Arthritis Hand Function Test (2022)

Last Updated

Atomized Content

Purpose

Arthritis Hand Function Test (AHFT) is an 11-item test to measure pure and applied strength and dexterity while performing activities associated with self-care, work and leisure in persons with arthritis.

Acronym AHFT

Area of Assessment

Activities of Daily Living
Functional Mobility
Dexterity

Cost

Not Free

Actual Cost

$25.00

Cost Description

Manual: $25.00. Cost of equipment: Pinch gauge $188.00. Peg hole test $23.00. Adaptive sphygmomanometer undetermined. General equipment and supplies for functional task averages $200.00. Total cost for all items combined approximately $500.00.

Rheumatic Disease

Osteoarthritis

Non-Specific Patient Population

Arthritis

  • 11-item performance-based test with 4 subscales performed bilaterally.
  • Grip and pinch strength section (3 items) with mean score of three trials each:
    1.gross grip strength in mm Hg,
    2.tip pinch with the thumb and index in kg,
    3.three-point pinch strength with thumb, index and middle finger in kg
  • Dexterity (1 item) – 9-hole peg test timed for place and removal in a 9-hole pegboard; performed 1 time with each hand.
  • Applied dexterity (5 items) measured in time to complete:
    1.Fasten and unfasten four buttons;
    2.Lace a shoe and tie a bow;
    3.Pin and unpin two safety pins in a cloth;
    4.Pick up and manipulate four coins into a slot;
    5.Cut a piece of putty with a knife and fork into four pieces.
  • Applied strength (2 items) measured in number of cans or volume of water lifted:
    1.Lifting a tray filled with six tin cans of soup. Cans are added or subtracted depending on the patients’ lifting ability
    2.Lifting one liter of water. Water is added or subtracted depending on the patients’ lifting ability
  • Minimal and maximum scores:
    1.Grip strength with a range of 0-300 mm HG;
    2.Pinch strength range is 0-30 kg;
    3.Applied strength range with cans is 0-12 cans;
    4.Applied strength range for pouring water is 0-2000 ml;
    5.Dexterity and applied dexterity range for peg placement time is 0 to an undetermined amount of time.
  • Scoring procedures and forms are in the test manual and must be purchased. Grip strength is determined with an adapted sphygmomanometer and pinch gauge. Dexterity with the 9-hole peg test is timed. Applied strength is determined by the weight and number of lifting repetitions.

Number of Items

11

  • Adapted sphygmomanometer
  • Pinch gauge
  • 9-hole peg test
  • Custom made tray with handles
  • 12 soup cans
  • Coin box with 4 coins
  • Theraputty with putty guide
  • Knife and fork
  • Material with 4 buttons and four buttonholes
  • 2 safety pins and a cloth
  • Shoe and shoe lace
  • Water pitcher and glass cup
  • Stopwatch

20-30minutes

Required Training

Reading an Article/Manual

Adult

18 - 64

years

Older Adults

+

years

(Video) Hand and Wrist Examination - OSCE Guide (New Version)

Instrument Reviewers

Pamela Metzer, OTR, CHT

Body Part

Upper Extremity

ICF Domain

Activity
Body Function
Body Structure

Measurement Domain

Activities of Daily Living

Considerations

  • The AHFT produces scores for a variety of strength and dexterity tasks but has no total score summation. This makes the use of this assessment in research studies more difficult. Some studies are creating 4 subgroups for scoring for strength and dexterity
  • It shows a good functional assessment for bilateral tasks that other hand function assessments do not include.

Contact Catherine Backman and Hazel Mackie at the School of Rehabilitation Sciences, University of British Columbia for manual

Do you see an error or have a suggestion for this instrument summary? Pleasee-mail us!

Normative Data

Systemic Sclerosis (Scleroderma): (Poole, Gallegos & O’Linc, 2000)

  • Nondisabled – Norms for the AHFT are included within the manual with scoring tables having comparative norms for the strength and 9-hole-peg test.

