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    An evaluation of paediatric hand and upper limb assessment tools within the framework of the World Health Organisation International Classification of Disability, Functioning and Health

    Date
    2015-03-16
    Author
    Aslam, Riffat
    Van Bommel, Annelotte
    Southwood, Taunton
    Hackett, Janine
    Jester, Andrea
    Metadata
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    Citation
    Aslam, R., Van Bommel, A., Southwood, T., Hackett, J. and Jester, A. (2015) ‘An evaluation of paediatric hand and upper limb assessment tools within the framework of the World Health Organisation International Classification of Disability, Functioning and Health’, Hand Therapy, 20(1), pp. 24–34. Available at: https://doi.org/10.1177/1758998315574431.
    Abstract
    Introduction Evaluation of hand function has traditionally focused on objective measurements involving strength and range of movement measurements. The World Health Organisation International Classification of Disability, Functioning and Health (ICF) framework has introduced a more patient-orientated approach to assessment, incorporating four distinct areas of body structures, body functions, environment and activity limitation. These can be evaluated with both questionnaires and functional tests. Whereas there seems to be agreement over adult hand assessment, children’s hand assessment leaves involved therapists and clinician often wondering, which test to perform. The objective of this review was to evaluate the currently available childrens' hand and upper limb assessment tools within the framework of the ICF. Method A review of 19 of the most commonly used paediatric hand and upper limb assessment tools in the context of the components of the ICF. The International Classification of Disability, Functioning and Health linking rules composed by Cieza et al. were used in order to map each of the meaningful concepts in these assessment tools to the domains of the ICF. Results The activities domain of the ICF was found to be well represented in all assessment tools. Four out of 19 assessment tools had items that mapped to the environment domain. The highest number of different concepts mapped was found in musculoskeletal questionnaires. The lowest number of concepts was found in the pegboard tests. Conclusion Tests are often combined to attempt to cover as many aspects of the ICF yet our findings show that this may not always be achieved. Clinicians and therapists must be aware that in order to get a more complete overview of a child’s hand and upper limb functioning sometimes time- and resource-consuming tests have to be combined.
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/12945
    Official URL
    https://doi.org/10.1177/1758998315574431
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    • Occupational Therapy and Arts Therapies

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