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Pain, Range of Motion, Edema, Sensibility, Strength (PRESS) & Self-reported Function Create a Comprehensive Score

NCT ID: NCT06155617

Last Updated: 2023-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-13

Study Completion Date

2023-05-24

Brief Summary

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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

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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.

Conditions

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Hand Injuries and Disorders Upper Extremity Problem

Keywords

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PRESS to Function Pain Range of Motion Edema Sensation Strength Quick DASH Upper Extremity Hand

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

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 Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single Arm Clinical Trial

Participants with various upper extremity disorders are provided treatment/interventions and evaluated at baseline, 3-6 weeks, and at discharge using the PRESS to Function Approach

Group Type OTHER

Upper Extremity Rehabilitation

Intervention Type OTHER

Pain management, ROM, Edema Management, Desensitization, Strengthening, Functional Tasks

Interventions

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Upper Extremity Rehabilitation

Pain management, ROM, Edema Management, Desensitization, Strengthening, Functional Tasks

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

21 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Howard University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Phyllis Ross, OTD

Role: PRINCIPAL_INVESTIGATOR

Howard University

Locations

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Pinnacle Hand Therapy

Newport News, Virginia, United States

Site Status

Countries

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United States

References

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American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed,) American Journal of Occupational Therapy, 74 ( Suppl. 2).

Reference Type BACKGROUND

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.

Reference Type RESULT
PMID: 28555708 (View on PubMed)

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.

Reference Type RESULT
PMID: 30350850 (View on PubMed)

Other Identifiers

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IRB-20-PNAH-08

Identifier Type: -

Identifier Source: org_study_id