Hand TherapyPub Date : 2023-10-12DOI: 10.1177/17589983231205446
Hazel Brown, Kate Kennard, Rosalyn Tyreman, Ali Alim-Marvasti, Matthew Wilcox, Tom Quick
{"title":"Return to work following brachial plexus injury: A cross-sectional study","authors":"Hazel Brown, Kate Kennard, Rosalyn Tyreman, Ali Alim-Marvasti, Matthew Wilcox, Tom Quick","doi":"10.1177/17589983231205446","DOIUrl":"https://doi.org/10.1177/17589983231205446","url":null,"abstract":"Background Qualitative studies following Brachial Plexus Injury (BPI) suggest that return to employment has a major influence on life satisfaction and psychological well-being. However, few studies have focused on return to work following BPI. The physical strain and intensity of an occupation may influence the ability of an individual to return to employment. This study aimed to provide information about the impact of workload intensity on employment status following BPI. Methods This is an observational, retrospective study of 74 participants who responded to a postal questionnaire, sharing information regarding their employment status pre- and post-BPI. The reported occupations were assessed for workload intensity and assigned a Reichsausschuss für Arbeitszeitermittlung (REFA) classification by two assessors. Results Forty-one out of 74 participants (57%) had to change their employment following their BPI. Changes in occupation were more likely if the pre-injury REFA score was 3 or 4 ( n = 22). In the Complete plexus injury group ( n = 8), 100% changed occupation. In the Partial plexus injury group ( n = 66) 50% changed occupation. Hand dominance had no significant influence on change of employment ( p = 0.37). Conclusion This study is the first to focus on the impact of BPI on employment status and workload intensity. Just over half the participants did not maintain the same employment following their BPI and one in five became unemployed. Future research should review the factors that contribute to the inability to return to work. This may direct enhancements in rehabilitation provision and enable healthcare services to focus on facilitating individuals back to the workplace.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136012887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-10-12DOI: 10.1177/17589983231205666
Helen C Scott, Luke S Robinson, Ted Brown
{"title":"Scar massage as an intervention for post-surgical scars: A practice survey of Australian hand therapists","authors":"Helen C Scott, Luke S Robinson, Ted Brown","doi":"10.1177/17589983231205666","DOIUrl":"https://doi.org/10.1177/17589983231205666","url":null,"abstract":"Scar massage is a commonly used treatment in hand therapy. The current empirical evidence that supports it is disparate and of variable quality, with no established effective dosage and method proposed. This study aimed to identify the current practice among Australian hand therapists using massage as an intervention for scarring following surgery to the hand and upper limb. A purposely designed self-report online survey was emailed to current members of the Australian Hand Therapy Association ( n = 958). Data collected included demographics, intervention techniques, conditions treated and protocols, scar assessment and knowledge and training about scar massage as a clinical intervention. A total of 116 completed questionnaires were received (a response rate of 12.1%). All respondents used scar massage as part of their clinical practice with 98% to improve soft tissue glide ( n = 114), 92% for hypersensitivity ( n = 107), and 84% to increase hand function ( n = 97). Only 18% ( n = 21) of respondents used standardised outcome measures, and most therapists had learned scar massage from a colleague (81%). Commonalities in how respondents implemented scar massage were found. Participants reported relying primarily on clinical experience to inform their practice. Whilst scar massage was widely used, few respondents had received formal skills training or completed outcome measures regularly to formally evaluate its clinical efficacy or impact. Replication of this study with a larger international sample of participants is warranted to determine if these findings reflect general practice.","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-09-01Epub Date: 2023-04-04DOI: 10.1177/17589983231168034
Halle Purther, Cora Nitert-Brown, Diba Vahidi Ferdosi, Emily S Ho
