Compensatory movements in upper limb prosthesis wearers during the performance of FCE tasks: the development of an observational scale.

Laan, T. van der (Tallie) (2014) Compensatory movements in upper limb prosthesis wearers during the performance of FCE tasks: the development of an observational scale. thesis, Medicine.

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Abstract

The prevalence of musculoskeletal complaints (MSC) is twice as high in patients with an upper limb defect (ULD), congenital or due to amputation, in comparison with the general population. MSC decrease the quality of life and cause limitations in daily functioning and work. MSC are possibly caused by overuse of the sound hand and compensatory movements of the shoulders and trunk when performing activities of daily living or work related activities. MSC may be prevented or reduced by reducing compensatory movements in prosthesis wearers during functional and work related tasks. Functional Capacity Evaluation (FCE) contains these tasks. This study aims to develop an observational scale for scoring compensatory movements in upper limb prosthesis wearers and to examine the inter- and intrarater reliability of this scoring system. In total, 12 upper prosthesis users and 20 control subjects were videotaped while performing four FCE tasks. In order to develop the observational scale, movement patterns of both groups were analysed and compensatory movements were defined per FCE task. The scale was developed following the guideline for instrument development of Benson en Clack, which includes performing several pilot test. In total three pilot tests were performed. For reliably testing, four experienced observers rated a selection of the videotapes, using the developed scale. The inter- and intrarater reliability kappa values for five out of eight individual scale components (items) of the developed scale were >0.6, so it can be concluded that the inter- and intrarater reliablity of the developed scale was sufficient with exception of three items. These items need improvement.

Item Type:	Thesis (Thesis)
Supervisor name:	Sluis, Prof. Dr. C.K. van der
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:48
Last Modified:	25 Jun 2020 10:48
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/893

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