Article

The evidence of the
relationship between functional recovery and impairment after surgery and hand
therapy are inconsistent. PURPOSE: To explore factors that were most
related to functional recovery as measured by DASH in patients with Dupuytren's
disease. METHODS: 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). RESULTS: 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.
DISCUSSION: Safety and social issues of hand function and quality of life had an
evident association with functional recovery.
LEVEL OF EVIDENCE: IV.
CI - Copyright (c) 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS