title: Instruments for assessment of impairments and activity limitations in patients with hand conditions: A European Delphi study.
abstract: OBJECTIVE
  To reach multidisciplinary European consensus on the assessment tools for impairments and activity limitations in patients with hand conditions.
  
  
  METHODS
  Electronic Delphi method.
  
  
  METHODS
  Thirty experts from European societies for hand therapy, hand surgery, and physical and rehabilitation medicine.
  
  
  METHODS
  In 3 rounds, participants were asked which of 13 preselected categories of the Brief International Classification of Functioning, Disability and Health (ICF) Core Set for Hand Conditions should be assessed. In addition, they were asked to choose which of 55 preselected instruments they preferred for each category by confirming or rejecting instrument-specific statements.
  
  
  RESULTS
  All 13 preselected ICF categories were considered relevant. Consensus was based on ≥ 75% agreement. After 3 rounds, 9 instruments were selected: Shape Texture Identification Test, Semmes Weinstein Monofilament Test, Visual Analogue Scale for pain, goniometer, Jamar Dynamometer, Pinch Gauge Device, Cold Intolerance Symptom Severity questionnaire, Canadian Occupational Performance Measure, and Disabilities of the Arm, Shoulder and Hand Questionnaire. It remained undecided whether to use the Nine-Hole Pegboard Test or the Purdue Pegboard Test.
  
  
  CONCLUSIONS
  In this European Delphi study, multidisciplinary consensus was reached on 9 assessment tools for impairments and activity limitations in patients with hand conditions addressing 13 categories of the Brief ICF Core Set for Hand Conditions.
authors.affiliation: Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Rehabilitation, 898, PO Box 9101, NL-6500 HB Nijmegen, The Netherlands. E-mail: L.vandeVen-Stevens@home.nl/Lucelle.vandeVen-Stevens@Radboudumc.nl.
authors.forename: Lucelle A W
authors.initials: LA
authors.lastname: van de Ven-Stevens
authors.forename: Maud J L
authors.initials: MJ
authors.lastname: Graff
authors.forename: Ruud W
authors.initials: RW
authors.lastname: Selles
authors.forename: Ton A R
authors.initials: TA
authors.lastname: Schreuders
authors.forename: Harmen
authors.initials: H
authors.lastname: van der Linde
authors.forename: Paul H
authors.initials: PH
authors.lastname: Spauwen
authors.forename: Alexander C H
authors.initials: AC
authors.lastname: Geurts
mesh_terms: D000328:Adult; D003697:Delphi Technique; D004185:Disability Evaluation; D005060:Europe; D005260:Female; D006230:Hand Injuries / Q000534:rehabilitation* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010810:Physical and Rehabilitation Medicine / Q000295:instrumentation* / Q000379:methods; D011795:Surveys and Questionnaires