Test/Retest Reliability

Systemic Sclerosis (Scleroderma): (Poole, Gallegos & O’Linc, 2000)

  • Excellent test-retest reliability for strength measurements (ICC 0.85 – 0.95 except right hand 2-point pinch at 0.57)
  • Adequate test-retest reliability for dexterity and applied lifting
  • Excellent test-retest reliability for applied dexterity (ICC = 0.72 – 0.95)

Interrater/Intrarater Reliability

Systemic Sclerosis (Scleroderma): (Poole, Gallegos & O’Linc, 2000)

Excellent inter-rater reliability for all items (ICC = 0.99 – 1.00)

Criterion Validity (Predictive/Concurrent)

Systemic Sclerosis (Scleroderma): (Poole, Gallegos & O’Linc, 2000)

  • Adequate correlation with Health Assessment Questionnaire (HAQ) with AHFT grip and pinch strength sections Pearson r values ranging 0.32 to 0.40
  • Adequate to excellent correlation with HAQ for dexterity and applied dexterity sections with Pearson r values ranging 0.46 to 0.73
  • Excellent correlation with HAQ for applied strength with lifting with Pearson r values ranging 0.62 to 0.66
  • Poor to adequate correlation with Arthritis Impact Measurement Scales 2 (AIMS2) for grip and pinch strength sections with Pearson r values ranging 0.19 to 0.31
  • Poor to adequate correlation with AIMS2 for dexterity and applied dexterity sections with Pearson r values ranging 0.20 to 0.49
  • Excellent correlation with AIMS2 for applied strength with lifting with Pearson r values ranging 0.66 to 0.69

Construct Validity

Systemic Sclerosis (Scleroderma): (Brower & Poole, 2004; n = 40; age range 26 – 74 years; mean age 35 years; diagnosed with systemic sclerosis.)

(Video) Rheumatoid Arthritis Hand Exercises | Mobility & Strength

  • Adequate to Excellent correlation with strength, applied dexterity and applied strength sections of the AHFT (Spearman rho 0.39 – 0.58) to Duruӧz Hand Index.
  • Poor correlation with dexterity section of AHFT and Duruӧz Hand Index

Systemic Sclerosis (Scleroderma): (Poole, Gallegos & O’Linc, 2000)

  • Poor correlations for strength and applied strength of the AHFTwith Health Assessment Questionnaire (Pearson’s r -0.40 to -0.30)
  • Adequate to Excellent correlation for dexterity and applied dexterity of the AHFT with Health Assessment Questionnaire (Pearson’s r 0.46 – 0.73)
  • Poor correlations for strength and applied strength of the AHFT with the physical component of the AIMS2 (Pearson’s r -0.69 to – 0.19)
  • Adequate correlation for dexterity and applied dexterity of the AHFT with the physical component of the AIMS2 (Pearson’s r 0.21 – 0.46)

Test/Retest Reliability

Osteoarthritis: (Backman & Mackie, 1997)

  • Excellent test-retest (ICC = range 0.83 to 0.96).

Interrater/Intrarater Reliability

Osteoarthritis: (Backman & Mackie, 1997)

  • Excellent Inter-rater reliability (ICC ranging 0.99 to 1.0 for all subtests)

Rheumatoid Arthritis/Osteoarthritis: (Backman & Mackie, 1995; n = 30; mean age 57.5 years (range 28 – 79 years); average time since diagnosis 14.8 years; arthritis affects >2 joints)

  • Excellent inter-rater reliability coefficient (Pearson’s r range 0.45 to 0.99) between 6 self-trained raters assessing 30 subjects.

Criterion Validity (Predictive/Concurrent)

(Backman & Mackie, 1997) concurrent validity with OARS
Multidimensional Functional Assessment Questionnaire physical activities of daily living (PADL) and instrumental activities of daily living (IADL)

  • Adequate to excellent correlation coefficients with PADL ranging 0.40 to 0.69
  • Adequate to excellent correlation coefficients with IADL ranging 0.475 to 0.75

Predictive validity(Backman & Mackie, 1997)

  • Adequate to excellent predictive validity correlation of the AHFT with the physical activities of daily living (PADL) self-report section of Oars Multidimensional Assessment of Function for performing functional tasks with correlation scores ranging from 0.40 – 0.69. A correlation suggests a relationship between hand function and predicting tasks in the functional domain.
  • Adequate to excellent predictive validity correlation of the AHFT with the instrumental activities of daily living (IADL) self-report Oars Multidimensional Assessment of Function section for instrumental tasks with correlation scores ranging 0.467 – 0.75. A correlation suggests a relationship between

Construct Validity

(Backman & Mackie, 1997)

  • Excellent to Adequate correlation of AHFT with physical activities of daily living (PADL) self-report section of the Oars Multidimensional Assessment of with correlation scores ranging from 0.40 – 0.69
  • Excellent to Adequate correlation of AHFT with instrumental activities of daily living (IADL) self-report section of the Oars Multidimensional Assessment of Function with correlation scores ranging from 0.467 – 0.75.

