A Tool to Measure Outcomes in the Hand and Wrist

Main Article Content

Ronit Wollstein, MD Sarah Ewald Esther Vögelin

Abstract

There has been a consistent effort to improve the way we measure outcomes in hand and wrist surgery. The advantages of widely accepted outcome measures include patient specificity and the ability to appropriately compare results. We developed a consensus tool based on subjective and objective measures. All of the tests have been previously validated. We present a series of patients and some preliminary results. It seems that this test allows for a detailed and specific assessment of the patient’s outcome. Further study and policy decision on which tests should be used may enable a more uniform on one hand and patient specific on the other, evaluation of outcomes in the hand and wrist.

Article Details

How to Cite
WOLLSTEIN, Ronit; EWALD, Sarah; VÖGELIN, Esther. A Tool to Measure Outcomes in the Hand and Wrist. Medical Research Archives, [S.l.], v. 13, n. 7, july 2025. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/6812>. Date accessed: 06 dec. 2025. doi: https://doi.org/10.18103/mra.v13i7.6812.
Section
Case Reports

References

1. Ziebart C, Mehta SP, MacDermid J. Measurement Properties of Outcome Measures Used to Assess Physical Impairments in Patients After Distal Radius Fracture: A Systematic Review. Phys Ther. Feb 27 2021;doi:10.1093/ptj/pzab080
2. Spanswick PJC, Whittier DE, Kwong C, Korley R, Boyd SK, Schneider PS. Improvements in radiographic and clinical assessment of distal radius fracture healing by FE-estimated bone stiffness. Bone Rep. Jun 2021;14:100748. doi:10.1016/j.bonr.2021.100748
3. Rosvall F, Jedeskog U, Andersson JK, Soderberg T, Hagert E. Intrarater reliability test of the ISOmetric power device-A new instrument for assessment of isometric force in six directions of wrist motion. Journal of hand therapy : official journal of the American Society of Hand Therapists. Jan-Mar 2021;34(1):100-108. doi:10.1016/j.jht.2019.12.013
4. Karantana A, Davis T, Kennedy D, et al. Common hand and wrist conditions: creation of UK research priorities defined by a James Lind Alliance Priority Setting Partnership. BMJ Open. Mar 26 2021;11(3):e044207. doi:10.1136/bmjopen-2020-044207
5. Wilkinson CP. Evidence-based medicine regarding the prevention of retinal detachment. Trans Am Ophthalmol Soc. 1999;97:397-404; discussion 404-6.
6. Becker A, Blumle A, Momeni A. Evidence-based Plastic and Reconstructive Surgery: developments over two decades. Plastic and reconstructive surgery. Oct 2013;132(4):657e-663e. doi:10.1097/PRS.0b013e31829fe0f7
7. Slutsky DJ. Editorial. J Wrist Surg. Aug 2013;2(3):195-6. doi:10.1055/s-0033-1351376
8. Dario P, Matteo G, Carolina C, et al. Is it really necessary to restore radial anatomic parameters after distal radius fractures? Injury. Dec 2014;45 Suppl 6:S21-6. doi:10.1016/j.injury.2014.10.018
9. Carter TI, Pansy B, Wolff AL, et al. Accuracy and reliability of three different techniques for manual goniometry for wrist motion: a cadaveric study. J Hand Surg Am. Oct 2009;34(8):1422-8. doi:10.1016/j. jhsa.2009.06.002
10. 10. Paranaiba VF, Santos J, Raduan Neto J, Moraes VY, Belotti JC, Faloppa F. PRWE application in distal radius fracture: comparison and correlation with established outcomes. Rev Bras Ortop. May-Jun 2017;52(3):278-283. doi:10.1016/j.rboe.2016.07.007
11. Shauver MJ, Chang KW, Chung KC. Contribution of functional parameters to patient-rated outcomes after surgical treatment of distal radius fractures. J Hand Surg Am. Mar 2014;39(3):436-42. doi:10.1016/j. jhsa.2013.11.015
12. Aaron DH, Jansen CW. Development of the Functional Dexterity Test (FDT): construction, validity, reliability, and normative data. J Hand Ther. Jan-Mar 2003;16(1):12-21.
13. Poole JL, Huffman M, Hunter A, Mares C, Siegel P. Reliability and validity of the Manual Ability Measure-36 in persons with Charcot-Marie-Tooth disease. J Hand Ther. Oct-Dec 2015;28(4):364-7; quiz 368. doi:10.1016/j.jht.2015.04.003
14. Dacombe PJ, Amirfeyz R, Davis T. Patient-Reported Outcome Measures for Hand and Wrist Trauma: Is There Sufficient Evidence of Reliability, Validity, and Responsiveness? Hand (N Y). Mar 2016;11(1):11-21. doi:10.1177/1558944715614855
15. van Lankveld W, van't Pad Bosch P, Bakker J, Terwindt S, Franssen M, van Riel P. Sequential occupational dexterity assessment (SODA): a new test to measure hand disability. J Hand Ther. Jan-Mar 1996;9(1):27-32.
16. Prada V, Robbiano G, Mennella G, et al. Validation of a new hand function outcome measure in individuals with Charcot-Marie-Tooth disease. J Peripher Nerv Syst. Dec 2020;25(4):413-422. doi:10.1111/jns. 12421
17. Ladd AL. The Teleology of the Thumb: On Purpose and Design. J Hand Surg Am. Mar 2018;43(3):248-259. doi:10.1016/j.jhsa.2018.01.002

Most read articles by the same author(s)