SEEK: Salford Environment for Expertise and Knowledge

Journal Article (Refereed)
February 2010

Responsiveness of self-report and therapist rated upper limb functional outcome measures in early rheumatoid arthritis

Adams, J & Mullee, M & Burridge, J & Hammond, A & Cooper, C 2010, 'Responsiveness of self-report and therapist rated upper limb functional outcome measures in early rheumatoid arthritis', Arthritis & Rheumatism (Arthritis Care and Research) , 62(2), pp.274-278..

Abstract

OBJECTIVE: To provide a responsiveness analysis of the self-report and therapist-rated upper extremity functional outcome measures used in a rehabilitation trial. METHODS: A variety of commonly used therapist-assessed and self-report structural impairment and functional outcome measures were compared for the ability to detect and measure change in wrist and hand status in an early rheumatoid arthritis population over 12 months. Responsiveness was measured using the standardized response mean (SRM) and effect size (ES). RESULTS: The most responsive measures were the Michigan Hand Outcomes Questionnaire (SRM 0.49 [95% confidence interval (95% CI) 0.27, 0.72], ES = 0.37 [95% CI 0.21, 0.54]), dominant metacarpophalangeal joint ulnar deviation (SRM 0.46 [95% CI 0.27, 0.65], ES = 0.58 [95% CI 0.34, 0.82]), and mean power handgrip test (SRM 0.45 [95% CI 0.26, 0.64], ES = 0.32 [95% CI 0.18, 0.45]) The least responsive measure was the Health Assessment Questionnaire (SRM -0.12 [95% CI -0.31, 0.08], ES = -0.08 [95% CI -0.21, 0.05]). CONCLUSION: Over 12 months, there was substantial variation in wrist and hand outcome measures to detect change over time in an early RA population. Careful consideration is required to choose the most appropriate measure that can detect change.

Authors

SEEK Members

External Authors

C Cooper

M Mullee

J Burridge

J Adams

Publication Details

Journal Name
Arthritis & Rheumatism (Arthritis Care and Research)

Volume
62(2)

Pagination
274-278..