Zvekić Svorcan, Minaković I, Krasnik R, Mikić D, Mikov J, Stamenković B
Department of Medical Rehabilitation, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Department of General Medicine and Geriatrics, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Hippokratia. 2022 Jan-Mar;26(1):7-12.
As hand osteoarthritis (HOA) is a highly prevalent disease, the purpose of the present study was to examine the relationship between structural damage of the hand in HOA patients and assess its impact on their hand function, pain, and satisfaction.
This prospective cross-sectional study included 60 postmenopausal women aged 60-70 years, all of whom underwent structural damage assessments using the Kellgren-Lawrence scale and the Altman Atlas, as well as completed the Michigan Hand Outcomes Questionnaire (MHQ) to assess their hand function, pain, and satisfaction. To examine the influence of HOA grade on these outcomes, patients were segregated into three groups (grade II-IV), and their average MHQ subscale scores were compared.
The three groups differed in terms of scores achieved on all MHQ subscales: overall hand function-right hand (H =35.42, p <0.001), overall hand function-left hand (H =29.94, p <0.001), activities of daily living-right hand (H =39.88, p <0.001), activities of daily living-left hand (H =33.82, p <0.001), activities of daily living-both hands (H =30.93, p <0.001), activities of daily living-total (H =37.81, p <0.001), work performance (H =32.33, p <0.001), pain-right hand (H =27.94, p <0.001), pain-left hand (H =24.63, p <0.001), appearance-right hand (H =26.28, p <0.001), appearance-left hand (H =23.82, p <0.001), satisfaction-right hand (H =22.40, p =0.001), and satisfaction-left hand (H =26.71, p <0.001).
The study findings reveal that respondents with more severe structural damage experienced more significant pain, reported greater functional and work-related limitations, and were more dissatisfied with the function and appearance of their hands. HIPPOKRATIA 2022, 26 (1):7-12.
由于手部骨关节炎（HOA）是一种高度流行的疾病，本研究的目的是检查HOA患者手部结构损伤之间的关系，并评估其对手部功能、疼痛和满意度的影响。
这项前瞻性横断面研究纳入了60名年龄在60 - 70岁之间的绝经后女性，她们均使用凯尔格伦 - 劳伦斯量表和阿尔特曼图谱进行了结构损伤评估，并完成了密歇根手部结果问卷（MHQ）以评估其手部功能、疼痛和满意度。为了检查HOA分级对这些结果的影响，将患者分为三组（II - IV级），并比较了她们的平均MHQ子量表得分。
三组在所有MHQ子量表上的得分存在差异：右手总体手部功能（H = 35.42，p < 0.001），左手总体手部功能（H = 29.94，p < 0.001），右手日常生活活动（H = 39.88，p < 0.001），左手日常生活活动（H = 33.82，p < 0.001），双手日常生活活动（H = 30.93，p < 0.001），日常生活活动总计（H = 37.81，p < 0.001），工作表现（H = 32.33，p < 0.001），右手疼痛（H = 27.94，p < 0.001），左手疼痛（H = 24.63，p < 0.001），右手外观（H = 26.28，p < 0.001），左手外观（H = 23.82，p < 0.001），右手满意度（H = 22.40，p = 0.001），左手满意度（H = 26.71，p < 0.001）。
研究结果表明，结构损伤更严重的受访者经历了更明显的疼痛，报告了更大的功能和与工作相关的限制，并且对其手部的功能和外观更不满意。《希波克拉底》2022年，26（1）：7 - 12。
