Pain, Range of Motion, Edema, Sensibility, Strength (PRESS) & Self-reported Function Create a Comprehensive Score

Development and Reliability of the PRESS to Function Approach: A Systematic Method for Upper Extremity Assessment

The aim of this study is to examine the development of a conceptual framework and provide evidence for reliability of a comprehensive hand therapy evaluation score. This approach provides a new standardized tool for upper extremity (UE) evaluation. Components of Pain, Range of Motion (ROM), Edema, Sensibility, Strength (PRESS), and self-reported Function were combined to create a baseline. Each assessment tool used for the PRESS to Function Approach assists in determining appropriate interventions.

In this study, investigators used the innovative PRESS to Function Approach and Composite Score to describe the development and piloting of a systematic standard for upper extremity evaluation. Using existing instruments with substantial evidence of validity and reliability is more cost-effective than starting from scratch to develop and validate an instrument. This Approach and Score will provide occupational therapists an accurate measure to track the progression of a patient. The hypothesis for this study is Press to Function components will demonstrate utility for measuring clinical and patient-reported function when used as a comprehensive assessment tool.

Inclusion Criteria:

• Clinical diagnosis of upper extremity disorder as the primary diagnosis
• Surgical and nonsurgical Diagnoses
• Age 21 years or older

Exclusion Criteria:

• Concomitant Diseases (i.e cerebralvascular accident, cerebral palsy, spinal cord injury)
• Full Body Lymphedema
• Individuals who did not complete at least one reassessment