MISCELLANOUS

Arthritis Impact Measurement Scales 2 (AIMS2)

The AIMS2 is a patient reported measure that assesses the multidimensional impact of arthritis. This 78-item questionnaire is comprehensive and consists of 12 subscales, including Hand and Finger Function. The scoring and interpretation of this measure is complex, for which a user guide can be downloaded here.

Reference:

Meenan RF, Mason JH, Anderson JJ, Guccione AA, Kazis LE. AIMS2. The content and properties of a revised and expanded Arthritis Impact Measurement Scales Health Status Questionnaire. Arthritis Rheum 1992; 35:1-10.

AUSCAN Questionnaire

A patient reported measure for hand osteoarthritis, with 15 items in three domains – Pain, Stiffness and Physical Function.
Each item can be scored as a visual analogue scale or numeric scale.

References:

Bellamy N, Campbell J, Haraoui B, Buchbinder R, Hobby K, Roth JH and MacDermid JC. Dimensionality and clinical importance of pain and disability in hand osteoarthritis: development of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index. Osteoarthritis and Cartilage 2002;10(11):855-862.
Bellamy N, Campbell J, Haraoui B, Gerecz-Simon E, Buchbinder R, Hobby K and MacDermid JC. Clinimetric properties of the AUSCAN Osteoarthritis Hand Index: an evaluation of reliability, validity and responsiveness. Osteoarthritis and Cartilage 2002;10(11):863-869.

ICHOM Complications

Developed by the Hand and Wrist Working Group of the International Consortium for Health Outcomes Measurement [ICHOM], for grading complications in hand and wrist conditions. It is a modification of the Clavien – Dindo scheme that grades complications from I to III, with increasing grades signifying worse complications. CRPS is added as grade IIIC, diagnosed as per the Budapest criteria (given below).

References:

Wouters RM, Jobi-Odeneye AO, de la Torre A, Joseph A; ICHOM Hand and Wrist Working Group, Hovius SER. A Standard Set for Outcome Measurement in Patients With Hand and Wrist Conditions: Consensus by the International Consortium for Health Outcomes Measurement Hand and Wrist Working Group. J Hand Surg Am. 2021 Oct;46(10):841-855.e7. doi: 10.1016/j.jhsa.2021.06.004. Epub 2021 Jul 27. PMID: 34325941
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13. doi:10.1097/01.sla.0000133083.54934.ae. PMID: 15273542
Harden NR, Bruehl S, Perez RSGM, Birklein F, Marinus J, Maihofner C, Lubenow T, Buvanendran A, Mackey S, Graciosa J, Mogilevski M, Ramsden C, Chont M, Vatine JJ. Validation of proposed diagnostic criteria (the "Budapest Criteria") for Complex Regional Pain Syndrome. Pain. 2010 Aug;150(2):268-274. doi: 10.1016/j.pain.2010.04.030. Epub 2010 May 20. PMID: 20493633

BUDAPEST CRITERIA

Continuing pain, which is disproportionate to any inciting event
Must report at least one symptom in three of the four following categories:

Sensory: reports of hyperesthesia and/or allodynia
Vasomotor: reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry
Sudomotor/edema: reports of edema and/or sweating changes and/or sweating asymmetry
Motor/trophic: reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)

Must display at least one sign at time of evaluation in two or more of the following categories:

Sensory: evidence of hyperalgesia (to pinprick) and/or allodynia (to light touch and/or deep somatic pressure and/or joint movement)
Vasomotor: evidence of temperature asymmetry and/or skin color changes and/or asymmetry
Sudomotor/edema: evidence of edema and/or sweating changes and/or sweating asymmetry
Motor/trophic: evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)

There is no other diagnosis that better explains the signs and symptoms

ICHOM Return to Work

Self-designed questionnaire by the Hand and Wrist Working Group of the International Consortium for Health Outcome Measures [ICHOM]. It consists of seven questions that assess return to work and the duration of impairment.

References:

Wouters RM, Jobi-Odeneye AO, de la Torre A, Joseph A; ICHOM Hand and Wrist Working Group, Hovius SER. A Standard Set for Outcome Measurement in Patients With Hand and Wrist Conditions: Consensus by the International Consortium for Health Outcomes Measurement Hand and Wrist Working Group. J Hand Surg Am. 2021 Oct;46(10):841-855.e7. doi: 10.1016/j.jhsa.2021.06.004. Epub 2021 Jul 27. PMID: 34325941

ICHOM Satisfaction

Self-designed questionnaire by the Hand and Wrist Working Group of the International Consortium for Health Outcome Measures [ICHOM]. It consists of three questions that assess satisfaction with treatment.

References:

Chen’s criteria

Consists of Grades I to IV, with lesser grade being better function. Assesses the range of motion, sensibility and MRC grading of muscle power, along with an examiner’s assessment of global function of the replanted part.

References:

Chen ZW, Yu HL. Current procedures in China on replantation of severed limbs and digits. Clin Orthop Relat Res. 1987 Feb;(215):15-23. PMID: 3802631

Shriner’s Hospital Upper Extremity Evaluation

The Shriner’s Hospital Upper Extremity Evaluation (SHUEE), published in 1996, is a form of objective assessment of upper limb based on video analysis, described for 3-18 year old patients with cerebral palsy (CP). This test has been used for assessment, treatment planning and measurement of treatment outcomes. The score determines the dynamic aspects of the deformities and functional limitations present in spastic CP. SHUEE analyses spasticity, arc of movement, muscular strength, spontaneous functional analysis, positional dynamic analysis and the grip-release function.

References:

Davids JR, Peace LC, Wagner LV, Gidewall MA, Blackhurst DW, Roberson WM. Validation of the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) for children with hemiplegic cerebral palsy. J Bone Joint Surg Am. 2006 Feb;88(2):326-33