Figure of Eight Measurement of the Hand: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
=== 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 [[Oedema Assessment|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 that circumferential tape measurements do not capture.<ref name=":0" />


=== Technique ===
=== Technique ===
This method measured with the tape.
This method is preferred to measure with the tension-controlled measuring tape than standard tape.
 
'''Step1:''' A [[Hand Function|hand]] rested on the edge of the table.


'''Step1.''' Hand rested on the edge of the table.
'''Step2:''' Take the distal aspect of the [[Ulna|ulnar]] styloid process as a starting point.


'''Step2.''' Take 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 [[Radius|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 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).


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


'''Step6.''' Always compare the normal side or opposite hand.
{{#ev:youtube|gwZA2pn2Sxw}}<ref>SAN PEDRO COLLEGE -PT DEPARTMENT. Figure of Eight Measurement. Available from: https://www.physio-pedia.com/Figure_of_Eight_Method_of_Measuring_Ankle_Joint_Swelling. [lasted assessed: 20th OCt, 2020] </ref>


<div class="row">
=== Evidence ===
  <div class="col-md-6"> {{#ev:youtube|gwZA2pn2Sxw|300}} <div class="text-right"><ref>Figure of Eight Measurement.  
* A 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 name=":1">Dewey WS, Hedman TL, Chapman TT, Wolf SE, Holcomb JB. [https://apps.dtic.mil/dtic/tr/fulltext/u2/a627942.pdf The reliability and concurrent validity of the figure-of-eight method of measuring hand edema in patients with burns.] Journal of burn care & research. 2007 Jan 1;28(1):157-62.</ref>
SAN PEDRO COLLEGE -PT DEPARTMENT. Available from: https://youtu.be/gwZA2pn2Sxw</ref></div></div>
* A 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, Ellrod N, Nadler L, Yasso M, Fay E, Ryan K, Pellecchia GL. [https://www.jospt.org/doi/10.2519/jospt.2004.34.6.335 Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology.] Journal of Orthopaedic & Sports Physical Therapy. 2004 Jun;34(6):335-40.</ref>
* ICCs for the intratester reliability of the figure-of-eight method were 0.96 (SEM, 0.47 cm) for tester 1 and 0.97 (SEM, 0.41 cm) for tester 2.  
* The ICC for intertester reliability of the figure-of-eight measurements was 0.94 (SEM, 0.58 cm).<ref name=":1" />
* The Pearson correlation coefficient for the concurrent validity was ''r'' = .929 (''p'' < .001).<ref name=":0">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  ==
<references />
<references />
2. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
[[Category:Hand]]
[[Category:Hand - Assessment and Examination]]
[[Category:Hand - Conditions]]
[[Category:Special Tests]]
[[Category:Assessment]]
[[Category:Hand - Special Tests]]

Latest revision as of 11:45, 3 August 2022

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 that circumferential tape measurements do not capture.[1]

Technique[edit | edit source]

This method is preferred to measure with the tension-controlled measuring tape than standard 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.

[2]

Evidence[edit | edit source]

  • A figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in burned patients than water volumetry measurement.[3]
  • A figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in patients with hand pathology.[4]
  • ICCs for the intratester reliability of the figure-of-eight method were 0.96 (SEM, 0.47 cm) for tester 1 and 0.97 (SEM, 0.41 cm) for tester 2.
  • The ICC for intertester reliability of the figure-of-eight measurements was 0.94 (SEM, 0.58 cm).[3]
  • The Pearson correlation coefficient for the concurrent validity was r = .929 (p < .001).[1]

References[edit | edit source]

  1. ↑ 1.0 1.1 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.
  2. ↑ SAN PEDRO COLLEGE -PT DEPARTMENT. Figure of Eight Measurement. Available from: https://www.physio-pedia.com/Figure_of_Eight_Method_of_Measuring_Ankle_Joint_Swelling. [lasted assessed: 20th OCt, 2020]
  3. ↑ 3.0 3.1 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. Journal of burn care & research. 2007 Jan 1;28(1):157-62.
  4. ↑ Leard JS, Breglio L, Fraga L, Ellrod N, Nadler L, Yasso M, Fay E, Ryan K, Pellecchia GL. Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology. Journal of Orthopaedic & Sports Physical Therapy. 2004 Jun;34(6):335-40.
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