title: Outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health.
abstract: This article is a brief review of the outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health. Several tools currently exist to quantify outcome in hand surgery at the impairment level (eg, mobility, hand strength, cutaneous sensation, dexterity). According to the World Health Organization's paradigm, however, activity limitations and participation restrictions are also clinically relevant. The authors have recently built a measure of an upper limb-impaired individual's ability to manage manual activities in daily life. Participation and quality of life are difficult outcomes to measure because they are multidimensional and depend on such factors as functional abilities, general physical health, financial security, and stability of the social and familial environment.
authors.affiliation: Department of Orthopaedic Surgery, University of Louvain and St-Luc Hospital, Avenue Hippocrate, 10, 1200 Brussels, Belgium. Olivier.Barbier@orto.ucl.ac.be
authors.forename: Olivier
authors.initials: O
authors.lastname: Barbier
authors.forename: Massimo
authors.initials: M
authors.lastname: Penta
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Thonnard
mesh_terms: D000203:Activities of Daily Living; D002965:Classification; D004185:Disability Evaluation; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014953:Wrist / Q000503:physiopathology*