Computer-assisted evaluation of hand and arm function after thermal injury

Karoline D. Harvey, David J. Barillo, Carol L. Hobbs, David W. Mozingo, John C. Fitzpatrick, William G. Cioffi, William F. McManus, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Comprehensive care of the burned upper extremity requires accurate and complete evaluation of function, including two-point discrimination, active and passive range of motion, and grip strength. These evaluations, when performed serially during a course of therapy, are time-consuming and manpower-intensive. We tested the utility and accuracy of a commercially available computer-assisted impairment evaluation system when used to automate and standardize measurement of upper-extremity function. The function of 80 upper extremities was evaluated with both the conventional and the computer-assisted methods. The time required to perform a complete examination with each method was recorded, and measurements of grip strength and total active motion made with both methods were compared. Complete upper- extremity evaluation required an average of 20.3 minutes with the computer- assisted method, compared to 62.9 minutes with conventional means. Measurements of extremity function with computer-assisted and conventional methods had correlation coefficients of 0.984 for grip strength and 0.996 for total active motion. The computer-assisted impairment evaluation system was found to be a useful and accurate adjunct in the acute and rehabilitative management of burned upper extremities.

Original languageEnglish (US)
Pages (from-to)176-180
Number of pages5
JournalJournal of Burn Care and Rehabilitation
Issue number2
StatePublished - Mar 1 1996

ASJC Scopus subject areas

  • Surgery
  • Nursing(all)
  • Emergency Medicine
  • Rehabilitation
  • Health Professions(all)


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