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Table 2 Hand specific data to be collected during clinical assessment (CAS-HA)

From: The Clinical Assessment Study of the Hand (CAS-HA): a prospective study of musculoskeletal hand problems in the general population

Concept Measurement method Details
Clinical Interview Questions:
Characteristic of complaint Duration of hand problem < 12 months, 1-<5 years, 5-<10 years, 10 years +
  Onset: sudden, gradual yes, no, for right and left hands
  Onset: following accident or injury yes, no, for right and left hands
Hand pain and hand symptoms Pain/tenderness in past month yes, no
  Hand pain descriptors from McGill Pain Questionnaire§ [37] 15 descriptors
  Pain location: hand drawing shading both hands front and back
  Pain present all the time yes, no
  Pain related to sleep disturbance yes, no
  Pain limits activity yes, no
  Hand stiffness in past month yes, no
  Side of stiffness right, left, both
  Hand stiffness on waking in past month yes, no
  Duration of morning stiffness ≤ 30 mins, 30+ mins
  Finger locking, triggering yes, no
  Release of locking yes, no
  Altered sensation (pins + needles, tingling, numbness) in past month yes, no
  Altered sensation location: hand drawing shading both hands front and back
  Altered sensation worse at night yes, no
Occupational impact Stop work due to hand problem yes, no
  Absence from work due to hand problem yes, no
Management/self-help Adaptation: gadgets, help, avoidance, change method, stop/reduce activity, take longer, other yes, no
  17 treatments/self-help activities tried recently yes, no
  Any treatments effective yes, no
Family history of joint problems Relatives with joint problems: father, mother, brother, sister yes, no
  Hand involvement yes, no
Diagnostic and causal attributions Open-ended questions free text
Health problems Open-ended question: 2 most important health problems free text
Hand Assessment (right and left hands):
Upper limb screen 9 movements (adapted from [38]) yes, no, unable to assess
Observation/Palpation Swelling, nodes, bony enlargement, deformity at selected joints yes, no
  Thenar muscle wasting yes, no
  Dupuytren's yes, no
Measurement Thumb opposition [39] yes, no, for 10 positions
  Thumb extension degrees
  Wrist extension degrees
  Wrist flexion degrees
Tests Phalen's [40,41] positive, negative, unable to assess
  Grind [42,43] positive, negative, unable to assess
  Finklestein's [42,44] positive, negative, unable to assess
Hand function Grip Ability Test [45] timed (seconds)
  Power grip (JAMAR dynomometer) [46] lbs
  Pinch grip (B&L pinch gauge) [46] lbs
Brief self-complete questionnaire:
Hand pain and hand symptoms Days of hand pain, ache or stiffness in past month*§ [10] all, most, some, few, no
  Severity of hand pain in past month*§ numerical rating scale (0–10)
  Thumb pain during activity in past month*§ yes, no
  Swelling in hands in past month yes, no
Impact of symptoms Severity of overall hand problems in past month*§ none, very mild, mild, moderate, severe
  Bothersomeness of hand problem in past 2 weeks*§ (adapted from [47]) not at all, slightly, moderately, very much, extremely
  Symptom satisfaction*§ (adapted from [23]) 5-point Likert scale: very dissatisfied to very satisfied
  1. *Also gathered at 18 months; § Also gathered at 3 years; Minimum data to be sought at 18 months and 3 years from non-responders