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Table 3 Reliability for hand assessment variables (summarised from assessments at multiple sites)

From: Hand assessment in older adults with musculoskeletal hand problems: a reliability study

 

Inter-observer reliability (n= 55)

Intra-observer reliability (n= 54)

 

Agr % Median (range)

Kappa Median (range)

Agr % Median (range)

Kappa Median (range)

Upper limb function1

89.1 (80.0, 100.0)

0.65 (0.00, 0.91)

91.6 (79.6, 100)

0.69 (0.00, 0.94)

Pain/tenderness2

94.5 (78.2, 100.0)

0.64 (0.22, 1.00)

96.3 (85.2, 100.0)

0.69 (-0.02, 1.00)

Deformity3

91.8 (54.5, 100.0)

0.51 (-0.03, 1.00)

96.3 (85.2, 100.0)

0.69 (-0.02, 1.00)

Thumb opposition*4

98.2 (72.7, 100.0)

0.51 (0.00, 1.00)

98.1 (81.1, 100.0)

0.19 (0.00, 1.00)

Any bony change^3

81.8 (63.6, 98.2)

0.43 (0.00, 0.72)

83.3 (63.0, 100.0)

0.47 (0.00, 0.79)

Muscle wasting5

80.0 (72.7, 85.5)

0.28 (0.00, 0.38)

88.9 (81.5, 98.1)

0.29 (0.00, 0.65)

Bony enlargement3

81.8 (60.0, 98.2)

0.20 (-0.10, 0.68)

84.3 (61.1, 100.0)

0.30 (-0.03, 0.66)

Sensation6

61.8 (47.3, 70.9)

0.18 (0.04, 0.38)

76.9 (61.1, 85.2)

0.31 (0.07, 0.68)

Pain on resisted movement7

68.2 (61.8, 72.7)

0.16 (0.02, 0.23)

82.4 (74.5, 85.2)

0.31 (0.22, 0.50)

Nodes3

98.2 (65.5, 100.0)

0.00 (-0.07, 0.69)

96.3 (68.5, 100.0)

0.24 (-0.05, 1.00)

Swelling2

98.2 (85.5, 100.0)

0.00 (-0.03, 0.66)

99.1 (87.0, 100.0)

0.00 (-0.07, 1.00)

  1. Abbreviations: Agr % = observed percentage agreement. *Calculated on 53 cases for intra observer reliability; ^any bony change is defined as bony enlargement or nodes. 1Comprising seven movements per upper limb, adapted from Doherty et al., (1992); 2Nineteen joints/areas per hand; 3Sixteen joints/areas per hand; 4Kapandji (1992); 5Four areas per hand; 6Semmes-Weinsteinâ„¢ monofilaments used to assess median, radial and ulna nerve areas; 7wrist flexion/extension and thumb flexion/extension.