首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Correlation between objective and subjective measures of hand function in patients with rheumatoid arthritis.
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Correlation between objective and subjective measures of hand function in patients with rheumatoid arthritis.

机译:类风湿关节炎患者手功能的客观和主观测量之间的相关性。

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摘要

The association between the Sollerman test of hand grip and the Sequential Occupational Dexterity Assessment (SODA) and their relationship to impairment and subjective disability measures were examined. Twenty-five patients with rheumatoid arthritis affecting their hands participated in a clinical and subjective evaluation. Clinical evaluation included the use of the two hand function instruments and measurement of finger range of motion. Subjective evaluation was done by means of a patient questionnaire comprising 20 questions from the Health Assessment Questionnaire and by visual analog scales for rating pain severity and hand function. Results confirmed a strong association between the Sollerman test of hand grip and the SODA. Both instruments were found to correlate significantly with subjectively assessed hand function. Associations between the results of the two hand function tests and subjective pain and disability assessments in global daily tasks were weak. The SODA instrument more consistently correlated to the limitations in finger motion than did the Sollerman test of hand grip. This study demonstrates that the SODA and the Sollerman test of hand grip produce similar information under controlled conditions in this patient group despite their differences in conceptual development and measurement properties. A generalized measure such as the Health Assessment Questionnaire or the pain visual analog scale alone is insufficient to represent what patients can do with their hands in daily life.
机译:研究了Sollerman握力测验与顺序职业敏捷性评估(SODA)之间的关联,以及它们与障碍和主观残疾措施之间的关系。 25名患有风湿性关节炎且影响手的患者参加了临床和主观评估。临床评估包括使用两个手动功能仪器和测量手指的运动范围。主观评估通过患者问卷进行,该问卷包括来自健康评估问卷的20个问题,并通过视觉模拟量表对疼痛严重程度和手功能进行评级。结果证实了Sollerman握力测试与SODA之间有很强的联系。发现这两种工具都与主观评估的手功能显着相关。在全球日常任务中,两次手功能测试的结果与主观疼痛和残疾评估之间的关联很弱。与Sollerman握力测试相比,SODA仪器与手指运动的限制更加一致。这项研究表明,尽管SODA和Sollerman手握测试在概念上的发展和测量特性方面存在差异,但在受控条件下该患者组仍可产生相似的信息。诸如健康评估问卷或疼痛视觉模拟量表之类的通用度量不足以代表患者在日常生活中可以做什么。

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