Novak Christine B, Williams Marianne M, Conaty Kathleen
Toronto Western Hospital Hand Program, Division of Plastic & Reconstructive Surgery, University of Toronto, Toronto, ON Canada ; Toronto Western Hospital Hand Program, 399 Bathurst Street, 2EW-422, Toronto, ON M5T 2S8 Canada.
Toronto Western Hospital Hand Program, Division of Plastic & Reconstructive Surgery, University of Toronto, Toronto, ON Canada.
Hand (N Y). 2015 Mar;10(1):85-7. doi: 10.1007/s11552-014-9658-2.
Generic upper extremity disability questionnaires utilize standardized items. The Patient-Specific Functional Scale (PSFS) allows the patient to identify specific self-reported items. This study evaluated the validity of the PSFS to assess outcome in patients with hand fractures or dislocations.
Adults with hand fractures or dislocations, who completed hand therapy between January 2012 and January 2013, were eligible for inclusion. At the initial and final assessment, each patient was asked to complete the PSFS. Each patient identified three items that were difficult or they were unable to perform, and the degree of difficulty was ranked from 0 to 10 (able to perform at pre-injury level). We excluded patients with an incomplete PSFS. Statistical analyses evaluated the relationships between the PSFS and the independent variables.
There were 63 patients (37 men, 26 women); 21 of the 63 patients underwent surgery for fracture fixation. The mean duration of hand therapy treatment was 2.2 ± 1.4 months. The mean PSFS scores were as follows: initial 3.2 ± 2.2; final 8.1 ± 2.2. There was a significant improvement in PSFS scores from initial to final assessment (p < 0.001) and a moderate correlation (r = 0.3, p = 0.02). There was no statistical difference in PSFS scores between men and women or surgery and no surgery.
In these patients with hand fractures or dislocations, the PSFS indicated significant improvement in function. Using items identified by the patient, the PSFS provides a valuable perspective of outcome and may be used in conjunction with generic disease-specific questionnaire for assessment of the upper extremity.
通用的上肢残疾问卷使用标准化项目。患者特定功能量表（PSFS）允许患者确定特定的自我报告项目。本研究评估了PSFS评估手部骨折或脱位患者治疗结果的有效性。
纳入2012年1月至2013年1月间完成手部治疗的手部骨折或脱位的成人患者。在初始和最终评估时，要求每位患者完成PSFS。每位患者确定三项难以完成或无法完成的项目，并将困难程度从0到10进行排名（能够达到受伤前水平）。我们排除了PSFS不完整的患者。统计分析评估了PSFS与自变量之间的关系。
共有63例患者（37例男性，26例女性）；63例患者中有21例行骨折固定手术。手部治疗的平均时长为2.2±1.4个月。PSFS的平均得分如下：初始3.2±2.2；最终8.1±2.2。从初始评估到最终评估，PSFS得分有显著改善（p<0.001），且存在中度相关性（r = 0.3，p = 0.02）。男性与女性之间或手术组与非手术组之间的PSFS得分无统计学差异。
在这些手部骨折或脱位的患者中，PSFS表明功能有显著改善。通过使用患者确定的项目，PSFS提供了有价值的结果视角，可与通用的疾病特异性问卷结合使用以评估上肢情况。
