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Functional, motor, and sensory assessment instruments upon nerve repair in adult hands: systematic review of psychometric properties.

Marisa de Cássia Registro FonsecaValéria Meireles Carril EluiEmily LaloneNatália Claro da SilvaRafael Inácio BarbosaAlexandre Márcio MarcolinoFlávia Pessoni Faleiros Macedo RicciJoy C MacDermid
Published in: Systematic reviews (2018)
Few studies included nerve repair in their sample for the psychometric analysis of outcome measures, so moderate evidence could be confirmed. Manual muscle test and Rotterdam Intrinsic Hand Myometer dynamometer had excellent reliability but insufficient data on validity or responsiveness. Touch threshold testing was more responsive than 2PD test. The locognosia test and STI had limited but positive supporting data related to validity. Rosén-Lundborg score had emerging evidence of reliability and validity as a comprehensive outcome following nerve repair. Few questionnaires were considered reliable and valid to assess cold intolerance. There is no patient-reported outcome measurement following nerve repair that provides comprehensive assessment of symptoms and function by patient perspective.
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