Christina Engstrand1, Barbro Krevers2, Joanna Kvist3. 1. Department of Hand Surgery, Plastic Surgery and Burns, County Council of Östergötland, Rehabilitation Unit, Floor 09, 581 85 Linköping, Sweden; Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden. Electronic address: christina.engstrand@regionostergotland.se. 2. Division of Health Care Analysis, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden. 3. Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden.
Abstract
STUDY DESIGN: Prospective cohort study. INTRODUCTION: The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent. PURPOSE OF THE STUDY: To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease. METHODS: Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol). RESULTS: The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect. DISCUSSION: Safety and social issues of hand function and quality of life had an evident association with functional recovery. LEVEL OF EVIDENCE: IV.
STUDY DESIGN: Prospective cohort study. INTRODUCTION: The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent. PURPOSE OF THE STUDY: To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease. METHODS: Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol). RESULTS: The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect. DISCUSSION: Safety and social issues of hand function and quality of life had an evident association with functional recovery. LEVEL OF EVIDENCE: IV.
Authors: Jagdeep Nanchahal; Catherine Ball; Dominique Davidson; Lynn Williams; William Sones; Fiona E McCann; Marisa Cabrita; Jennifer Swettenham; Neil J Cahoon; Bethan Copsey; E Anne Francis; Peter C Taylor; Joanna Black; Vicki S Barber; Susan Dutton; Marc Feldmann; Sarah E Lamb Journal: EBioMedicine Date: 2018-07-06 Impact factor: 8.143