(Poole, Lucero, & Mynatt, 2010) n = 40, convenience sample, > 45 years old, diagnosis of osteoarthritis with presence of Heberden’s and/or Bouchard’s nodes

  • Excellent correlation with Cochin Hand Function Disability scale (HFDS) (r values s = 0.52 to 0.64) for performance-based items
  • Adequate to excellent correlation HFDS for grip strength with r values ranging 0.57 to 0.67
  • Poor correlation with HFDS for applied strength (r value 0.12)
  • Adequate to excellent correlation with Michigan Hand Questionnaire (MHQ) for strength items (rs value 0.51 – 0.65)
  • Poor to adequate correlation with MHQ for pegboard and applied dexterity (r values 0.38 to 0.51)
  • Poor correlation with MHQ for applied strength (r value .28)
  • Adequate correlation with Dreiser’s Functional Index (DFI) for strength items (r values 0.47 to 0.57)
  • Adequate correlation with DFI for dexterity and applied dexterity (r s values 0.44 - 0.46)
  • Poor correlation with Dreiser’s Functional Index for applied strength (r value 0.19).

Face Validity

Rheumatoid Arthritis/Osteoarthritis: (Backman & Mackie, 1995)

The AHFT subcategories are scored numerically with norms established using standardized procedures on 400 nondisabled subjects. Internal consistency established for the dexterity sections with norms determined on 360 nondisabled adult subjects

Floor/Ceiling Effects

(Backman & Mackie, 1997)

  • Lifting task floor 0 can and 0 volume of water
  • Lifting tasks ceiling 12 cans and 2 L water

Cut-Off Scores

Rheumatoid arthritis: (Baker & Rogers, 2010; n = 45; age average mid-50s; rheumatoid arthritis > 17 years; diagnosed with rheumatoid arthritis; used a computer.)

  • Assessment items were transformed into 4 categories with impairment scores of severe, moderate, mild and effective, determined for this study. No cut off scores were available.

Normative Data

Rheumatoid arthritis: (Baker & Rogers, 2010)

  • Total AHFT scores were transformed into four categories for this study. with impairment scores of severe, moderate, mild, and effective. The scores ranged from 14-56; with higher scores indicating less hand function impairment.

Test/Retest Reliability

Rheumatoid Arthritis: (Backman, Mackie, & Harris, 1991; n=20; mean age 60.5; average number years post diagnosis 17.9 (SD =13.5 years) )

  • Excellent test-retest reliability subscales for strength, applied dexterity and applied strength (ICC range for all subtests = .69 to .95). No Standard Deviation (SD)
  • Adequate test-retest with 9-hole-peg test for dexterity (ICC right hand = .85, ICC for left hand = .53). No SD

Interrater/Intrarater Reliability

Rheumatoid Arthritis: (Backman, Mackie, & Harris, 1991)

  • Excellent Intra-rater reliability (ICC range for all subtests = .89 to 1.0)

Rheumatoid Arthritis/Osteoarthritis: (Backman & Mackie, 1995; n = 30; mean age 57.5 years (range 28 – 79 years); average time since diagnosis 14.8 years; arthritis affects >2 joints)

  • Excellent inter-rater reliability coefficient (Pearson’s r range 0.45 to 0.99) between 6 self-trained raters assessing 30 subjects.
(Video) The Rheumatological examination of the Hands

Criterion Validity (Predictive/Concurrent)

(Poole, Cordova, & Bower, 2006; n = 40) concurrent validity with Duruӧz Hand Index (DHI).

