| Disabilities of Arm, Shoulder and Hand (DASH) |
Measures the level of functional impact resulting from the impairment of the
upper limb to perform activities of daily living related to self-care, mobility,
home maintenance and recreation. The device has optional modules specific to
assess the impairment of work activities and the practice of sport and musical
activities. |
Structured, self-administered questionnaire. Score from 0 to 100 points,
indicating increasing disability due to involvement of upper limbs.2424 Aktekin LA, Eser F, Baskan BM, Sivas F, Malhan S, Oksuz E, et al. Disability
of arm shoulder and hand questionnaire in rheumatoid arthritis patients: relationship with
disease activity, HAQ, SF-36. Rheumatol Int. 2011;31(6):823-6. PubMed PMID: 20680284. Epub
2010/08/04. eng.,2525 Orfale AG, Araújo PMP, Ferraz MB, Natour J. Translation into Brazilian
portuguese, cultural adaptation, and evaluation of the reliability of the disabilities of
the arm, shoulder and hand questionnaire. Brazilian Journal of Medical and Biological
Research. 2005;38:293-302.
|
| Sequential Occupational Dexterity Assessment (SODA) |
Assesses the patient's performance on twelve tasks, performed unilaterally and
bilaterally, including writing, handling objects and pieces of clothing and hand
hygiene. |
Structured test. Scored by the therapist, according to the patient's
performance on the tasks described.2626 Van Lankveld W,van't Pad Bosch P,Bakker J, Terwindt S, Franssen M, van Riel
P. Sequential occupational dexterity assessment (Soda): a new test to measure hand
disability. J Hand Ther. 1996;9:1:27-32:. PubMed PMID: 8664936. Epub 1996/01/01.
eng.,2727 Oku EC, Pinheiro GRC, Araújo PMP. Instrumentos de avaliacão funcional da mão
em paciente com artrite reumatoide. Fisioterapia em Movimento.
2009;22(2):221-8.
|
| Health Assessment Questionnaire (HAQ) |
Measures the level of functionality based on the difficulty reported by the
patient to perform activities in eight areas, including reaching, self-care,
mobility and object holding. |
Standardized questionnaire consisting of 20 questions, scored from 0 to 3,
indicating increasing disability.2828 Ferraz MB, Oliveira LM, Araujo PM, Atra E, Tugwell P. Crosscultural
reliability of the physical ability dimension of the health assessment questionnaire. J
Rheumatol. 1990;17(6):813-7. PubMed PMID: 2388204. Epub 1990/06/01. eng.,2929 Corbacho MI, Dapueto JJ. Avaliacäo da capacidade funcional e da qualidade de
vida de pacientes com artrite reumatoide. Revista Brasileira de Reumatologia.
2010;50:31-43.
|
| Canadian Occupational Performance Measure (COPM) |
Assesses the patient's perception of the importance of ADLs in self-care,
productivity and leisure areas, as well as his/her satisfaction on the
implementation and performance of these tasks. |
Qualitative questionnaire in a format of semi-structured interview. Provides
two scores (for performance and satisfaction), allowing the patient's pre- and
post-intervention evaluation.3030 Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The
Canadian occupational performance measure: an outcome measure for occupational therapy.
Can J Occup Ther. 1990;57(2):82-7. PubMed PMID: 10104738. Epub 1990/04/01.
eng.,3131 Meesters J, Pont W,Beaart-Van De Voorde L, Stamm T, Vliet Vlieland T. Do
rehabilitation tools cover the perspective of patients with rheumatoid arthritis? A focus
group study using the ICF as a reference. European Journal of Physical and Rehabilitation
Medicine. 2013;23. PubMed PMID: 23698472. Epub 2013/05/24. Eng.
|
| Handgrip dynamometry – JAMAR® Dynamometer |
Assesses handgrip strength by measuring the maximum force exerted by the
patient when pressing a hydraulic dynamometer. |
Standardized test, measured in pounds or kg/F. Requires standardization of
postures and grip forms utilized during the evaluation.3232 Fraser A, Vallow J, Preston A, Cooper RG. Predicting "normal" grip strength
for rheumatoid arthritis patients. Rheumatology (Oxford). 1999;38(6):521-8. PubMed PMID:
10402072. Epub 1999/07/13. eng.,3333 Kennedy D, Jerosch-Herold C, Hickson M. The reliability of one
vs. three trials of pain-free grip strength in subjects
with rheumatoid arthritis. J Hand Ther. 2010;23(4):384-90, quiz 91. PubMed PMID: 20971419.
Epub 2010/10/26. eng.
|
| Digital pinch dynamometry – Pinch Gauge® Dynamometer |
Measures the digital pinch strength of the patient with three types of
tweezers, using the fingers I, II and III, representing both fine movement
(opposition between fingers I and II) and grip strength (lateral grip). |
Standardized test, measured in pounds or kg/F. Requires standardization of
postures and grip forms utilized during the evaluation.3232 Fraser A, Vallow J, Preston A, Cooper RG. Predicting "normal" grip strength
for rheumatoid arthritis patients. Rheumatology (Oxford). 1999;38(6):521-8. PubMed PMID:
10402072. Epub 1999/07/13. eng.,3333 Kennedy D, Jerosch-Herold C, Hickson M. The reliability of one
vs. three trials of pain-free grip strength in subjects
with rheumatoid arthritis. J Hand Ther. 2010;23(4):384-90, quiz 91. PubMed PMID: 20971419.
Epub 2010/10/26. eng.
|
| Manual Dexterity and Function Testing |
Measure manual dexterity through the manipulation of objects and utensils
common to ADLs. Examples: Jebsen–Taylor function test, Purdue Pegboard, O'Connor
Finger Dexterity. |
Standardized tests, generally using as a parameter for evaluation the time
required for manipulation of objects during the course of systematic tasks.2727 Oku EC, Pinheiro GRC, Araújo PMP. Instrumentos de avaliacão funcional da mão
em paciente com artrite reumatoide. Fisioterapia em Movimento.
2009;22(2):221-8.
|
| Hospital Anxiety and Depression Scale (HADS) |
Evaluates the occurrence of symptoms of anxiety and depression among
patients. |
Standardized questionnaire containing seven questions to assess anxiety and
seven for depression, scored from 0 to 3. The final score is the sum of the
points; results >7 suggest states of anxiety and/or depression.1818 Mella LFB, Bértolo MB, Dalgalarrondo P.Depressive symptoms in rheumatoid
arthritis. Revista Brasileira de Psiquiatria. 2010;32:257-63.
|