{"title":"Intersection of physical and mental health of youth with brachial plexus birth injuries: A qualitative study.","authors":"Halle Purther, Cora Nitert-Brown, Diba Vahidi Ferdosi, Emily S Ho","doi":"10.1177/17589983231168034","DOIUrl":"10.1177/17589983231168034","url":null,"abstract":"<p><strong>Introduction: </strong>Youth with brachial plexus birth injuries (BPBI) have an increased risk of mental health issues such as depression, anxiety, and diminished self-confidence. Despite this evidence, current standards of care focus on physical interventions. Evaluation of psychological and emotional concerns is rarely prioritized in clinical settings. Therefore, mental health needs are unmet and poorly understood.</p><p><strong>Methods: </strong>An interpretivist qualitative approach was used to understand the perspectives of youth with BPBI and their caregivers on the barriers and facilitators of addressing mental health concerns, to inform practice guidelines, and promote meaningful participation within this population.</p><p><strong>Results: </strong>A purposeful sample of nine youth with BPBI between 10 to 20 years and eight caregivers participated in in-depth interviews. The interviews were semi-structured and an average of 60 min (35-85 min) long. Three themes emerged from these data: (i) physical disability identity and mental health; (ii) pursuit of \"normal\" body image; and (iii) paradox of advocacy. Findings illuminated the intersection of physical and mental health in these youth and provides actionable practice recommendations. Areas of need were identified including mental health support around the challenges of advocacy, body image, surgery, and preparation for the 'aging out' process for youth and their families.</p><p><strong>Conclusions: </strong>The well-being of youth with BPBI is a result of the intersection between their physical and mental health. Further research on optimizing mental health resources within physical health settings is needed to better support the holistic needs of these youth and their families.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 3","pages":"103-110"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-09-01Epub Date: 2023-08-03DOI: 10.1177/17589983231191867
Amy Maltby, Ann Underhill, Sarah Woodbridge
{"title":"The use of telephone and video consultations in upper limb musculoskeletal rehabilitation: A scoping review.","authors":"Amy Maltby, Ann Underhill, Sarah Woodbridge","doi":"10.1177/17589983231191867","DOIUrl":"10.1177/17589983231191867","url":null,"abstract":"<p><strong>Introduction: </strong>In 2020, the COVID-19 pandemic caused a rapid uptake of virtual consultations (VCs) to minimise disease transmission and for this reason, research into telerehabilitation has been expanding. This review aimed to map and synthesize evidence on the use of VCs in upper limb musculoskeletal rehabilitation, describe key characteristics, and identify gaps in the research.</p><p><strong>Methods: </strong>This scoping review investigated synchronous rehabilitation consultations performed over VC. All asynchronous, wearable or pre-recorded technology was excluded. CINAHL Complete, Medline, PEDro, Google Scholar and grey literature sources were searched. Screening and data extraction were done by a single researcher. Frequency counts were used to analyse the data.</p><p><strong>Results: </strong>Nineteen studies were identified, with patients with shoulder injury/pain most frequently studied. Most sources (n = 9) used bespoke video programmes. Range of motion (ROM) was the most common assessment (n = 10) and exercise prescription (n = 7) was the most common treatment. Benefits included time and cost savings, maintaining therapeutic relationships and increasing patient independence. Most diagnostic assessments, except joint and nerve tension tests, were found to be reliable and valid. Studies noted increased function in activities, decreased pain and increased ROM after VCs. Limitations included restricted 'hands-on' treatment, resource and training concerns and limiting patient factors.</p><p><strong>Conclusions: </strong>This review mapped available evidence and identified several gaps in the literature. Further robust research into VCs for hand/wrist disorders, ROM assessment and cost-effectiveness is needed.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 3","pages":"89-102"},"PeriodicalIF":0.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-09-01Epub Date: 2023-06-05DOI: 10.1177/17589983231174800
Ilona Overduin, Cate Allen, Jomina Aret