  • Adequate correlation with DHI with r values = 0.36 - 0.54

(Backman, Mackie, & Harris, 1991)

  • Excellent correlation between the applied dexterity aggregate score and dexterity scale of the AIMS (ICC = 0.71)
  • Poor correlation between all other subgroups of the AHFT and AIMS (ICC ranging 0.01 to 0.24)

Predictive Validity:(Baker & Rogers, 2010)

  • Poor to adequate predictive validity correlation with higher scores for the Arthritis Hand Function Test indicate greater function and correlate with faster typing speeds. Persons semi-partial correlations (keyboard 1 – r2 = 0.29 and keyboard 6 – r2 =0.35)

Construct Validity

Convergent validity(Backman, Mackie, & Harris, 1991)

  • Excellent correlation for applied dexterity and applied strength of the AHFT and Jebsen Hand Function test for right hand scores (Pearson’s r 0.61 – 0.643 right hand)
  • Poor correlation for applied dexterity and applied strength of the AHFT and Jebsen Hand Function Test with left hand scores (Pearson’s r 0.02 - 0.08 left hand)

Content Validity

(Backman, Mackie, & Harris, 1991)

Adequate - Establishes assessment subgroups using standardized assessments for dexterity (9-Hole-Peg test), and strength for gross grip and pinch. Authors establish a functional activity group for applied dexterity using bilateral tasks.

Face Validity

(Backman, Mackie, & Harris, 1991)

Excellent – At face value the assessment uses standardized assessments for dexterity (9-Hole-Peg test), and strength measurements to add validity to the test. The authors establish a functional activity group for applied dexterity using bilateral tasks that are routinely performed in a day and established time norms for completion of the tasks by nondisabled participants.

Rheumatoid Arthritis/Osteoarthritis: (Backman & Mackie, 1995)

The AHFT subcategories are scored numerically with norms established using standardized procedures on 400 nondisabled subjects. Internal consistency established for the dexterity sections with norms determined on 360 nondisabled adult subjects

Normative Data

Healthy: (Grice, Vogel, Le, Mitchell, Muniz, & Vollmer, 2003; n = 703; age 21 – 70+, from a variety of community and institution settings, could read)

Time and standard deviation by age and gender for 9-hole peg test.

Male

Age N M-right M-left SD right SD left

(seconds) (seconds)

21-25 41 16.41 17.53 1.65 1.73

26-30 32 16.88 17.84 1.89 2.22

31-35 31 17.54 18.47 2.70 2.94

36-40 32 17.71 18.62 2.12 2.30

41-45 30 18.54 18.49 2.88 2.42

46-50 30 18.35 19.57 2.47 2.69

51-55 25 18.93 19.84 2.37 3.10

56-60 25 20.90 21.64 4.55 3.39

61-65 24 20.87 21.60 3.50 2.98

66-70 14 21.23 22.29 3.29 3.71

71+ 25 25.79 25.95 5.60 4.54

(Video) Hand arthritis: what are the main symptoms?

All male 314 18.99 19.79 3.91 3.66

Female

Age N Ave right Ave left SD right SD left

21-25 43 16.04 17.21 1.82 1.55

26-30 33 15.90 16.97 1.91 1.77

31-35 32 16.69 17.47 1.70 2.13

36-40 35 16.74 18.16 1.95 2.08

41-45 37 16.54 17.64 2.14 2.06

46-50 45 17.36 17.96 2.01 2.30

51-55 42 17.38 18.92 1.88 2.29

56-60 31 17.86 19.48 2.39 3.26

61-65 29 18.99 20.33 2.18 2.76

66-70 31 19.90 21.44 3.15 3.97

71+ 31 22.49 24.11 6.02 5.66

All female 389 17.67 18.91 3.17 3.44

Criterion Validity (Predictive/Concurrent)

Healthy Adults: (Backman, Cork, Gibson, & Parsons, 1992; N = 395 adults, age range 20-79). Relationship between 9-hole-peg test and applied dexterity section of the AHFT.

