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Patients perspectives of collagenase injection or needle fasciotomy and rehabilitation for Dupuytren disease, including hand function and occupational performance
Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery. Linköping University, Department of Biomedical and Clinical Sciences.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery. Linköping University, Department of Biomedical and Clinical Sciences.ORCID iD: 0000-0003-1201-2212
2023 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 45, no 6, p. 986-996Article in journal (Refereed) Published
Abstract [en]

Purpose To describe patients perspectives of collagenase injection or needle fasciotomy for Dupuytren disease (DD) including hand therapy, and their view of hand function and occupational performance. Materials and methods Interviews were performed with twelve patients who had undergone non-surgical treatment and rehabilitation for DD. Data was analysed using a problem-driven content analysis using the model of Patient Evaluation Process as a theoretical framework. Results The participants previous experiences influenced their expectations of the upcoming treatment and they needed information to be prepared for treatment. Treatment and rehabilitation had a positive impact on daily life and were regarded as effective and simple with quick recovery. However, there could be remaining issues with tenderness or stiffness. The participants expressed their belief in rehabilitation and how their own efforts could contribute to an improved result. Despite concerns about future recurrence participants described increased knowledge and sense of control regarding future needs. Conclusion Undergoing a non-surgical treatment and rehabilitation process for DD was regarded as quick and easy and can meet the need for improved hand function and occupational performance. Taking responsibility for ones own rehabilitation was considered to influence the outcome positively. The theoretical framework optimally supported the exploration of participants perspective.

Place, publisher, year, edition, pages
Taylor & Francis Ltd , 2023. Vol. 45, no 6, p. 986-996
Keywords [en]
Collagenase injection; dupuytren contracture; patient experience; hand function; hand therapy; interviews; needle fasciotomy; patient participation
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:liu:diva-183743DOI: 10.1080/09638288.2022.2046188ISI: 000766443300001PubMedID: 35261296Scopus ID: 2-s2.0-85126250810OAI: oai:DiVA.org:liu-183743DiVA, id: diva2:1646671
Available from: 2022-03-23 Created: 2022-03-23 Last updated: 2023-04-05

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Winberg, MadeleineTuresson, Christina
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Faculty of Medicine and Health SciencesDepartment of Hand and Plastic SurgeryDepartment of Biomedical and Clinical SciencesDivision of Prevention, Rehabilitation and Community Medicine
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