Ability to detect change in patient function: responsiveness designs and methods of calculation

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
Leigh A Lehman, Craig A Velozo

Abstract

In hand clinics, the goal of enabling patient improvement is fostered by the use of assessments with the ability to detect change (responsiveness). Thus, for commonly used assessments, investigations are needed to determine a standardized change index, the amount of change exceeding error estimates (minimal detectable change or MDC), and the amount of change shown to make a clinically relevant difference (clinically important difference or CID). The purpose of study was to serve as an introduction for hand therapists to responsiveness designs and indices and to highlight their application within the clinical setting. The study design used was a narrative review. Method papers and research studies addressing responsiveness were selected and summarized. Currently, several good studies of responsiveness have been conducted. However, there is a need to move beyond the calculation of standardized change indices to include the calculation of clinically meaningful values. For many of the assessments used in hand clinics, there is still a call for investigation of the amount of change, which exceeds error estimates (MDC) and the amount of change shown to make a clinically relevant difference (CID). N/A.

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Dec 1, 2009·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Leigh A LehmanCraig A Velozo

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Citations

Dec 25, 2013·Health and Quality of Life Outcomes·Michael SonntagHans-Helmut König
Aug 12, 2014·Disability and Rehabilitation·Tokiko HamasakiJohanne Filiatrault
Oct 9, 2012·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Francesco SartorioFranco Franchignoni
Aug 9, 2011·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Bhagwant S SindhuLaura Tuckey
Jul 26, 2015·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Gwen Weinstock-ZlotnickAviva L Wolff
Sep 27, 2012·British Journal of Sports Medicine·Sergio Hernandez-SanchezAntonia Gomez
Feb 26, 2013·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Wendy J Coster
Jun 3, 2016·Physiotherapy Theory and Practice·Adam SasoTorunn Askim
Jun 7, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Gwen Weinstock-Zlotnick, Saurabh P Mehta
Oct 23, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Christos KaragiannopoulosRyan Tierney
Mar 28, 2012·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Stefano VercelliGiorgio Ferriero
Dec 29, 2020·Behavioural Brain Research·Dayana HayekAgnes Flöel

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