  • Poor to Adequate concurrent validity with correlation coefficients ranging from 0.32 – 0.60. Significant correlation coefficients for pegboard dexterity and applied dexterity at p< 0.01

Bibliography

Backman, C., Cork, S., Gibson, D., & Parsons, J. (1992). Assessment of hand function: The relationship between pegboard dexterity and applied dexterity. Canadian Journal of Occupational Therapy, 59(4), 208-213. Find in Google Scholar

Backman, C., & Mackie, H. (1995). Arthritis hand function test: inter-rater reliability among self-trained raters. Arthritis Care and Research, 8(1), 10-15.Find in Wiley Online Library

Backman, C., & Mackie, H. (1997). Reliability and validity of the Arthritis Hand Function Test in adults with osteoarthritis. The Occupational Therapy Journal of Research, 17(1), 55-66.Find on Google Scholar at Sage Journals

Backman, C., Mackie, H., & Harris, J. (1991). Arthritis Hand Function Test: Development of a standardized assessment tool. The Occupational Therapy Journal of Research, 11(4), 245-256.Find on Google Scholar at Sage Journals

Baker, N. A., & Rogers, J. C. (2010). Association between computer use speed and age, impairments in function, and touch typing training in people with rheumatoid arthritis. Arthritis Care and Research, 62(2), 242-250. Find on PubMed

Brower, L. M., & Poole, J. L. (2004). Reliability and validity of the Duruoz Hand Index in persons with systemic sclerosis (Scleroderma). Arthritis & Rheumatism, 51(5), 805-809. Find in Wiley Online Library

Grice, K. O., Vogel, K. A., Le, V., Michell, A., Muniz, S., & Vollmer, M. A. (2003). Adult norms for a commercially available nine-hole peg test for finger dexterity. The American Journal of Occupational Therapy, 57(5), 570-573.Find on PubMed

Poole, J. L. (2011). Measures of hand function: Arthritis Hand Function Test (AHFT), Australian Canadian Osteoarthritis Hand Index (AUSCAN), Cochin Hand Function Scale, Functional Index for Hand Osteoarthritis (FIHOA), Grip Ability Test (GAT), Jebsen Hand Function Test (JHFT) and Michigan Hand Outcomes Questionnaire (MHQ). Arthritis Care & Research, 63(S11), S189-99. Find in Google Scholar on Wiley Online Library

Poole, J. L., Cordova, K. J., & Bower, L.M. (2006) Reliability and validity of a self-report of hand function in persons with rheumatoid arthritis. Journal of Hand Therapy, 19(1), 12-17. Find in PubMed

Poole, J. L., Gallegos, M., & O’Linc, S. (2000). Reliability and validity of the Arthritis Hand Function Test in adults with systemic sclerosis (scleroderma). Arthritis Care & Research, 13(2), 69-73.Find on PubMed

Poole, J. L., Lucero, S. L., & Mynatt, R. (2010). Self-reports and performance-based tests of hand function in persons with osteoarthritis. Physical & Occupational Therapy in Geriatrics, 28(3), 249-258. Find on Google Scholar at Taylor & Francis Online

updated Jul 23, 2021

Personality Assessment Inv...

read more

updated Jul 8, 2021

Pittsburgh Sleep Quality I...

read more

updated Feb 25, 2021

McMaster Toronto Arthritis...

read more

(Video) Arthritis test in Hindi | Rheumatoid arthritis test procedure

FAQs

What is the arthritis hand Function Test? ›

Arthritis Hand Function Test (AHFT) is an 11-item test to measure pure and applied strength and dexterity while performing activities associated with self-care, work and leisure in persons with arthritis.

What are the early signs of arthritis in hands? ›

Symptoms in the fingers
  • Pain. Pain is a common early symptom of arthritis in the hands and fingers. ...
  • Swelling. Joints may swell with overuse. ...
  • Warm to the touch. Swelling can also cause the joints to feel warm to the touch. ...
  • Stiffness. ...
  • Bending of the middle joint. ...
  • Numbness and tingling. ...
  • Bumps in the fingers. ...
  • Weakness.
Aug 17, 2020

What is Sollerman hand function test? ›

Sollerman Hand function test is used in the assessment of hand functions. It shows the ability and quality of the hand while performing activities of daily living. The test is highly significant in hand surgery for the assessment of treatments.

