Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease
2015 (English)In: Journal of Hand Therapy, ISSN 0894-1130, E-ISSN 1545-004X, Vol. 28, no 3, 255-260 p.Article in journal (Refereed) Published
Study design: Prospective cohort study. Introduction: The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent. Purpose of the study: To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytrens 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.
Place, publisher, year, edition, pages
Elsevier , 2015. Vol. 28, no 3, 255-260 p.
Dupuytrens contracture; Emotional function; Range of motion; Recovery of function; Quality of life
IdentifiersURN: urn:nbn:se:liu:diva-121325DOI: 10.1016/j.jht.2014.11.006ISI: 000359329100005PubMedID: 25998546OAI: oai:DiVA.org:liu-121325DiVA: diva2:853662
Funding Agencies|Medical Research Council of southeast Sweden [FORSS-72231]; County Council of Ostergotland, Sweden [LIO-77311]2015-09-142015-09-142016-03-10