Main Article Content
Background and Objective: The pathological conditions of hand are barriers to work and affect the daily activities. Physical therapists are responsible for assessment, planning treatment goals and providing treatment to the patients. But, there is no standard of hand function assessment to used in health service.
Methods: This was a cross-sectional survey research. The samples were 336 physical therapists who has at least 1 year working experiences in government hospitals and were selected by multi-stage sampling. The researchers sent the letters of request to the sample group to respond to the questionnaire by mail. They can choose answering either online or paper-based questionnaire and sent it back by mail within 2 weeks due date. The questionnaire, validated by 3 experts for content validity, has 2 parts: 1) characteristics of respondents, and 2) questionnaire or instrument for hand area assessment of patient.
Results: Of 366 questionnaires sent, 155 (34.23%) with completed responses were returned. The most common musculoskeletal disease at hand was Carpal tunnel syndrome. The top 3 frequently used assessment tools were goniometer (38.30%), pain scale (30.40%) and muscle manual testing (27.00%). The most common neurological disease at hand found was stroke and the top 3 frequently used assessment tools were hand function test (27.80%), muscle manual testing (24.30%), and the Barthel activity of daily living index questionnaire (17.40%).
Conclusion: Various assessment tools for hand function were used by physical therapists. Therefore, standard tools for hand function assessment should be determined to support quality patient care with shared standard information.
2. Guo H. Prevalence of musculoskeletal disorder among workers in taiwan a nationwide study. JOH 2004; 46: 26-36.
3. Picavet H. Musculoskeletal pain in the Netherlands: Prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003; 1-2: 167-78.
4. Salik Y, Ozcan A. Work-related musculoskeletal disorders: A survey of physical therapists in Izmir-Turkey. BMC Musculoskeletal Disorders 2004; 5: 27.
5. West D, Gardner D. Occupational injuries of physiotherapists in North and Central Queensland. Australian Journal of Physiotherapy 2001; 47: 179-86.
6. Macdonald B, Cockerell O, Sander J, Sheorvon S. The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain 2000; 123: 665-76.
7. Arwert H, Schut S, Boiten J, Vliet Vlieland T, Meesters J. Patient reported outcomes of hand function three years after stroke. Top Stroke Rehabil 2018; 25: 13-9.
8. ประวิตร เจนวรรธนะกุล. โรคทางระบบกระดูกและกล้ามเนื้อในผู้ที่ทำงานสำนักงาน ความชุกและอุบัติการณ์ของโรคทางระบบกระดูกและกล้ามเนื้อในผู้ที่ทำงานในสำนักงาน. กรุงเทพฯ:ก.พล(1966), 2558.
9. Lee k, Jung M. Ergonomic Evaluation of Biomechanical Hand Function. Saf Health Work 2015; 6: 9-17.
10. ราชกิจจานุเบกษา. มาตรฐานบริการกายภาพบำบัด. 2553 [cited 6 กุมภาพันธ์ 2562]. Available from https://pt.or.th/file_attach/09Aug201210-AttachFile1344509470.PDF.
11. Dale A, Adamson C, Rempel D, Gerr F, Hegmann K, Silverstein B, et al. Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies. J Work Environ Health 2013; 5: 495-505.
12. Thinen N, Tsukimoto D, Tsukisumoto G. Functional evaluation of hemiplegic patients post stroke using the Disabilities of the Arm, Shoulder and Hand - DASH questionnaire. Acta Fisiatr 2016; 1: 25-9.