{"title":"The association between pain self-efficacy and patient-reported outcome measures for hand disorders: a cross-sectional study.","authors":"Ilona Overduin, Cate Allen, Jomina Aret","doi":"10.1177/17589983231174800","DOIUrl":"10.1177/17589983231174800","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple psychological factors influence the functioning of patients with hand disorders. Pain self-efficacy is a positive psychological factor, which concerns an individual's confidence to function despite experiencing pain. This study aimed to analyse the association between pain self-efficacy and a patient-reported outcome measure (PROM) for hand and wrist disorders.</p><p><strong>Methods: </strong>Cross-sectional data from patient records were collected prior to hand therapy to analyse the correlation between pain self-efficacy and a PROM for hand and wrist disorders. The assessment tools consisted of the Dutch translations of the Pain Self-Efficacy Questionnaire Short Form (PSEQ-2) and the Patient Rated Wrist Hand Evaluation (PRWHE).</p><p><strong>Results: </strong>The findings were reported for the entire sample of 185 respondents (61% women). The PSEQ-2 and the PRWHE were strongly and significantly correlated, which signifies that a higher pain self-efficacy was associated with less pain and disability as measured by the PRWHE. Within a multivariable regression model which accounted for confounding variables, pain self-efficacy independently predicted 28% of the PRWHE scores.</p><p><strong>Conclusions: </strong>A strong association between the Dutch PSEQ-2 and the PRWHE was found in this sample of hand therapy patients. This study was limited by the use of retrospective data and by the lack of validation of the Dutch PSEQ-2. The findings were consistent with existing research which reported similar correlations between upper extremity PROM scores and pain self-efficacy. The positively worded PSEQ presents a chance to routinely assess pain self-efficacy as a key psychological factor while also affirming a positive coping strategy.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 3","pages":"111-118"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-06-01Epub Date: 2023-02-12DOI: 10.1177/17589983231155270
Nele Vervloesem, Nicole Glassey, Alison Kerr
{"title":"Rehabilitation following extra-articular proximal phalangeal fractures of the fingers in adults: a scoping review.","authors":"Nele Vervloesem, Nicole Glassey, Alison Kerr","doi":"10.1177/17589983231155270","DOIUrl":"10.1177/17589983231155270","url":null,"abstract":"<p><strong>Introduction: </strong>Proximal phalangeal fractures are common and can have a significant impact on hand function. Therefore, it is important to optimise post-operative rehabilitation. A scoping review was undertaken to map the existing evidence on rehabilitation of proximal phalangeal fractures of the fingers in adults.</p><p><strong>Methods: </strong>A comprehensive search was conducted which included database searching, reference searching, hand searching of journals, and searching for grey literature. Eight articles were included after screening for eligibility.</p><p><strong>Results: </strong>Three studies researched surgical interventions and five studies conservative management. The immobilisation period varied between 5 days to 3 weeks in the surgical studies, and between 3 to 7 weeks in the conservative studies. Active exercise therapy was started immediately with conservative management, while in the surgical studies time to commence exercises varied between 5 days and 3 weeks. All studies reported good results in mobility with a mean total active motion ranging from 240° to 258.9°. Patients reported little pain at final follow-up and grip strength recovered to 96% compared to the unaffected side. Studies reporting on function and patient satisfaction lacked transparency.</p><p><strong>Conclusions: </strong>All studies had a moderate to high risk of bias and the results of the included studies should therefore be interpreted with caution. More high-quality randomised controlled studies with an a priori research protocol and a standard set of outcome measures are necessary to research whether early motion, an intrinsic plus splint leaving the wrist free, and the inclusion of additional treatment modalities can result in a better and/or faster recovery.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 2","pages":"45-59"},"PeriodicalIF":0.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-06-01Epub Date: 2023-04-27DOI: 10.1177/17589983231158499
Brodwen McBain, Ebonie Rio, Jill Cook, Jeffrey Sanderson, Sean Docking
