[논문]The push-off test: Development of a simple, reliable test of upper extremity weight-bearing capability

Vincent, J.I.; MacDermid, J.C.; Michlovitz, S.L.; Rafuse, R.; Wells-Rowsell, C.; Wong, O.; Bisbee, L.

doi:10.1016/j.jht.2014.03.002

The push-off test: Development of a simple, reliable test of upper extremity weight-bearing capability

Journal of hand therapy : official journal of the American Society of Hand Therapists, v.27 no.3, 2014년, pp.185 - 191

Vincent, J.I. , MacDermid, J.C. , Michlovitz, S.L. , Rafuse, R. , Wells-Rowsell, C. , Wong, O. , Bisbee, L.

Abstract ▼ AI-Helper

Study design: Longitudinal clinical measurement study. Introduction: The push-off test (POT) is a novel and simple measure of upper extremity weight-bearing that can be measured with a grip dynamometer. There are no published studies on the validity and reliability of the POT. The relationship between upper extremity self-report activity/participation and impairment measures remain an unexplored realm. Purpose: The primary purpose of this study is to estimate the intra and inter-rater reliability and construct validity of the POT. The secondary purpose is to estimate the relationship between upper extremity self-report activity/participation questionnaires and impairment measures. Methods: A convenience sample of 22 patients with wrist or elbow injuries were tested for POT, wrist/elbow range of motion (ROM), isometric wrist extension strength (WES) and grip strength; and completed two self-report activity/participation questionnaires: Disability of the Arm, Shoulder and the Hand (DASH) and Work Limitations Questionnaire (WLQ-26). POT's inter and intra-rater reliability and construct validity was tested. Pearson's correlations were run between the impairment measures and self-report questionnaires to look into the relationship amongst them. Results: The POT demonstrated high inter-rater reliability (ICC affected = 0.97; 95% C.I. 0.93-0.99; ICC unaffected = 0.85; 95% C.I. 0.68-0.94) and intra-rater reliability (ICC affected = 0.96; 95% C.I. 0.92-0.97; ICC unaffected = 0.92; 95% C.I. 0.85-0.97). The POT was correlated moderately with the DASH (r = -0.47; p = 0.03). While examining the relationship between upper extremity self-reported activity/participation questionnaires and impairment measures the strongest correlation was between the DASH and the POT (r = -0.47; p = 0.03) and none of the correlations with the other physical impairment measures reached significance. At-work disability demonstrated insignificant correlations with physical impairments. Conclusion: The POT test provides a reliable and easily administered quantitative measure of ability to bear the load through an injured arm. Preliminary evidence supports a moderate relationship between loading bearing measured by the POT and upper extremity function measured by the DASH. Level of evidence: 1b

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The push-off test: Development of a simple, reliable test of upper extremity weight-bearing capability

Abstract ▼ AI-Helper

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참고문헌 (39)

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