis
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-30071 (URN)978-91-7668-963-9 (ISBN)
Public defence
2013-10-18, Hörsal P2, Prismahuset, Örebro universitet, Fakultetsgatan 1, 701 82 Örebro, 13:00
Opponent
Supervisors
Available from: 2013-07-31 Created: 2013-07-30 Last updated: 2017-10-17Bibliographically approved

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Lindner, Helen Y. N.Hermansson, Liselotte M. N.

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