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Scientific/Clinical Article| Volume 33, ISSUE 4, P517-519, October 2020

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Defining dexterity—Untangling the discourse in clinical practice

Published:January 16, 2020DOI:https://doi.org/10.1016/j.jht.2019.11.001

      Highlights

      • We propose a new definition for dexterity highlighting both skills and outcomes.
      • Hand dexterity is a subset of hand function.
      • This definition may support focus and clarity in measurement and interventions.
      • Clinicians should attend to all the different dimensions of dexterity during assessment.
      • Clinicians should match assessment choices to clients' task demands and injuries.
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      References

        • World Health Organization
        Musculoskeletal conditions.
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        • Public Health England
        Physical Inactivity Levels in Adults Aged 40 to 60 in England 2015 to 2016.
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        Americans with Disabilities: 2010. Household Economic Studies. U.S. Department of Commerce, Economics and Statistics Administration, United States Census Bureau.
        (24. Available at:)
        • Bizier C.
        • Statistics Canada
        Dexterity disabilities among Canadians aged 15 years and older, 2012.
        (Available at:)
        http://www.deslibris.ca/ID/10062046
        Date: 2016
        Date accessed: January 31, 2018
        • Poirier F.
        Dexterity as a valid measure of hand function.
        Occup Ther Health Care. 1988; 4: 69-83
        • Backman C.
        • Gibson S.C.D.
        • Parsons J.
        Assessment of hand function: the relationship between pegboard dexterity and applied dexterity.
        Can J Occup Ther. 1992; 59: 208-213
        • Duruöz M.T.
        Assessment of hand functions.
        in: Duruöz M.T. Hand Function: A Practical Guide to Assessment. Springer New York, New York, NY2014: 41-51
        • Yancosek K.E.
        • Howell D.
        A narrative review of dexterity assessments.
        J Hand Ther. 2009; 22: 258-270
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        • Hsu C.J.
        • Trent L.
        • et al.
        Evaluation of performance-based outcome measures for the upper limb: a comprehensive narrative review.
        PM R. 2018; 10: 951-962.e3
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        Clinimetric evaluation of measurement tools used in hand therapy to assess activity and participation.
        J Hand Ther. 2009; 22: 221-236
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        Health, health-related quality of life, and quality of life: what is the difference?.
        Pharmacoeconomics. 2016; 34: 645-649
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        On dexterity and its development.
        in: Latash M.L. Turvey M.T. Bernshteĭn N.A. NetLibrary, Inc Dexterity and its Development. Resources for Ecological Psychology. L. Erlbaum Associates, Mahwah, NJ1996 (Available at:)
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      JHT Read for Credit

      Quiz: # 715

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • # 1.
        Dexterity is
        • a.
          unidimensional
        • b.
          multidimensional
        • c.
          totally motor
        • d.
          totally sensory
      • # 2.
        Dexterity evaluation should
        • a.
          follow the IFC protocol
        • b.
          follow the ASHT protocol
        • c.
          be cross-sectional
        • d.
          be tailored to the specific needs of the patient
      • # 3.
        Traditional clinical use of the term dexterity
        • a.
          was originally defined by Maude Malick
        • b.
          depends on the handedness of the patient
        • c.
          is subject to semantic ambiguity
        • d.
          is not up for debate
      • # 4.
        A/an ___________________________ method was used to arrive at a consensus definition
        • a.
          objective
        • b.
          qualitative
        • c.
          quantitative
        • d.
          traditional
      • # 5.
        Dexterity can be defined as the coordination of voluntary movement to accomplish an actual or simulated functional goal/task accurately, quickly, resourcefully and adapting to environment or change.
        • a.
          true
        • b.
          false
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.