Dellhag B, Bjelle A
Department of Occupational Therapy, Sahlgrenska University Hospital/Sahlgrenska, Gothenburg, Sweden.
Arthritis Care Res. 1999 Feb;12(1):33-41. doi: 10.1002/1529-0131(199902)12:1<33::aid-art6>3.0.co;2-4.
To follow hand function and activity of daily living (ADL) capacity prospectively during a 5-year period in a cohort of outpatients with rheumatoid arthritis (RA).
Forty-three patients (28 women, 15 men), mean age 53.7 years and mean disease duration 7.5 years, were included. The Grip Ability Test (GAT), grip strength, the Keitel Function Test (KFT), the Health Assessment Questionnaire (HAQ), self-estimated hand function, and pain scales were used. Need of personal assistance in the HAQ components was recorded as ADL dependence.
After 5 years, the GAT, the KFT, and 3 HAQ components were significantly worse in women. Improved GAT was the only significant change in men. An additional 12 patients needed personal ADL assistance, bringing the total to 21 patients (49%).
Hand function deteriorated during a 5-year period in female RA patients. Hand disability (GAT) improved in the male RA group, although hand impairment (grip strength, KFT) was unchanged. Over one-fourth of each gender group had developed a new handicap (dependence).
前瞻性地追踪类风湿关节炎（RA）门诊患者队列在5年期间的手部功能及日常生活活动（ADL）能力。
纳入43例患者（28例女性，15例男性），平均年龄53.7岁，平均病程7.5年。使用握力测试（GAT）、握力、凯特尔功能测试（KFT）、健康评估问卷（HAQ）、自我评估的手部功能及疼痛量表。记录HAQ各部分中个人协助需求情况作为ADL依赖程度。
5年后，女性患者的GAT、KFT及HAQ的3个部分显著变差。握力测试改善是男性患者唯一的显著变化。另外有12例患者需要个人ADL协助，使总数达到21例患者（49%）。
女性RA患者的手部功能在5年期间恶化。男性RA组手部残疾（GAT）有所改善，尽管手部损伤（握力、KFT）未变。每个性别组中有超过四分之一的患者出现了新的功能障碍（依赖）。
