OBJECTIVES: (1) To compare hand function characteristics and functional abilities of injured workers who have or have not returned to work. (2) To estimate hand function characteristics and functional abilities as predictors to return to work.
METHODS: One hundred and fifteen adult workers with hand injuries aged 18- 59 years old from five general hospitals in Malaysia participated in a cross-sectional study. Predictors were estimated using logistic regression.
RESULTS: There was a significant association between occupational sector (p = 0.012), injury duration (p = 0.024), occupational performance (p = 0.009) and satisfaction with performance (p
METHODS: A cross-sectional study was conducted in two phases: (1) translation and cultural adaptation of the DHI into Malay and (2) evaluation of its psychometric properties. Content validity was assessed by a panel of nine experts using the Content Validity Index (CVI). Face validity was evaluated through a pilot test with 10 individuals with DPN. Internal consistency (Cronbach's alpha) and test-retest reliability (Intraclass Correlation Coefficient, ICC) were measured in 30 participants with DPN. Known-group validity was examined by comparing DPN participants with healthy individuals.
RESULTS: The content validity of the Malay-DHI was excellent and face validity confirmed that the Malay-DHI was clear and comprehensible. Internal consistency was strong across all categories (α = 0.84-0.97). Test-retest reliability demonstrated excellent stability (ICC = 0.996-1.000). Known-group validity showed a significant difference between individuals with DPN and healthy individuals (Z = -6.93, p < .001).
CONCLUSION: The Malay version of the DHI demonstrated strong validity and reliability, making it a culturally relevant and robust tool for assessing hand function in individuals with DPN. This tool may facilitate targeted rehabilitation interventions and improve clinical outcomes.
METHODS: A two-round modified e-Delphi study was conducted with Jordanian physiotherapists experienced in women's health. In Round 1, experts rated 34 evidence-based items covering pelvic floor muscle training, bladder training, behavioral and lifestyle adjustments, pelvic health education, breathing and postural exercise, adherence support, delivery format, and dosage. Items were rated on a six-point Likert scale, and consensus was defined as ≥ 75% agreement. Items that did not reach consensus were revised and re-rated in Round 2, along with one new subcomponent suggested by the experts.
RESULTS: Nineteen experts completed both rounds. In Round 1, 32 of 34 items reached consensus. In Round 2, the newly proposed subcomponent, whole-body and core strengthening, achieved full consensus. Although weight management did not reach the predefined consensus threshold, it was retained in the final program owing to its clinical importance and evidence-based relevance. Printed educational materials did not achieve consensus and were excluded. The final program consisted of 33 expert-validated components.
CONCLUSIONS: This study established expert consensus on the components of a culturally tailored home-based pelvic health program for older Jordanian women with UI. These components provide a practical foundation for program development.