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Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries

  • Original Article
  • Published:
Journal of Hand and Microsurgery

Abstract

The aim of this paper is to analyze the relation between components of disability with distinguished score of impairment, activity and participation questionnaire based on clinical data of persons with hand injuries. Impairment was evaluated by use of AMA guide 6th edition and disability by DASH questionnaire on Convenience sample of patients (N = 117), with chronic hand injuries. Linking and allocating items of the DASH were done based on the ICF Core Set for Hand Conditions and the opinions of a group of experts from different related fields. Data was analyses by using Kappa index, Chi square test and a set of Pearson, Part and Partial correlations coefficient. Most of the DASH items were allocated to the activity; one to four of the items could not be classified and 0 to 22 were classified as having overlap. Participation and activity scores correlated positively with each other (r > 0.80). Impairment had high correlation with activity and participation scores (>73). With controlling the effect of each or both construct, this relation between them with impairment diminished but still significant between activity and impairment. There is a huge overlap in definition of activity and participation. The most effecting item in relation of disability and impairment is activity restriction. Participation had no relation with impairment.

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Acknowledgments

The authors are very thankful to Dr. David Ring, M.D. Ph.D. Associate Professor of Orthopedics Surgery, Harvard Medical School, Chief, Hand and Upper Extremity Service of Massachusetts general hospital, (Gale Whiteneck, PhD, FACRM - Senior Principal Investigator, Diane Dixon, PhD of Psychology, University of Stirling, Scotland, UK).

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Declaration of Interest

There is no deceleration on interest for this work and the authors also don’t report any declaration of interest.

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Authors and Affiliations

  1. Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran, 1985713831, Iran

    Maryam Farzad, Seyyed Ali Hosseini & Mehdi Rassafiani

  2. Department of Educational Psychology, The University of Kharazmi, Khaghani Ave, Somayeh St., Tehran, Iran

    Ali Asgari

  3. Department of Basic Science, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran, 1985713831, Iran

    Fereydoun Layeghi

  4. Faculty of Health and Life Sciences, Oxford Brookes University, Jack Straw’s Lane, Marston, Oxford, OX3 0FL, UK

    Farzaneh Yazdani

  5. Department of Medical Informatics, Biometry and Epidemiology – IBE/Chair for public Health Services Research, Marchioninistr. 17, 81377, Munich, Germany

    Sandra Kus

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  1. Maryam Farzad
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  2. Ali Asgari
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  3. Fereydoun Layeghi
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  4. Farzaneh Yazdani
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  5. Seyyed Ali Hosseini
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  6. Mehdi Rassafiani
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  7. Sandra Kus
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Correspondence to Ali Asgari.

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Farzad, M., Asgari, A., Layeghi, F. et al. Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries. J Hand Microsurg 7, 261–267 (2015). https://doi.org/10.1007/s12593-015-0197-z

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  • DOI: https://doi.org/10.1007/s12593-015-0197-z

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