title: Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries.
abstract: The aim of this paper is to analyze the relation between components of disability with distinguished score of impairment, activity and participation questionnaire based on clinical data of persons with hand injuries. Impairment was evaluated by use of AMA guide 6th edition and disability by DASH questionnaire on Convenience sample of patients (N = 117), with chronic hand injuries. Linking and allocating items of the DASH were done based on the ICF Core Set for Hand Conditions and the opinions of a group of experts from different related fields. Data was analyses by using Kappa index, Chi square test and a set of Pearson, Part and Partial correlations coefficient. Most of the DASH items were allocated to the activity; one to four of the items could not be classified and 0 to 22 were classified as having overlap. Participation and activity scores correlated positively with each other (r > 0.80). Impairment had high correlation with activity and participation scores (>73). With controlling the effect of each or both construct, this relation between them with impairment diminished but still significant between activity and impairment. There is a huge overlap in definition of activity and participation. The most effecting item in relation of disability and impairment is activity restriction. Participation had no relation with impairment.
authors.affiliation: Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran 1985713831 Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Farzad
authors.affiliation: Department of Educational Psychology, The University of Kharazmi, Khaghani Ave, Somayeh St., Tehran, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Asgari
authors.affiliation: Department of Basic Science, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran 1985713831 Iran.
authors.forename: Fereydoun
authors.initials: F
authors.lastname: Layeghi
authors.affiliation: Faculty of Health and Life Sciences, Oxford Brookes University, Jack Straw's Lane, Marston Oxford, OX3 0FL UK.
authors.forename: Farzaneh
authors.initials: F
authors.lastname: Yazdani
authors.affiliation: Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran 1985713831 Iran.
authors.forename: Seyyed Ali
authors.initials: SA
authors.lastname: Hosseini
authors.affiliation: Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran 1985713831 Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Rassafiani
authors.affiliation: Department of Medical Informatics, Biometry and Epidemiology - IBE/Chair for public Health Services Research, Marchioninistr. 17, 81377 Munich, Germany.
authors.forename: Sandra
authors.initials: S
authors.lastname: Kus
keywords: AMA guide; DASH; Disability; Hand injuries; ICF; Link