Functional Index of Hand Osteoarthritis (FIHOA): Difference between revisions
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== Objective  ==
== Objective  ==
The  FIHOA is a measure to assess [[Hand Function|hand function]] in persons with [[Wrist and Hand Osteoarthritis|hand osteoarthritis]] (OA). It is a 10- item questionnaire developed by Dreiser et al in 1995<ref name=":0">Dreiser R, Maheu E, Guillou GB, Caspard H, Grouin JM. Validation of an algofunctional index for osteoarthritis of the hand. Rev Rhum Engl Ed. 1995; 62: 43S– 53S.</ref><ref>Dreiser RL, Maheu E, Guillou GB. Sensitivity to change of the functional index for hand osteoarthritis. Osteoarthritis Cartilage 2000; 8: S25– 8.</ref>. It has been translated in French, Dutch and Argentinian versions. It is targeted towards the functional capacity of hands in OA affected patients<ref name=":0" />. It is also called as Dreiser's index.<br>
The  FIHOA is a measure to assess [[Hand Function|hand function]] in p[[Hand Function|ople]]<nowiki/>s with [[Wrist and Hand Osteoarthritis|hand osteoarthritis]] (OA). It is a 10 item questionnaire developed by Dreiser et a[[Wrist and Hand Osteoarthritis|.]]<nowiki/>l in 1995<ref name=":0">Dreiser R, Maheu E, Guillou GB, Caspard H, Grouin JM. Validation of an algofunctional index for osteoarthritis of the hand. Rev Rhum Engl Ed. 1995; 62: 43S– 53S.</ref><ref>Dreiser RL, Maheu E, Guillou GB. Sensitivity to change of the functional index for hand osteoarthritis. Osteoarthritis Cartilage 2000; 8: S25– 8.</ref>. It has been translated iton French, Dutc,h and Argentinian versions. It is targetedats the functional capacity of hands in OA- affected patients<ref name=":0" />. It is also called as Dreiser's index.<br>


== Intended Population  ==
== Intended Population  ==

Revision as of 10:35, 30 September 2023

Original Editor - Rucha Gadgil

Top Contributors - Rucha Gadgil, Temitope Olowoyeye, Kim Jackson and Shaimaa Eldib  

Objective[edit | edit source]

The FIHOA is a measure to assess hand function in poples with hand osteoarthritis (OA). It is a 10 item questionnaire developed by Dreiser et a.l in 1995[1][2]. It has been translated iton French, Dutc,h and Argentinian versions. It is targetedats the functional capacity of hands in OA- affected patients[1]. It is also called as Dreiser's index.

Intended Population[edit | edit source]

The targeted population is Osteoarthritis patients but it can also be used in Rheumatoid arthritis, in patients whose hand functions need to be assessed.

Method of Use[edit | edit source]

Equipment Required:

None. Questionnaire based.

Time to administer:

5-10 mins.

Training Required:

None.

Method of Administration:

Physician/ physiotherapist administered, self - reported.

Instrument[edit | edit source]

It contains 10 question with a score range of 0-30[1].

Sr. no. Question asked Scoring
0 1 2 3
1 Are you able to turn a key in a lock?
2 Are you able to cut meat with a knife?
3 Are you able to cut cloth or paper with a pair of scissors?
4 Are you able to lift a full bottle with the hand?
5 Are you able to clench your fist?
6 Are you able to tie a knot?
7 For women: Are you able to sew? For men: Are you able to use a screwdriver?
8 Are you able to fasten buttons? 9. 10.
9 Are you able to write for a long period of time?
10 Would you accept a handshake without reluctance?

0=possible without difficulty, 1=possible with slight difficulty, 2=possible with important difficulty, 3=impossible.

Total scores indicate hand function. Lower the scores, better the hand function[1].

Psychometric Properties[edit | edit source]

Reliability:

  1. Interrater: in OA, Cronbach's alpha : 0.90[3][4]. In RA, Cronbach’s alpha test :0.94[5]
  2. Test- Retest: by administering the FIHOA 2 times 1 week apart gave an ICC of 0.74 and 2 times with a 5‐day interval yielded an ICC of 0.96 in OA[3][4]
  3. Intra-rater: by testing patients with OA 2 times 1 hour apart. Correlations between the scores were 0.95[3][4]

Validity:

For OA, FIHOA correlated with[4]

  1. the Cochin Hand Function Scale (rs = 0.89) and
  2. Michigan Hand Outcomes Questionnaire (rs = 0.86),
  3. total Australian Canadian Osteoarthritis Hand Index (rs = 0.76)

Thus, it was found reliable, valid for OA.

For RA, FIHOA was found to be reliable, valid and reproducible[5].


References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 1.3 Dreiser R, Maheu E, Guillou GB, Caspard H, Grouin JM. Validation of an algofunctional index for osteoarthritis of the hand. Rev Rhum Engl Ed. 1995; 62: 43S– 53S.
  2. ↑ Dreiser RL, Maheu E, Guillou GB. Sensitivity to change of the functional index for hand osteoarthritis. Osteoarthritis Cartilage 2000; 8: S25– 8.
  3. ↑ 3.0 3.1 3.2 Poole JL, Lucero SL, Mynatt R. Self‐reports and performance based tests of hand function in persons with osteoarthritis. Phys Occup Ther Geriatr 2010; 28: 249– 58.
  4. ↑ 4.0 4.1 4.2 4.3 Moe R, Garratt A, Slatkowsky‐Christensen B, Maheu E, Mowinckel P, Kvien T, et al. Concurrent evaluation of data quality, reliability and validity of the Australian/Canadian Osteoarthritis Hand Index and the Functional Index for Hand Osteoarthritis. Rheumatology (Oxford). 2010; 49: 2327– 36.
  5. ↑ 5.0 5.1 Bande JM, Caracciolo JÁ, Papasidero SB, Santa Cruz MJ, Medina MA, Klajn DS, Battaglia MG, Giantinoto J, Pelagagge F. Validation of the Functional Index for Hand Osteoarthritis (FIHOA) in Patients with Rheumatoid Arthritis [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 10). Accessed October 24, 2020. https://acrabstracts.org/abstract/validation-of-the-functional-index-for-hand-osteoarthritis-fihoa-in-patients-with-rheumatoid-arthritis/
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