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The presence and impact of stress reactions on disability among patients with arm injury

BEAR LEHMAN J; POOLE A
J HAND THER , 2011, vol. 24, n° 2, p. 89-93
Doc n°: 153239
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2010.09.069
Descripteurs : J - HANDICAP, DD44 - TRAUMATISMES - BRAS

This study explores the prevalence and types of stress reactions and their impact
on self-perceived disability among arm-hand-injured patients. It tested the null
hypothesis that there is no correlation between stress reactions after traumatic
hand injury and arm-specific disability. In a prospective cohort of 24 patients,
stress reactions were measured using the Impact of Events Scale-Revised (IES-R),
and arm-specific disability was measured using the QuickDASH, an average of 7.5
months (range: 1.5-33 months) after injury. Type of injury, length of time since
injury, and gender did not influence scores on the IES-R or the QuickDASH. The
IES-R subscales of intrusion and hyperarousal correlated with QuickDASH scores
(intrusion: r=0.57, p=0.004; hyperarousal: r=0.45, p=0.029). These findings
suggest that the patient may require attention to learn how to engage in the
therapy process while experiencing stress reactions.
CI - Copyright (c) 2011 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS

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