Figure of Eight Measurement of the Hand: Difference between revisions

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=== Purpose ===
=== Purpose ===
'''Figure of eight measurement of hand''' is used to measure the edema or swelling over the hand.
A figure of eight measurements of hand is used to measure the edema or swelling over the hand.  Figure-of-eight measurements using a tape measure on the wrist and hand is an easy way to measure edema and can capture the accumulation in the dorsal hand /ankle that circumferential tape measurements do not capture.


=== Technique ===
=== Technique ===
This method measured with the measuring tape.
This method is measured with the tension-controlled measuring tape.


'''Step1.''' Hand rested on the edge of the table.
'''Step1:''' A hand rested on the edge of the table.


'''Step2.''' Take distal aspect of the ulnar styloid process as a starting point.
'''Step2:''' Take the distal aspect of the ulnar styloid process as a starting point.


'''Step3.''' Then takes the tape measure over the anterior wrist to the distal aspect of the radial styloid process.
'''Step3:''' Then takes the tape measure over the anterior wrist to the distal aspect of the radial styloid process.


'''Step4.''' From there, the tape is brought diagonally (to the other side) across the back (dorsum) of the hand and over the fifth metacarpophalangeal joint line.
'''Step4:''' From there, the tape is brought diagonally (to the other side) across the back (dorsum) of the hand and over the fifth metacarpophalangeal joint line.


'''Step5'''. Then over the anterior surface of the metacarpophalangeal joints and then diagonally (to the other side) across the back of the hand to where the tape started.
'''Step5:''' Then from the volar aspect of the hand, the tape is brought to the 4th metacarpophalangeal joints and then diagonally (to the other side) across the dorsum of the hand to the starting point (distal to ulnar styloid process).


'''Step6.''' Always compare the normal side or opposite hand.
'''Step6.''' Always compare the affected sie to the unaffected side.


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{{#ev:youtube|gwZA2pn2Sxw|300}}


=== Evidence ===
=== Evidence ===
'''Figure of eight measurement''' method is a reliable and valid measurement tool for measuring hand edema in [https://physio-pedia.com/Rehabilitation_of_Hand_Burn_Injuries#sharehttps://physio-pedia.com/Rehabilitation_of_Hand_Burn_Injuries#share burned] patients than water volumetry measurement.<ref>Dewey WS, Hedman TL, Chapman TT, Wolf SE, Holcomb JB. The reliability and concurrent validity of the figure-of-eight method of measuring hand edema in patients with burns. ''J Burn Care Res''. 2007;28(1):157-162. doi:10.1097/BCR.0b013e31802c9eb9</ref>
Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in [https://physio-pedia.com/Rehabilitation_of_Hand_Burn_Injuries#sharehttps://physio-pedia.com/Rehabilitation_of_Hand_Burn_Injuries#share burned] patients than water volumetry measurement.<ref>Dewey WS, Hedman TL, Chapman TT, Wolf SE, Holcomb JB. The reliability and concurrent validity of the figure-of-eight method of measuring hand edema in patients with burns. ''J Burn Care Res''. 2007;28(1):157-162. doi:10.1097/BCR.0b013e31802c9eb9</ref>


'''Figure of eight measurement''' method is a reliable and valid measurement tool for measuring hand edema in patients with hand pathology.<ref>Leard JS, Breglio L, Fraga L, et al. Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology. ''J Orthop Sports Phys Ther''. 2004;34(6):335-340. doi:10.2519/jospt.2004.34.6.335</ref>
Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in patients with hand pathology.<ref>Leard JS, Breglio L, Fraga L, et al. Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology. ''J Orthop Sports Phys Ther''. 2004;34(6):335-340. doi:10.2519/jospt.2004.34.6.335</ref>
 
Tntrarater reliability (ICC, 3''k'') ranged from .98 to .99
 
The inter-rater reliability (ICC, 2''k'') was .99.
 
The Pearson correlation coefficient for the concurrent validity was ''r'' = .929 (''p'' < .001).<ref>Nadar MS, Taaqi M. [https://www.sciencedirect.com/science/article/pii/S1569186113000235 Reliability of Occupational Therapy Students Using the Figure-of-eight Technique of Measuring Hand Volume.] Hong Kong Journal of Occupational Therapy. 2013 Jun 1;23(1):20-5.</ref>
== References  ==
== References  ==
# David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
<references />
<references />
[[Category:Hand]]
[[Category:Hand]]

Revision as of 12:56, 8 October 2020

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed, Manisha Shrestha and Kim Jackson

Purpose[edit | edit source]

A figure of eight measurements of hand is used to measure the edema or swelling over the hand.  Figure-of-eight measurements using a tape measure on the wrist and hand is an easy way to measure edema and can capture the accumulation in the dorsal hand /ankle that circumferential tape measurements do not capture.

Technique[edit | edit source]

This method is measured with the tension-controlled measuring tape.

Step1: A hand rested on the edge of the table.

Step2: Take the distal aspect of the ulnar styloid process as a starting point.

Step3: Then takes the tape measure over the anterior wrist to the distal aspect of the radial styloid process.

Step4: From there, the tape is brought diagonally (to the other side) across the back (dorsum) of the hand and over the fifth metacarpophalangeal joint line.

Step5: Then from the volar aspect of the hand, the tape is brought to the 4th metacarpophalangeal joints and then diagonally (to the other side) across the dorsum of the hand to the starting point (distal to ulnar styloid process).

Step6. Always compare the affected sie to the unaffected side.

Evidence[edit | edit source]

Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in burned patients than water volumetry measurement.[1]

Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in patients with hand pathology.[2]

Tntrarater reliability (ICC, 3k) ranged from .98 to .99

The inter-rater reliability (ICC, 2k) was .99.

The Pearson correlation coefficient for the concurrent validity was r = .929 (p < .001).[3]

References[edit | edit source]

  1. Dewey WS, Hedman TL, Chapman TT, Wolf SE, Holcomb JB. The reliability and concurrent validity of the figure-of-eight method of measuring hand edema in patients with burns. J Burn Care Res. 2007;28(1):157-162. doi:10.1097/BCR.0b013e31802c9eb9
  2. Leard JS, Breglio L, Fraga L, et al. Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology. J Orthop Sports Phys Ther. 2004;34(6):335-340. doi:10.2519/jospt.2004.34.6.335
  3. Nadar MS, Taaqi M. Reliability of Occupational Therapy Students Using the Figure-of-eight Technique of Measuring Hand Volume. Hong Kong Journal of Occupational Therapy. 2013 Jun 1;23(1):20-5.