Article

OBJECTIVE: To comprehensively describe hand function and associated factors among
stroke survivors by means of the Michigan Hand Outcomes Questionnaire (MHQ; 6
domains; score 0-100, worst-best). METHODS: In this cross-sectional study, stroke
patients were invited to complete a set of questionnaires on hand function,
socio-demographic characteristics, mental functioning, daily activities, quality
of life, and caregiver strain. Stroke characteristics were collected
retrospectively from medical records. Multiple linear regression analysis
adjusted for age, sex, and duration of follow-up was used to identify factors
associated with MHQ score. RESULTS: 207 out of 576 eligible patients responded
(36%); mean age 63.8 years (SD14.2), 125 males (60.4%). Mean time since stroke
was 36.3 months (SD9.9). In 85% of the patients, the MHQ Total score was less
than 100 points (median 79.9, IQR 63.0-95.8). The median scores of the domains
were: overall hand function 75.0, daily activities 90.5, work 85.0, pain 100,
appearance 93.8, and satisfaction with hand function 83.3. A lower MHQ Total
score was significantly associated with a lower Barthel Index at hospital
discharge, a lower level of education, a supratentorial stroke and with
unfavorable outcomes regarding physical and mental functioning, quality of life,
and caregiver strain. CONCLUSION: Patients can perceive limitations on several
domains with respect to hand function 2-5 years after stroke. Problems related to
the appearance of the hand and satisfaction with hand function can be relevant
and should be considered accordingly. Persistent hand problems after stroke are
related to a more severe, supratentorial stroke in lower educated patients.

Langue : ANGLAIS