کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4071223 1604457 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Impairment and Disability After Severe Hand Injuries With Multiple Phalangeal Fractures
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Impairment and Disability After Severe Hand Injuries With Multiple Phalangeal Fractures
چکیده انگلیسی

PurposeUpper-extremity impairment evaluation is performed mostly by using guidelines provided by the American Medical Association (AMA). Recently, subjective disability tests, such as the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, have been developed that appreciate the limitations patients experience in everyday life. In this study, the correlation between impairment and disability was assessed after treatment for severe hand injuries with multiple phalangeal fractures, with adjustment for comorbidity and follow-up duration.MethodsThe functional recovery of patients suffering severe hand trauma was evaluated using AMA impairment rating tests and DASH disability questionnaire scores.ResultsSeventy-eight patients with 228 phalangeal fractures were available for testing, with a mean follow-up period of 7.5 years. No statistically significant correlation existed between the AMA impairment ratings for the hand and the DASH module scores. There were weak correlations between the AMA impairment ratings for the arm and total body and the DASH module function scores.ConclusionsThe lack of a strong correlation emphasizes the clear distinction between impairment and disability. The inclusion of disability outcome measures in the evaluation of hand trauma regimens might help to expand the clinician’s view to more individualized, activity-of-daily-living–oriented, treatment regimens.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 32, Issue 1, January 2007, Pages 91–95
نویسندگان
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