Scripties UMCG - Rijksuniversiteit Groningen
 
English | Nederlands

Op zoek naar een snellere en betrouwbaardere methode voor het meten van antropometrische handeigenschappen.

(2018) Huisman, D.D. (Daniël)

Hand complaints often occur in people who work with their hands professionally. Partly these
complaints can be explained with biomechanical factors. The thought is that certain anthropometric
hand characteristics (AHE) are more likely to cause complaints. This has not yet been demonstrated
and there were questions about the measuring instruments used. A reliable and usable measuring
method is one of the requirements to be able to demonstrate the causality between AHE and
complaints.
For some time, attempts have been made to estimate the risk of musculoskeletal complaints on the
basis of AHE. The pragmatic hand evaluation (PHE) has been developed for this. Despite the
benefits of the PHE, recent research has shown that it is not sufficiently reliable to use for
individual screening. Mesuring a PHE costs a lot of training and test time.
In this study a modified PHE method with fewer disadvantages was searched for. For this purpose,
images of hands were made twice with three devices (Spreeuwers-cabinet, mobile phone and
flatbed scanner). The images were measured by two assessors and by a computer program. The
intra- and inter-rater reliability was, in addition to the measurement error, calculated using
'intraclass correlation coefficients'. In addition, an estimate was made of the usefulness of the
various techniques via a questionnaire.
The survey revealed that the flatbed scanner was the most reliable (measurement error <5 mm and
an ICC of 0.8), the mobile phone scored highest for usability. Given the poor reliability of the
mobile phone, the scanner became the preferred method. The computer program can measure the
PHE just as reliably as humans.






 
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