Hogarth Eliza, Bugden Benjamin, Liu Karen Py
Western Sydney University, School of Health Sciences, Penrith NSW, Australia.
Inner West Hand Therapy & Rehabilitation, Summer Hill, NSW, Australia.
Br J Occup Ther. 2022 Oct;85(10):811-819. doi: 10.1177/03080226221083228. Epub 2022 Apr 26.
Little is known about the relationship between the types of grip strength, functional range, anthropometric measures, and function in the home and workplace. The study aimed to determine their relationships and explore their contributions to performing usual work duties and overall function in participants with and without hand and wrist injury.
Forty-four participants were measured on Maximal Voluntary Isometric Grip Strength, Rapid Exchange Grip Contractions and Isometric Endurance, Forearm Length and Volumetry, and the Dart Thrower's Motion (DTM) measure. They completed the Patient Rated Wrist and Hand Evaluation and the Disabilities of the Arm, Shoulder and Hand Work Module.
The grip measures significantly correlated with Volumetry (r = 0.62-0.74) in participants with and without hand and wrist injury. The Isometric Endurance and DTM measure of the non-injured hand were found to be contributing factors for participants with hand and wrist injury when returning to usual work duties and overall function.
The non-injured hand function plays a role in the overall function for participants with hand and wrist injuries. Isometric Endurance and DTM measure could assist clinicians in determining suitable rehabilitation targets, resulting in a better function required for occupations in the home or workplace.
关于握力类型、功能范围、人体测量指标以及家庭和工作场所功能之间的关系,我们知之甚少。本研究旨在确定它们之间的关系,并探讨它们对有或无手部及腕部损伤的参与者履行日常工作职责和整体功能的贡献。
对44名参与者进行了最大自主等长握力、快速交换握力收缩和等长耐力、前臂长度和容积测量,以及掷镖动作(DTM)测量。他们完成了患者自评手腕和手部评估以及手臂、肩部和手部工作模块的残疾评估。
无论有无手部及腕部损伤,握力测量值与容积测量值均显著相关(r = 0.62 - 0.74)。对于有手部及腕部损伤的参与者,未受伤手的等长耐力和DTM测量值是其恢复日常工作职责和整体功能的影响因素。
对于有手部及腕部损伤的参与者,未受伤手的功能在整体功能中发挥作用。等长耐力和DTM测量值可帮助临床医生确定合适的康复目标,从而实现家庭或工作场所职业所需的更好功能。