Informatics Publishing Limited

Shubha Arora ¹, Ona P. Desai ²

Affiliations
1 Department of Rehabilitation Sciences, Jamia Hamdard Delhi, IN
2 Department of Rehabilitation Sciences, Jamia Hamdard, Delhi, IN

Abstract

Statement: "To compare the inter-rater reliability of students using Standardized Hand tools" Objective: To analyze the inter- rater reliability of occupational therapy students using standardized hand tools

Outcome measures:

1. Jamar Hand Dynamometer for grip strength

2. Baseline pinch gauge for pinch strength

Methodology: A convenience sample of four occupational therapy students volunteered to participate in this study. Total subjects participated in the study were thirty. Four Students were assigned , six different rating teams. Each rater served on 3 rating teams for data collection. Each rating team was assigned four tasks i.e. one grip strength and three pinch strength {tip to tip, three jaw chuck, lateral} of dominant hand.

Data Analysis: The correlation between two of raters is established for 4 different parameters by subjecting the data to Intra-class correlation coefficient test. .This test was preferred over Pearson correlation analysis because it takes the mean of all the subjects where as Pearson takes average of one group and scales the data accordingly.

Results & Conclusion: It was found that perfect agreement exists for lateral pinch test for all the six groups and for other 3 tests were showing strong/moderate agreement for one group where as other 5 groups had shown perfect agreement

Keywords

Tip to Tip Pinch, Three Jaw Pinch And Lateral Pinch

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Tanwir Ahmad ¹, Ona P. Desai ², Kamal Narayan Arya ³, K. Ramesh Arya ⁴

Affiliations
1 Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Jamia Hamdard, IN
2 HOD, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Jamia Hamdard, IN
3 PDU Institute for the Physically Handicapped, IN
4 Occupational Therapist & HOD, G.B Pant Hospital, New Delhi, IN

Abstract

Complex regional pain syndrome - 1 (CRPS-1), known by various names is a devastating condition seen as secondary complication in post stroke patients. This condition not only reduces the functional level but also making the rehabilitation process difficult and affects over all quality of life of the patient. Its prevalence has been reported from 70% to 12.5% which usually occur between 2nd and 3rd month post stroke. Being multifactorial in nature its pathophysiology is unknown and hence difficult to manage. If the associated factors are known and understood, the problem can be prevented in post stroke population. This study is an attempt to explore various factors associated with CRPS-1 in stroke patients. A cross sectional survey was done on 63 stroke patients by using a questionnaire. Factors such as pain, age, gender, type, duration and side of stroke, hand dominance, recovery stage, tone, shoulder subluxation, edema, infusion to paretic arm and psychological factors etc were studied. 10% of the subjects were diagnosed as definite, probable or doubtful CRPS-1. Shoulder subluxation, spasticity, repeated invasive procedures on affected arm were factors found to be strongly associated with this complication. In the absence of exact etiology of CRPS-1 the therapy related factors explored through the study should be understood and given utmost importance for management of post stroke patients.

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