Çakır Negihan, Özcan Ramazan Hakan, Kitiş Ali, Büker Nihal
Physical Therapy Unit, Bornova Türkan Özilhan State Hospital, İzmir, Turkey.
Department of Plastic, Reconstructive and Aesthetic Surgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Ulus Travma Acil Cerrahi Derg. 2014 Mar;20(2):120-6. doi: 10.5505/tjtes.2014.04741.
Forearm and hand injuries are the main cause of work-related disability. This study was planned to investigate the relationship between severity of injury, time of return to work, impairment, and activity participation of patients with hand and forearm injuries.
One hundred and thirty patients who had patients who had had forearm or hand injuries with a mean age of 31±11.13 years participated in this study. Injury severity was evaluated using Modified Hand and Forearm Injury Severity Scoring (MHISS) after surgery. Patients were evaluated using the Jebsen Hand Function Test (JHFT) and Buck-Gramko scoring eight weeks after injury. Additionally, grip strength was evaluated with a dynamometer, and disability/symptom score was evaluated using the Turkish version of the Disabilities of the Arm, Shoulder, and Hand (DASH-T) questionnaire twelve weeks after injury.
A significant relationship between MHISS, hand strength, time of return to work, DASH-T, and Buck-Gramko scores of patients with forearm and hand injuries was identified (p≤0.05). Higher impairment was significantly related to body structure and body functions (1.86±1.47), and the most limited activity was writing (2.06±1.50) regarding ICF framework.
Higher MHISS scores were associated with delays in returning to work and lower activity participation. The DASH-T score was the most strongly associated with time of return to work. Furthermore, there is a positive relation between time of return to work and activity participation of patients.
前臂和手部损伤是与工作相关残疾的主要原因。本研究旨在调查手部和前臂损伤患者的损伤严重程度、重返工作时间、功能障碍和活动参与之间的关系。
130例前臂或手部损伤患者参与了本研究，平均年龄为31±11.13岁。术后使用改良的手部和前臂损伤严重程度评分（MHISS）评估损伤严重程度。受伤8周后，使用Jebsen手功能测试（JHFT）和Buck-Gramko评分对患者进行评估。此外，使用握力计评估握力，并在受伤12周后使用土耳其语版的手臂、肩部和手部功能障碍（DASH-T）问卷评估残疾/症状评分。
在前臂和手部损伤患者的MHISS、手部力量、重返工作时间、DASH-T和Buck-Gramko评分之间发现了显著关系（p≤0.05）。根据国际功能、残疾和健康分类（ICF）框架，更高的功能障碍与身体结构和身体功能显著相关（1.86±1.47），最受限的活动是书写（2.06±1.50）。
更高的MHISS评分与重返工作延迟和活动参与度降低相关。DASH-T评分与重返工作时间的相关性最强。此外，患者的重返工作时间和活动参与之间存在正相关关系。
