| Simultaneous bilateral hand strength testing in a client population, part I: diagnostic, observational and subjective complaint correlates to consistency of effort. | |
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MedLine Citation:
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PMID: 20978338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: 1. To determine if scores on pain questionnaires and overt behaviors during a functional capacity evaluation (FCE) were related to variability between repeated measures during a hand strength assessment. 2. To determine if failure of statistically-based validity criteria, as proposed by Schapmire, St. James and Townsend et al. [26] is likely to be due to pain. PARTICIPANTS: 200 consecutive clients presenting for an FCE. METHODS: Subjects filled out pain questionnaires, were observed for various behaviors and were administered the distraction-based hand strength assessment. RESULTS: Clients failing two or more of the statistically-based validity criteria had higher scores on most pain questionnaires, presented with a higher frequency of various pain behaviors (p < 0.05 and < 0.001, respectively), and had a lower rate of relevant surgeries (p < 0.001). There was no statistically significant difference in the number of failed validity criteria between this group of clients and for normal subjects feigning weakness in a controlled study (p> 0.05). CONCLUSIONS: Pain does not reasonably explain the failure of the statistically-based validity criteria. The protocol is appropriate for use in a client population. |
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Authors:
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Darrell W Schapmire; James D St James; Larry Feeler; Joe Kleinkort |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Work (Reading, Mass.) Volume: 37 ISSN: 1875-9270 ISO Abbreviation: Work Publication Date: 2010 |
Date Detail:
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Created Date: 2010-10-27 Completed Date: 2011-02-04 Revised Date: 2011-03-07 |
Medline Journal Info:
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Nlm Unique ID: 9204382 Medline TA: Work Country: Netherlands |
Other Details:
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Languages: eng Pagination: 309-20 Citation Subset: IM |
Affiliation:
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X-RTS Software Products, Inc., Hopedale, IL 61747, USA. ds@xrts.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Behavior Hand Strength* Humans Pain / complications, psychology* Pain Measurement / methods, psychology* Physical Exertion Questionnaires Reproducibility of Results Work Capacity Evaluation* |
| Comments/Corrections | |
Comment In:
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Work. 2011;38(2):193-5; author reply 197-9
[PMID:
21297289
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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