{"title":"Isometric thumb extension exercise as part of a multimodal intervention for de Quervain's syndrome: A randomised feasibility trial.","authors":"Brodwen McBain, Ebonie Rio, Jill Cook, Jeffrey Sanderson, Sean Docking","doi":"10.1177/17589983231158499","DOIUrl":"10.1177/17589983231158499","url":null,"abstract":"<p><strong>Introduction: </strong>de Quervain's syndrome is a painful condition commonly presented to hand therapists. Exercise is utilised as an intervention, but isometric exercise has not been investigated. We aimed to assess the feasibility and safety of isometric thumb extension exercise for de Quervain's syndrome and to explore differences between high-load and low-load isometric exercise.</p><p><strong>Methods: </strong>This parallel-group randomised clinical feasibility trial included individuals with de Quervain's syndrome. All participants underwent a 2 week washout period where they received an orthosis, education, and range of motion exercises. Eligible participants were then randomised to receive high or low-load isometric thumb extension exercises, performed daily for 4 weeks. Feasibility and safety were assessed by recruitment and drop-out rates, adherence, adverse events, and participant feedback via semi-structured interviews. Secondary outcomes included patient-reported outcomes for pain and function, and blinded assessment of range of motion and strength.</p><p><strong>Results: </strong>Twenty-eight participants were randomised. There were no drop-outs after randomisation, and no serious adverse events. Adherence to exercise was 86.7%, with 84% of participants stating they would choose to participate again. There were clinically and statistically significant improvements in pain and function over time (<i>p</i> < 0.001) but not in range of motion or strength. There were no statistically significant between-group differences.</p><p><strong>Conclusions: </strong>Isometric thumb extension exercise within a multimodal approach appears a safe and feasible intervention for people with de Quervain's syndrome. A large multi-centre trial would be required to compare high- and low-load isometric exercises. Further research investigating exercise and multimodal interventions in this population is warranted.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 2","pages":"72-84"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between pain, nerve injury and clinical outcomes after flexor tendon injuries in zones 1-2: a retrospective cohort study.","authors":"Vera Beckmann-Fries, Maurizio Calcagni, Lorena Schrepfer, Alexandre Kaempfen, Esther Vögelin, Bernadette Tobler-Ammann","doi":"10.1177/17589983231159187","DOIUrl":"10.1177/17589983231159187","url":null,"abstract":"<p><strong>Introduction: </strong>The influence of pain and a concomitant digital nerve injury on the course of rehabilitation after flexor tendon injury remains ambiguous. The objectives of the study were to: i) analyse the evolution of pain spanning one year after a primary flexor tendon repair in zones 1-3; ii) examine the differences in pain levels in patients with and without digital nerve injury; and iii) evaluate the relationship between pain, digital nerve injury and pain medication, total active motion (TAM), DASH scores and patient satisfaction.</p><p><strong>Methods: </strong>Data from 189 patients were retrieved from a flexor tendon registry between 2014 and 2020. Differences in pain, TAM, DASH and patient satisfaction were analysed. Multiple linear and binary logistic regression analyses were performed to determine the relationship between clinical outcomes.</p><p><strong>Results: </strong>Pain significantly decreased in the course of rehabilitation (<i>p</i> < 0.001 to 0.006). No relationship could be identified between nerve injury and pain (<i>p</i> = 0.21-0.97). In week 6, the presence of pain and a nerve injury were significantly associated with lower TAM scores (<i>p</i> = 0.001). In week 13, pain during motion (<i>p</i> < 0.001) and the presence of a nerve injury (<i>p</i> = 0.036) were significantly associated with worse DASH scores. Patient satisfaction was significantly inversely correlated to pain during motion in weeks 13 and 26 (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>We found a significant relationship between pain during motion and pain medication intake, TAM, DASH scores and patient satisfaction. It is therefore advisable to closely monitor this parameter after flexor tendon injuries.</p><p><strong>Study registration: </strong>This multi-center cohort study is registered under https://clinicaltrials.gov: NCT04312412.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 2","pages":"60-71"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-03-01Epub Date: 2023-02-20DOI: 10.1177/17589983231152958
