Engstrand Christina, Krevers Barbro, Kvist Joanna
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.
Division of Health Care Analysis, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden.
J Hand Ther. 2015 Jul-Sep;28(3):255-59; quiz 260. doi: 10.1016/j.jht.2014.11.006. Epub 2014 Nov 29.
Prospective cohort study.
The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent.
To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease.
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).
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.
Safety and social issues of hand function and quality of life had an evident association with functional recovery.
IV.
前瞻性队列研究。
手术后功能恢复与损伤以及手部治疗之间关系的证据并不一致。
探讨在掌腱膜挛缩症患者中，以DASH量表衡量与功能恢复最相关的因素。
连续招募81例接受手术和手部治疗的患者。通过手臂、肩部和手部功能障碍（DASH）问卷来衡量功能恢复情况。解释变量：手指关节活动范围、关于手部功能安全和社会问题的五个问题，以及健康相关生活质量（欧洲五维度健康量表）。
“需要采取特殊预防措施”“避免在社交场合使用患手”这两个变量以及健康相关生活质量（EQ - 5D指数）解释了DASH量表中62.1%的方差，其中第一个变量的相对影响最大。
手部功能的安全和社会问题以及生活质量与功能恢复有明显关联。
四级。
