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DC Field | Value | Language |
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dc.contributor.advisor | Packham, Tara | - |
dc.contributor.author | Kadakia, Zeal | - |
dc.date.accessioned | 2024-04-09T02:07:51Z | - |
dc.date.available | 2024-04-09T02:07:51Z | - |
dc.date.issued | 2024 | - |
dc.identifier.uri | http://hdl.handle.net/11375/29645 | - |
dc.description.abstract | Introduction: Finger range of motion (ROM) measurement is a foundational skill in hand therapy practice. A variety of techniques for measuring finger motion with their clinical measurement properties have been presented in practice guidelines and research reports. However, it is unclear what methods are used by hand therapists in their daily clinical practice, and the factors that influence this choice. Additionally, the clinical measurement properties of composite finger flexion (CFF) have not yet been evaluated. Thesis purpose: To 1) explore the preferred measurement techniques used by hand therapists to measure finger range of motion in clinical practice, the influence of their clinical reasoning, contextual factors, and practice settings and 2) evaluate the clinical measurement properties (reliability, validity, responsiveness) and utility (time efficiency) of the CFF in people with traumatic hand injuries. Methods: First, we conducted an online survey distributed to members of the American and Canadian Society of Hand Therapists. Data was analyzed using descriptive statistical methods and qualitative content analysis. Second, participants were recruited from a hand therapy clinic to assess the clinical measurement properties of the CFF by administering outcome measures within a single session. Results: In the first study, goniometry for individual finger joints was most used and preferred by hand therapists, followed by active CFF. They engaged procedural and pragmatic reasoning modified by contextual factors when measuring finger ROM. The second study supported the use of CFF as a reliable, valid, and efficient tool in the clinical setting. Further study is required to verify its responsiveness. Conclusion: This thesis provides insight into the current professional practice patterns in measuring finger ROM and recommends the use of CFF to inform clinical decision-making in traumatic hand injury follow-up. | en_US |
dc.language.iso | en | en_US |
dc.title | Measurement of Finger Range of Motion in Hand Therapy | en_US |
dc.title.alternative | EXPLORING THE MEASUREMENT OF FINGER RANGE OF MOTION IN HAND THERAPY AND THE CLINICAL MEASUREMENT PROPERTIES OF COMPOSITE FINGER FLEXION IN TRAUMATIC HAND INJURY | en_US |
dc.type | Thesis | en_US |
dc.contributor.department | Rehabilitation Science | en_US |
dc.description.degreetype | Thesis | en_US |
dc.description.degree | Master of Science Rehabilitation Science (MSc) | en_US |
dc.description.layabstract | Finger range of motion (ROM) measurement is an important component of hand therapy assessment. There are many methods available to measure finger ROM. Each method has different clinical measurement properties. However, there is no description of which ROM measurement methods are used by hand therapists in clinical practice. Of these various methods available, the composite finger flexion (CFF), also known as functional range of motion measurement, has limited literature on its clinical measurement properties. For our first study, we surveyed hand therapists to understand the measurement methods they used to measure finger ROM in clinical practice. In our second study, we assessed the reliability, validity, and responsiveness of the CFF in people with traumatic hand injuries. We found that hand therapists mainly prefer to use goniometers to measure individual finger joints and that the CFF is a reliable and valid tool. More research is needed to understand how well it can measure change over time. | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
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File | Description | Size | Format | |
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kadakia_zeal_sujit_2024april_mscrehabilitationscience.pdf | 1.46 MB | Adobe PDF | View/Open |
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