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  • Do existing patient-report activity outcome measures accurately reflect day-to-day arm use following adult traumatic brachial plexus injury?

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    Author(s)
    Hill, B
    Williams, G
    Olver, J
    Bialocerkowski, A
    Griffith University Author(s)
    Bialocerkowski, Andrea E.
    Hill, Bridget
    Year published
    2015
    Metadata
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    Abstract
    OBJECTIVE: To identify the range of activities limited following adult traumatic brachial plexus injury and triangulate these with existing patient-reported outcome measures identified from the literature. DESIGN: A qualitative cross-sectional design. SUBJECTS: Adults with traumatic brachial plexus injury and expert clinicians. METHODS: Using an International Classification of Functioning, Disability and Health (ICF) framework, participants identified day-to-day activities that are limited following traumatic brachial plexus injury. Two independent reviewers classified all reported activities into the Comprehensive ICF ...
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    OBJECTIVE: To identify the range of activities limited following adult traumatic brachial plexus injury and triangulate these with existing patient-reported outcome measures identified from the literature. DESIGN: A qualitative cross-sectional design. SUBJECTS: Adults with traumatic brachial plexus injury and expert clinicians. METHODS: Using an International Classification of Functioning, Disability and Health (ICF) framework, participants identified day-to-day activities that are limited following traumatic brachial plexus injury. Two independent reviewers classified all reported activities into the Comprehensive ICF Core Set of Hand Conditions (CCS-HC) activity domains. Reported activities were triangulated with patient-reported outcome measures identified from the brachial plexus injury literature. RESULTS: Fifty-one participants (21 adults with brachial plexus injury, 30 expert clinicians) generated a total of 522 items. The inter-rater reliability for classification to CCS-HC domains was excellent (k = 0.94, 95% confidence interval (95% CI) 0.92–0.96). Activities reported by patients and clinicians represented all 29 CCS-CH activity domains. Five activities (2%) could not be classified to any ICF domain. Fifteen CCS-HC activity domains were represented in the Disabilities of Arm, Shoulder and Hand (DASH) and ABILHAND, 2 measures currently used in the brachial plexus injury literature. CONCLUSION: Adults with a brachial plexus injury report a range of activities that are limited following injury, and are under-represented in currently used patient-reported outcome measures. The activities reported in this study could be used to inform the development of a new brachial plexus injury targeted questionnaire.
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    Journal Title
    Journal of Rehabilitation Medicine
    Volume
    47
    Issue
    5
    DOI
    https://doi.org/10.2340/16501977-1950
    Copyright Statement
    © The Author(s) 2015. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the author[s].
    Subject
    Clinical Sciences not elsewhere classified
    Clinical Sciences
    Human Movement and Sports Sciences
    Publication URI
    http://hdl.handle.net/10072/141068
    Collection
    • Journal articles

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