| Name of the Instrument/Tool | HAnd Mobility In Scleroderma (HAMIS) |
| First Description |
Sandqvist G, Eklund M. Hand Mobility in Scleroderma (HAMIS) test: the reliability of a novel hand function test. Arthritis Care Res. 2000;13(6):369-74 |
| Year | 2000 |
| Domains | |
| Concept of constructs | Physical function |
| Population/Disease | Disease specific |
| Originally developed for | Systemic sclerosis |
| Other rheumatic diseases where can be applied (only if validated) |
--- |
| Additional population with no rheumatic diseases |
No |
| Language: Originally published in | English |
| Available in Language | Portuguese, Italian |
| REFERENCE IDENTIFICATION | |
| Author/s | Sandqvist G, Eklund M |
| Title | Hand Mobility in Scleroderma (HAMIS) test: the reliability of a novel hand function test |
| Journal | Arthritis Care Res |
| Year | 2000 |
| Vol | 13 |
| Num | 6 |
| Pages | 369-74 |
| Country | Sweden |
| Language | English |
| Other references of interest | |
| Link | https://pubmed.ncbi.nlm.nih.gov/25274889/ |
| Brief Description |
Development of a modified hand mobility in scleroderma (HAMIS) test and its potential as an outcome measure in systemic sclerosis |
| Link | https://pubmed.ncbi.nlm.nih.gov/19296402/ |
| Brief Description |
A longitudinal follow-up of hand involvement and activities of daily living in early systemic sclerosis |
| Link | https://pubmed.ncbi.nlm.nih.gov/33091259/ |
| Brief Description |
An Update of Outcome Measures in Systemic Sclerosis |
| Instrument/Tool Translations References | |
| Link | https://pubmed.ncbi.nlm.nih.gov/25274889/ |
| Brief Description |
The Brazillian version of the hand mobility in scleroderma (HAMIS) test: translation and validation |
| Link | https://pubmed.ncbi.nlm.nih.gov/21050544/ |
| Brief Description |
The Italian version of the Hand Mobility in Scleroderma (HAMIS) test: evidence for its validity and reliability. |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Gunnel Sandqvist |
| gunnel.sandqvist@med.lu.se | |
| Address | SE-22185 Lund, Sweden |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Scale |
| Brief Description |
Hand function test developed for adults with SSc. It measures all movements assessed in an ordinary range of motion hand test. The HAMIS aims to estimate patients’ hand function to detect limitations of motion and serve as an indication of patients’ ability to use their hands in daily occupations. |
| Number of Items | 9 |
| Range | 0- 27 for each hand |
| Responses options/scale |
No |
| Developed for | Research, Clinical practice |
| PRACTICAL APPLICATION | |
| Method of administration | Physician |
| Recommendations to score |
Each of the 9 items (finger flexion, finger extension, thumb abduction, pincer grip, finger abduction, wrist dorsal extension, wrist volar flexion, pronation, and supination) is graded from 0 (normal function) to 3 (unable to perform). Each hand is assessed separately |
| Score Interpretation | A higher score represents a higher degree of dysfunction. |
| Cut-off points | --- |
| Cut-off points applied to | --- |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | - minutes |
| Scoring time by the assessor | - minutes |
| Training to score | Not necessary |
| Strengths | Useful in clinical practice & research |
| Limitations | --- |
| OTHER COMMENTS | |
| Other Comments |
The four-item modified HAMIS (mHAMIS) test consists of finger flexion, finger extension, finger abduction, and dorsal extension, with a total score ranging from 0 to 12 in each hand. The internal consistency ranges from 0.73 to 0.83 depending on disease duration. The mHAMIS showed significant correlations with the mRSS and hand skin score (r = 0.39 and 0.43, respectively) and was able to discriminate between patients with lcSSc and dcSSc (P = 0.001), between patients with and without ulcers (P = 0.015), and between patients with and without pitting scars (P = 0.001). The mHAMIS has excellent interobserver reliability, with an ICC of 0.92 for the dominant hand and 0.93 for the nondominant hand. |