Hand Injuries Clinical Trial
Official title:
Is AMPS a Responsive Tool for Assessing Change in ADL-abilities in Patients Undergoing Rehabilitation After Finger or Hand Surgery?
The aim of the study is to assess the responsiveness of the Assessment of Motor and Process
Skills (AMPS) in a population of patients undergoing rehabilitation following hand surgery,
as this has not previously been investigated.
Methods: Patients are included from the department of physical and occupational therapy at
Silkeborg Regional Hospital in the period November 2017 to May 2018. A total of 50 patients,
who have been referred for specialized occupational therapy rehabilitation following finger
or hand surgery, will be included. At baseline and follow-up (after 8 weeks) all patients are
assessed with AMPS, Canadian Occupational Performance Measure (COPM), hand grip strength and
joint range of motion using standardized methods. Responsiveness to change is evaluated using
an anchor-based method, comparing AMPS scores with the scores on the Global Rating Scale. The
area under the ROC curve will be calculated, and an area under the curve of 0.7 is considered
acceptable. Convergent and discriminative validity of the AMPS will be assessed across the
different instruments used. Thus the investigators expect a higher correlation between AMPS
and COPM and lower correlation between AMPS and hand grip strength and range of motion.
Rehabilitation following finger or hand surgery is often evaluated using only instruments
assessing bodily function, e.g. hand grip strength and joint range of motion. However,
considering the ICF rehabilitation framework, outcome measures should focus more on activity
and participation. Furthermore, many patients requiring finger or hand surgery are still at
the labor market, which underlines the importance of a valid assessment of their abilities in
terms of activity and participation. This study will provide valuable knowledge in terms of
whether AMPS is a valid tool for measuring improvement on these parameters in a population
for which AMPS has not traditionally been used.
The aim of the study is to assess the responsiveness of the Assessment of Motor and Process
Skills (AMPS) in a population of patients undergoing rehabilitation following hand surgery,
as this has not previously been investigated.
Methods: Patients are included from the department of physical and occupational therapy at
Silkeborg Regional Hospital in the period November 2017 to July 2018. A total of 50 patients,
who have been referred for specialized occupational therapy rehabilitation following finger
or hand injuries, will be included. Patients are excluded if they have movement restrictions
following surgery (e.g. following surgery for tendon ruptures).
At baseline and follow-up (after 8 weeks) all patients are assessed with AMPS, Canadian
Occupational Performance Measure (COPM), hand grip strength and joint range of motion using
standardized methods. All test procedures are performed according to a standardized test
protocol.
Statistical methods: Responsiveness to change is evaluated using an anchor-based method,
comparing AMPS scores with the scores on the Global Rating Scale. The area under the ROC
curve will be calculated, and an area under the curve of 0.7 is considered acceptable.
Convergent and discriminative validity of the AMPS will be assessed across the different
instruments used. Thus a higher correlation between AMPS and COPM and lower correlation
between AMPS and hand grip strength and range of motion is expected.
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