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Cross-Cultural Adaptation, Reliability, Internal Consistency and Validation of the Hand Function Sort (HFS©) for French Speaking Patients with Upper Limb Complaints

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Abstract

Introduction Functional evaluation of upper limb is not only based on clinical findings but requires self-administered questionnaires to address patients’ perspective. The Hand Function Sort (HFS©) was only validated in English. The aim of this study was the French cross cultural adaptation and validation of the HFS© (HFS-F). Methods 150 patients with various upper limbs impairments were recruited in a rehabilitation center. Translation and cross-cultural adaptation were made according to international guidelines. Construct validity was estimated through correlations with Disabilities Arm Shoulder and Hand (DASH) questionnaire, SF-36 mental component summary (MCS),SF-36 physical component summary (PCS) and pain intensity. Internal consistency was assessed by Cronbach’s α and test–retest reliability by intraclass correlation. Results Cronbach’s α was 0.98, test–retest reliability was excellent at 0.921 (95 % CI 0.871–0.971) same as original HFS©. Correlations with DASH were—0.779 (95 % CI −0.847 to −0.685); with SF 36 PCS 0.452 (95 % CI 0.276–0.599); with pain −0.247 (95 % CI −0.429 to −0.041); with SF 36 MCS 0.242 (95 % CI 0.042–0.422). There were no floor or ceiling effects. Conclusions The HFS-F has the same good psychometric properties as the original HFS© (internal consistency, test retest reliability, convergent validity with DASH, divergent validity with SF-36 MCS, and no floor or ceiling effects). The convergent validity with SF-36 PCS was poor; we found no correlation with pain. The HFS-F could be used with confidence in a population of working patients. Other studies are necessary to study its psychometric properties in other populations.

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Acknowledgments

The authors thank Fabienne Reynard (FR), Dominique Buchard (DB), Mike Short (MS), Trevor Mc Intosh (TM), for their translation and back translation work, and all patients for their participation. The authors thanks Mr Alain Quirighetti, chief Physiotherapist for his active participation to the different consensus meetings. The authors thank Viviane Dufour secretary in the research service for scanning all the questionnaires. The authors thank Mr. Matheson who gives us the permission to translate the HFS.

Conflict of interest

The authors declare that they have no conflict of interest. The Clinique romande de réadaptation is financially supported by the Swiss accident insurance fund (SUVA). No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Konzelmann, M., Burrus, C., Hilfiker, R. et al. Cross-Cultural Adaptation, Reliability, Internal Consistency and Validation of the Hand Function Sort (HFS©) for French Speaking Patients with Upper Limb Complaints. J Occup Rehabil 25, 18–24 (2015). https://doi.org/10.1007/s10926-014-9514-9

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