How do you treat arthritis in the hands? ›

Your doctor might recommend one or more of these treatments to ease pain and make it easier to use your hand:
  1. Painkiller pills. Acetaminophen and NSAIDs like ibuprofen can ease pain.
  2. Immobilizing devices. A splint, brace, or sleeve can hold your hand in a stable position to lessen pain.
  3. Hand therapy. ...
  4. Cortisone shots.
Apr 26, 2022

How do you score Michigan hand Outcomes Questionnaire? ›

Data Analysis. Five of the six MHQ domains (overall hand function, activities of daily living (ADLs), work performance, aesthetics, and patient satisfaction) are scored from 0 – 100 in which 100 is the best possible ability. The pain domain is scored from 0 – 100, where 0 indicates no pain.

How can a blood test detect arthritis? ›

A related blood test known as anti-cyclic citrullinated peptide (anti-CCP) test is also available. Anti-CCPs are antibodies also produced by the immune system. People who test positive for anti-CCP are very likely to develop rheumatoid arthritis, but not everybody with rheumatoid arthritis has this antibody.

What triggers hand arthritis? ›

Fractures and dislocations are among the most common injuries that lead to arthritis. Joint issues: Joint infections, overuse, loose ligaments, and poorly aligned joints can also lead to hand or wrist arthritis.

Can you reverse arthritis in hands? ›

There is no cure for arthritis. However, you can usually manage mild to moderate symptoms with a combination of medication and non-medication approaches. Surgery may be an option if other treatments fail or the arthritis in your hands is severe.

At what age does arthritis start in hands? ›

What happens: This type of arthritis usually starts between ages 30 and 50, but it can start as early as childhood. It's equally common among men and women. The skin disease (psoriasis) usually shows up first. Symptoms: Psoriatic arthritis can swell the fingers and toes.

How do you test hand function? ›

Jebsen Taylor Hand Function Test - YouTube

How do you assess hand function? ›

Grasp and pinch strengths can be measured with a dynamometer. There are several scales to assess the hand function. The Duruöz Hand Index; Michigan Hand Outcome Questionnaire; Disability of the Arm, Shoulder, and Hand Index; and Arthritis Hand Function Test are some of the most widely used scales in clinical practices.

How do you check your finger mobility? ›

The Finger Dexterity Test used in DUI evaluation - DaytonDui - YouTube

How do you stop arthritis from progressing? ›

Slowing Osteoarthritis Progression
  1. Maintain a Healthy Weight. Excess weight puts additional pressure on weight-bearing joints, such as the hips and knees. ...
  2. Control Blood Sugar. ...
  3. Get Physical. ...
  4. Protect Joints. ...
  5. Choose a Healthy Lifestyle.

Does arthritis hurt all the time? ›

Pain. Pain from arthritis can be constant or it may come and go. It may occur when at rest or while moving. Pain may be in one part of the body or in many different parts.

What is a good MHQ score? ›

Results. Scores in the normal healthy range spanned from 0 to 200 for the overall MHQ, with an average score of approximately 100 (SD 45), and from 0 to 100 with average scores between 48 (SD 21) and 55 (SD 22) for subscores in each of the 6 mental health subcategories.

How do you score a Patient Rated Wrist hand evaluation? ›

For either method, the higher the score, the poorer the outcome. Rate the average amount of pain/difficulty you have had in your wrist over the past week by circling the number from 0 (no pain or difficulty) to 10 (the worst pain you have ever experienced or you could not do the task).

What is the MHQ? ›

The MHQ is therefore a snapshot of your self-perception along various dimensions of mental function that determine your mental wellbeing. It is not a measure of happiness or life satisfaction.

How do I know if I have osteoarthritis or rheumatoid arthritis? ›

The main difference between osteoarthritis and rheumatoid arthritis is the cause behind the joint symptoms.
...
Topic Overview.
CharacteristicRheumatoid arthritisOsteoarthritis
Joint symptomsJoints are painful, swollen, and stiff.Joints ache and may be tender but have little or no swelling.
5 more rows

Does arthritis show up on xray? ›

X-Ray. X-rays give a two-dimensional picture of your joints. They show joint space narrowing (a sign of arthritis), erosions, fractures, lower-than normal bone density and bone spurs.

Does arthritis always show up in blood tests? ›

Blood tests are not needed to diagnose all types of arthritis, but they help to confirm or exclude some forms of inflammatory arthritis. Your doctor may also draw joint fluid or do a skin or muscle biopsy to help diagnose certain forms of arthritis. Making an arthritis diagnosis may take some time.