Nico Magni, Margie Olds, Sally McLaine
{"title":"Reliability and validity of the K-force grip dynamometer in healthy subjects: do we need to assess it three times?","authors":"Nico Magni, Margie Olds, Sally McLaine","doi":"10.1177/17589983231152958","DOIUrl":"10.1177/17589983231152958","url":null,"abstract":"<p><strong>Introduction: </strong>Digital dynamometers to assess grip strength are becoming more common in research and clinical settings. The aim of the study was to assess validity and reliability of the K-force dynamometer compared to the Jamar dynamometer. We also aimed to assess differences over the course of three measurements.</p><p><strong>Methods: </strong>Twenty-seven healthy participants were included. Three trials with the K-force and Jamar dynamometers were completed. Testing order was randomised. Intraclass correlation coefficients (ICCs) with absolute agreement assessed reliability and validity. Standard error of the measurement (SEM) and minimal detectable change (MDC<sub>95</sub>) were calculated. Concurrent validity was assessed using Pearson's correlations and ICCs. Differences between the three repetitions were assessed using one-way repeated measures ANOVAs.</p><p><strong>Results: </strong>Both the K-force and the Jamar presented excellent intra-rater reliability with ICCs ranging from 0.96 to 0.97. The SEM ranged from 1.7 to 2 kg and the MDC from 4.7 to 5.7 kg for both dynamometers. The concurrent validity of the K-force was high (<i>r</i> ≥ 0.89). However, the K-force underestimated the grip strength by 4.5-8.5 kg. There was no change in grip strength with either dynamometer over the course of three trials.</p><p><strong>Conclusions: </strong>The K-force is reliable, but it underestimates grip strength by 4.5-8.5 kg compared to the Jamar dynamometer. K-force can be used to monitor progress over time but cannot be used to compare results against normative data. The use of a single measurement when assessing grip strength is sufficient when assessing healthy subjects.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 1","pages":"33-39"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hand TherapyPub Date : 2023-03-01Epub Date: 2022-12-22DOI: 10.1177/17589983221140433
Susan de Klerk
{"title":"Assessment of structural and cross-cultural validity of the Disabilities of the Arm, Shoulder and Hand questionnaire: a scoping review.","authors":"Susan de Klerk","doi":"10.1177/17589983221140433","DOIUrl":"10.1177/17589983221140433","url":null,"abstract":"<p><strong>Introduction: </strong>The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is a patient-reported outcome measure (PROM) that has been translated and cross-culturally adapted to at least 50 languages. Since the measure was developed in 1996, many researchers have reported on the construct validity (including structural and cross-cultural validity) of this instrument following translation and cross-cultural adaptation. The aim of this scoping review was to identify the methods used for the psychometric evaluation of structural and cross-cultural validity of the DASH questionnaire.</p><p><strong>Methods: </strong>The updated methodological guidance for the conduct of scoping reviews and the PRISMA Extension for scoping reviews checklist was utilised. EBSCOHost (Academic Search Premier, Africa Wide, CINAHL, E-Journals and Medline), PubMed and Google Scholar were searched for articles (published between 1996-2022) and considered against the eligibility criteria.</p><p><strong>Results: </strong>The scoping review collated evidence across 50 articles (37 language versions) of the evaluation of structural and cross-cultural validity of the DASH questionnaire. Three articles conducted confirmatory factor analysis (CFA) to assess structural validity, and none performed Multiple Group Confirmatory Factor Analysis (MGCFA) to assess cross-cultural validity.</p><p><strong>Conclusion: </strong>The COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) taxonomy propose that structural validity is best evaluated through CFA, with prior evidence of dimensionality. Additionally, cross-cultural validity (measurement invariance) is to be evaluated through MGCFA. This review identified that CFA is utilised infrequently and that to date cross-cultural validity has not been appropriately assessed for translations of the DASH questionnaire.</p>","PeriodicalId":43971,"journal":{"name":"Hand Therapy","volume":"28 1","pages":"3-15"},"PeriodicalIF":0.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}