Clinical trial NCT06155617: Pain, Range of Motion, Edema, Sensibility, Strength (PRESS) & Self-reported Function Create a Comprehensive Score
Official title: Development and Reliability of the PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hand Injuries and Disorders
Upper Extremity Problem
Keywords: PRESS to Function
Pain
Range of Motion
Edema
Sensation
Strength
Quick DASH
Upper Extremity
Hand
Lead sponsor: Howard University
Sponsor class: OTHER
First posted: 2023-12-04
Enrollment: 30
Sex: ALL
Minimum age (years): 21
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Single arm clinical trial. T-test employed to compare PRESS to Function scores before and after treatment. Reliability coefficient were computed to access consistency in the measurements of the Quick DASH and the PRESS to Function Scores
Primary purpose: TREATMENT

Brief summary: The aim of this study is to examine the development of a conceptual framework and provide evidence for reliability of a comprehensive hand therapy evaluation score. This approach provides a new standardized tool for upper extremity (UE) evaluation. Components of Pain, Range of Motion (ROM), Edema, Sensibility, Strength (PRESS), and self-reported Function were combined to create a baseline. Each assessment tool used for the PRESS to Function Approach assists in determining appropriate interventions.

Detailed description: In this study, investigators used the innovative PRESS to Function Approach and Composite Score to describe the development and piloting of a systematic standard for upper extremity evaluation. Using existing instruments with substantial evidence of validity and reliability is more cost-effective than starting from scratch to develop and validate an instrument. This Approach and Score will provide occupational therapists an accurate measure to track the progression of a patient. The hypothesis for this study is Press to Function components will demonstrate utility for measuring clinical and patient-reported function when used as a comprehensive assessment tool.

Eligibility criteria: Inclusion Criteria:

* Clinical diagnosis of upper extremity disorder as the primary diagnosis
* Surgical and nonsurgical Diagnoses
* Age 21 years or older

Exclusion Criteria:

* Concomitant Diseases (i.e cerebralvascular accident, cerebral palsy, spinal cord injury)
* Full Body Lymphedema
* Individuals who did not complete at least one reassessment

Primary outcomes:
measure: Development and Reliability of PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
Secondary outcomes:
measure: Pain Scale
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
measure: Range of Motion (ROM)
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
measure: Edema
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
measure: Sensibility
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
measure: Strength (Grip and Pinch)
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
measure: Function with Quick Disability of the Arm, Shoulder, and Hand (DASH)
timeFrame: 4 weeks - 16 weeks depending on diagnosis and protocol
Other outcomes:
Locations:
city: Newport News
country: United States
facility: Pinnacle Hand Therapy
state: Virginia
Study officials:
affiliation: Howard University
name: Phyllis Ross, OTD
role: PRINCIPAL_INVESTIGATOR
References:
citation: American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed,) American Journal of Occupational Therapy, 74 ( Suppl. 2).
citation: Bohannon RW. Test-Retest Reliability of Measurements of Hand-Grip Strength Obtained by Dynamometry from Older Adults: A Systematic Review of Research in the PubMed Database. J Frailty Aging. 2017;6(2):83-87. doi: 10.14283/jfa.2017.8.
citation: Hoe VC, Urquhart DM, Kelsall HL, Zamri EN, Sim MR. Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers. Cochrane Database Syst Rev. 2018 Oct 23;10(10):CD008570. doi: 10.1002/14651858.CD008570.pub3.