At what age does arthritis usually start? ›

It most commonly starts among people between the ages of 40 and 60. It's more common in women than men. There are drugs that can slow down an over-active immune system and therefore reduce the pain and swelling in joints.

Which vitamins help arthritis? ›

Several nutritional supplements have shown promise for relieving pain, stiffness and other arthritis symptoms. Glucosamine and chondroitin, omega-3 fatty acids, SAM-e and curcumin are just some of the natural products researchers have studied for osteoarthritis (OA) and rheumatoid arthritis (RA).

Is osteoarthritis in hands a disability? ›

Because of the severity of osteoarthritis the Social Security Administration (SSA) has determined that it is a disability, meaning you may be eligible to receive disability benefits. When submitting your SSDI application to the SSA your diagnosis and medical evidence should be in the SSA's Blue Book listing.

How do I stop my fingers from deforming with arthritis? ›

Ring splints can be worn on any of the fingers to help these problems and other deformities, such as joints that become “stuck” in a hyperextended position or instability at the knuckles, which lets fingers cross under or over each other.

How fast does osteoarthritis progress in hands? ›

The amount of time it takes to reach an advanced stage of OA varies. For some people, the disease worsens slowly and may take years to reach stage four, but others may see it progress quickly within several months.

Does arthritis go away with exercise? ›

Exercise helps ease arthritis pain and stiffness

It increases strength and flexibility, reduces joint pain, and helps combat fatigue. Of course, when stiff and painful joints are already bogging you down, the thought of walking around the block or swimming a few laps might seem overwhelming.

What is the most painful type of arthritis? ›

Rheumatoid arthritis can be one of the most painful types of arthritis; it affects joints as well as other surrounding tissues, including organs. This inflammatory, autoimmune disease attacks healthy cells by mistake, causing painful swelling in the joints, like hands, wrists and knees.

What does early arthritis feel like? ›

In general, the first sign of arthritis is pain, also called arthralgia. This can feel like a dull ache or a burning sensation. Often, pain starts after you've used the joint a lot, for example, if you've been gardening or if you just walked up a flight of stairs. Some people feel soreness first thing in the morning.

What is the hand function? ›

The function of the hand is to grip, grasp and form precise movements, e.g. writing and sewing.

How is hand dexterity tested? ›

The O'Connor finger dexterity test evaluates fine motor skills by requiring the extensive use of finger tips to place pins into a peg board. It is timed, so speed and accuracy are considered in the test scoring. The box and block test uses cubes and focuses on picking up the cubes.

What is the resting position of hand? ›

From pictures 1 and 2 it can be seen that the position of rest or function involves extending the wrist joint between 20 and 30 degrees and flexing the finger joints between 45 and 60 degrees. The thumb is in a position which is known as abduction and in opposition and alignment with the pads of the fingers.

How is the Wolf motor function test scored? ›

Scoring Procedures:

Speed is measured by timing the task with a stopwatch from start to finish. Movement quality during the task is measured by functional ability using a 6-point ordinal scale, where 0 = does not attempt with the involved arm and 5 = arm does participate/movement appears to be normal.

What is occupational therapy for hand? ›

Hand therapy, a specialty practice area of occupational therapy, is typically concerned with treating orthopedic-based upper-extremity conditions to optimize the functional use of the hand and arm.

At what age does arthritis usually start? ›

It most commonly starts among people between the ages of 40 and 60. It's more common in women than men. There are drugs that can slow down an over-active immune system and therefore reduce the pain and swelling in joints.

What are 5 symptoms of arthritis? ›

What are the symptoms of arthritis?
  • Pain.
  • Redness.
  • Stiffness.
  • Swelling.
  • Tenderness.
  • Warmth.
Apr 15, 2021

What does early arthritis feel like? ›

In general, the first sign of arthritis is pain, also called arthralgia. This can feel like a dull ache or a burning sensation. Often, pain starts after you've used the joint a lot, for example, if you've been gardening or if you just walked up a flight of stairs. Some people feel soreness first thing in the morning.

Arthritis of the hand causes pain and swelling, stiffness and deformity. Treatments include medications, braces/splints, healthy life choices and surgery.

