Cross-Cultural Adaptation, Validity and Reliability of Malay Version Boston Carpal Tunnel Questionnaire

This study aimed to assess the validity and reliability of the Malay version Boston Carpal Tunnel Questionnaire (M-BCTQ). A cross-sectional study was used to generate the final version of M-BCTQ that was administered to 55 patients for psychometric testing. M-BCTQ had excellent test-retest reliability with ICCs value 0.837 for Symptom Severity Scale (SSS) and 0.913 for Functional Status Scale (FSS). The Cronbach alpha coefficient for the internal consistencies was reported at 0.864 for SSS and 0.893 for the FSS. A strong correlation was found with the Malay version of Disability of Arm, Shoulder and Hand Questionnaire (MV-DASH) as Spearman correlation for construct validity was 0.791 for SSS and 0.831 for FSS.Keywords: Carpal Tunnel Syndrome; Boston Carpal Tunnel Questionnaire; Reliability; ValidityeISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v4i12.193

Integration of occupation based intervention in hand injury rehabilitation: a randomized controlled trial

Study design: Randomized Controlled Trial (RCT).\ud \ud Introduction: Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations.\ud \ud Purpose: The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries.\ud \ud Method: A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group.\ud \ud Results: Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p < 0.001); and COPM satisfaction (TE = 7.60 ± 2.11 vs OBI + TE = 9.49 ± 0.76, p < 0.001) in favor of OBI + TE group.\ud \ud Conclusion: This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients.\ud \ud Level of evidence: 1b