Journal article
The Neurological Hand Deformity Classification: Construct validity, test-retest, and inter-rater reliability
S Garbellini, M Randall, M Steele, C Elliott, C Imms
Journal of Hand Therapy | HANLEY & BELFUS-ELSEVIER INC | Published : 2022
Abstract
Background: The Neurological Hand Deformity Classification (NHDC) is an impairment-based tool that classifies hand deformity into one of two ordinal scales: flexion or extension deformities. Classification is made from live observation or from recorded video footage. Differentiation between the levels is determined by wrist position and wrist and finger movement. Purpose: To examine aspects of validity and reliability of the NHDC. Study design: A measurement study design. Methods: Data from a convenience sample of 127 children with cerebral palsy, 66 males: 61 females, ranging in age from 8 months to 15 years, across all Manual Ability Classification System levels I to V, were analyzed. Cons..
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Awarded by Children's Hospital Foundation
Funding Acknowledgements
Mr Simon Garbellini was awarded a Telethon Allied Health Scholarship, Perth, Western Australia, which provided funding support for him to complete this study as part of his overall doctoral studies. The Minimising Impairment Trial (MIT) and infant Wrist-Hand Orthosis Trial (iWHOT) were funded through the Australian Catholic University Research Fund (APP2013000413) and NHMRC Centre for Research Excellence-Cerebral Palsy Grant (APP1057997). The iWHOT also received funds through The Percy and Ruby Haddy Foundation, managed by Equity Trustees. Additional funding was received from Perth Children's Hospital Foundation and Monash Health. Both trials were registered with the ANZ Clinical Trials Registry (MIT: ACTRN12614001276640; iWHOT: AC-TRN12614001275651).The MIT and iWHOT Authorship group comprises: Christine Imms (Australian Catholic University, Melbourne), Margaret Wallen (Australian Catholic University, Sydney), Catherine Elliott (Curtin University, Perth), Brian Hoare (Monash Children's Hospital, Melbourne), Melinda Randall (Royal Children's Hospital, Melbourne), Susan Greaves (Royal Children's Hospital, Melbourne), Brooke Adair (Murdoch Children's Research Institute, Melbourne), Rob Carter (Deakin University, Melbourne), Francesca Orsini (Murdoch Children's Research Institute, Melbourne), Sophy Shih (Deakin University, Melbourne) and Dinah Reddihough (Royal Children's Hospital, Melbourne).We would like to thank the children and parents who participated as well as the site research and clinical staff who contributed to the infant Wrist Hand Orthoses Trial (iWHOT) and the Minimising Impairment Trial (MIT). We also thank Ms Judith Wilton for her ongoing mentorship and clinical guidance regarding the NHDC.