Rheumatoid arthritis commonly affects the small joints of your wrists, hands and fingers.. For instance, if arthritis affects finger joints one hand, it's likely to affect the finger joints on your other hand too.. You are more likely to get arthritis in your hands if:. If you've had arthritis in your hand(s) for some time:. Your healthcare provider may prescribe medications to reduce your joint pain and swelling and, in the case of rheumatoid or psoriatic arthritis, to prevent joint damage.. These drugs reduce pain and swelling in affected joints.. Top of finger joint (distal interphalangeal joints): Joint fusion is commonly used to treat arthritis in this joint.

Assesses hand functions required for activities of daily living (ADLs)

7 subtests, performed on both non-dominant and dominant hands: 1) Writing a 24-letter, 3rd grade reading level difficulty sentence 2) Card turning 3) Picking up small common objects (e.g. pennies, paper clips, bottle caps) and placing them in a container 4) Stacking checkers 5) Stimulated feeding 6) Moving light objects (e.g. empty cans) 7) Moving heavy objecst (e.g. 1lb weighted cans) Subtest score = time (seconds) to complete task Total score = sum of times for each subtests Max time allotted per subtest is 120 seconds Lower score = greater function Each item performed with each hand separately – non-dominant hand first.. Professional Association Recommendation Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below.. Recommendations based on level of care in which the assessment is taken:. Recommendations for entry-level physical therapy education and use in research:. Assesses hand function with understanding that proximal upper extremity function will influence ability to place and position the hand.. (Sears and Chung, 2010; n = 111 (RA n = 37, OA n = 10, CTS n = 18, and Fx n = 46); evaluated preoperatively and 9-12 months post op; Michigan Hand Function Test (MHQ) used as reference standard). "Relationships and responsiveness of six upper extremity function tests during the first 6 months of recovery after stroke.". "Validity and responsiveness of the Jebsen-Taylor Hand Function Test.". "Changes in hand function in the aging adult as determined by the Jebsen Test of Hand Function."

A step-by-step approach to examining the hands and wrists in an OSCE setting, with an included video demonstration.

This hand and wrist examination OSCE guide provides a clear step-by-step approach to examining the hand and wrist, with an included video demonstration.. Nail pitting and onycholysis: associated with psoriasis and psoriatic arthritis.. Elbows: inspect for evidence of psoriatic plaques or rheumatoid nodules.. Patients typically experience joint pain (present even at rest), joint swelling and morning joint stiffness.. Typical findings in the hands include symmetrical joint inflammation typically affecting the proximal interphalangeal joints, metacarpophalangeal joints and wrist joints.. Temperature Assess and compare the temperature of the joints on the dorsal aspect of the hand (e.g. metacarpophalangeal joints) and elbow using the back of your hands.. The joints of the hand and wrist should be assessed and compared .

Videos

1. Examination 8: Hands Examination OSCE - Talley & O'Connor's Clinical Examination
(Elsevier Australia)
2. Examination Of The Hand, Tests - Everything You Need To Know - Dr. Nabil Ebraheim
(nabil ebraheim)
3. Blood Test for Joint Pain, Uric Acid Test, Vitamin D, Rheumatoid Arthritis Test, HLA B27, ESR
(Sukoon physical therapy)
4. Examination of the hands and wrists
(Versus Arthritis)
5. Rheumatoid Arthritis Diagnosis and Treatment | Dr. Dhaiwat Shukla (Hindi)
(Narayana Health)
6. Jebsen Taylor Hand Function Test
(Jennifer Nichole)

You might also like

Latest Posts

Article information

Author: Carmelo Roob

Last Updated: 08/01/2022

Views: 6315

Rating: 4.4 / 5 (65 voted)

Reviews: 80% of readers found this page helpful

Author information

Name: Carmelo Roob

Birthday: 1995-01-09

Address: Apt. 915 481 Sipes Cliff, New Gonzalobury, CO 80176

Phone: +6773780339780

Job: Sales Executive

Hobby: Gaming, Jogging, Rugby, Video gaming, Handball, Ice skating, Web surfing

Introduction: My name is Carmelo Roob, I am a modern, handsome, delightful, comfortable, attractive, vast, good person who loves writing and wants to share my knowledge and understanding with you.