Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2013 / Cilt: 59 - Sayı: 2
Are functional assessment questionnaires related with hand function tests in patients with nerve ınjury at the level of wrist and in patients with tendon ınjury/fracture at the level of fingers?
- Pages
- 112–116
- DOI
- —
Abstract
Objective: We aimed to research the relationship between functional assessment questionnaires answered by patients and hand function tests in patients with injury on level of wrists or fingers. Materials and Methods: Demographic characteristics of 43 patients with nerve injury at the level of wrists (median/ulnar) (LW group) and patients with fracture or tendon injury at the level of fingers (LF group) were recorded. Functional level detected by examination was evaluated according to the Seddon classification in LW group, and according to Buck-Gramco scores in LF group. The Sollerman Hand Function Test (SHFT) was administered to all patients, and the Quick-DASH (Q-DASH) and Duruöz Hand Index (DHI) were completed by all patients. Hand grip strength was expressed as a percentage of that of the uninjured hand. . Results: There was no difference in mean age and distribution of gender between the groups (p=0.429, p=0.229). Three (14.3%) patients had excellent, 10 (47.6%) good, 6 (28.6%) moderate, and 2 (9.5%) patients had poor results according to the Seddon classification in LW group. 1 (4.5%) patient had excellent, 9 (40.9%) good, 4 (18.2%) poor, and 8 (36.4%) patients had bad results according to the Buck-Gramko scores in LF group. In LW and LF groups, SHFT sores were 72.3±16.8, 76.1±5.6, Q-DASH 27.9±19.4, 19.6±15.2, DHI 19.3±21.2, 11.3±10.6, respectively and the injured hand grip strength was 65.4±29.9, 72.5±25.8. The SHFT significantly correlated with the Q-DASH and DHI in both LW and LF groups (p
Özet
Amaç: El bileği veya parmak düzeyinde yaralanması olan hastalarda el fonksiyon testlerinin hasta tarafından yanıtlanan fonksiyonel değerlendirme anketleri ile ilişkisinin araştırılması amaçlandı.Gereç ve Yöntem: El bilek düzeyinde sinir yaralanması (median/ulnar) (EBS grubu) veya parmak düzeyinde kırık ve/veya tendon yaralanması (PKT grubu) olan 43 hastanın demografik verileri kaydedildi. Muayene ile saptanan fonksiyonel düzeyleri EBS grubundaki hastalar için Seddon fonksiyonel sonuç skalasına göre, PKT grubundaki hastalar için Buck- Gramcoya göre değerlendirildi. Tüm hastalara Sollerman El Fonksiyon Testi (SEFT) uygulandı, Quick-DASH ve Duruöz El İndeksi (DEİ) doldurtuldu. El kaba kavrama kas gücü sağlam tarafa göre leze elin yüzdesi olarak hesaplandı.Bulgular: Hastaların yaş ortalaması ve cinsiyet dağılımı açısından gruplar arasında fark saptanmadı (p=0,429, p=0,229). EBS grubunda Seddona göre hastaların 3ü (%14,3) çok iyi, 10u (%47,6) iyi, 6sı (%28,6) orta, 2si (%9,5) kötü idi. PKT grubunda Buck-Gramkoya göre bir (%4,5) mükemmel, 9 (%40,9) iyi, 4 (%18,2) zayıf, 8(%36,4) kötü hasta vardı. EBS ve PKT grubunda sırasıyla SEFT puanı 72,3±16,8, 76,1±5,6, Q-DASH 27,9±19,4, 19,6±15,2, DEİ puanı 19,3±21,2, 11,3±10,6, leze el kas gücü yüzdesi 65,4±29,9, 72,5±25,8di. SEFT hem EBS hem PKT grubunda Q-DASH, Duruöz skorları ile anlamlı koreleydi (p