首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >A five-year followup of hand function and activities of daily living in systemic sclerosis (scleroderma).
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A five-year followup of hand function and activities of daily living in systemic sclerosis (scleroderma).

机译:对系统性硬化症(硬皮病)的手功能和日常生活活动进行的五年随访。

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Abstract The purpose of this study was to identify hand factors that change over a five-year period that may be risk factors for the development of functional disability in persons with systemic sclerosis (scleroderma). Sixty individuals with scleroderma were administered assessments of grip and pinch strength, joint range of motion, and pain, and were observed for the presence of digital ulcers, digital scars, calcium deposits, puffy fingers, and tendon friction rubs. Matched-pairs chi square analyses and Fisher's exact tests were performed to compare variables at year 1 and five years later. Grip and pinch strength increased as did joint motion except for the wrist and thumb carpometacarpal joint. There were also significant increases in the presence of scars, friction rubs, calcium deposits, and puffy fingers. Regression analysis was done to determine which variables predicted functional ability. Only puffy fingers predicted functional disability. In conclusion, hand impairment persisted over time while functional ability decreased.
机译:摘要这项研究的目的是确定五年内变化的手部因素,这些因素可能是系统性硬化症(硬皮病)患者功能障碍发展的危险因素。对60名硬皮病患者进行了抓握力和捏力评估,关节活动范围和疼痛评估,并观察到有指状溃疡,指状疤痕,钙沉积,手指浮肿和腱摩擦的存在。进行配对对卡方分析和Fisher精确检验,以比较第一年和五年后的变量。除了手腕和拇指腕掌关节外,握力和捏力都随着关节运动而增加。疤痕,摩擦擦,钙沉积和手指浮肿的存在也显着增加。进行回归分析以确定哪些变量预测功能能力。只有浮肿的手指才能预测功能障碍。总之,随着时间的流逝,手部损伤持续存在,而功能能力却下降。

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