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A longitudinal follow-up of hand involvement and activities of daily living in early systemic sclerosis.

Sandqvist, Gunnel LU ; Hesselstrand, Roger LU and Eberhardt, Kerstin LU (2009) In Scandinavian Journal of Rheumatology 38. p.304-310
Abstract
Objective: To investigate the development of hand involvement and activities of daily life (ADL) in early systemic sclerosis (SSc), and to examine the usefulness of the Hand Mobility in Scleroderma (HAMIS) test in a longitudinal study. Methods: Forty-three patients with disease duration no longer than 3 years and at least 4 years of follow-up formed the study group. Based on skin involvement, 31 patients were classified as limited cutaneous SSc (lcSSc) and 12 as diffuse cutaneous SSc (dcSSc). The patients were assessed regarding hand function [mobility (HAMIS), grip force (Grippit), and self-assessed hand function visual analogue scale (VAS)], vascular involvement [Raynaud's phenomenon (RP)], skin involvement [modified Rodnan skin score... (More)
Objective: To investigate the development of hand involvement and activities of daily life (ADL) in early systemic sclerosis (SSc), and to examine the usefulness of the Hand Mobility in Scleroderma (HAMIS) test in a longitudinal study. Methods: Forty-three patients with disease duration no longer than 3 years and at least 4 years of follow-up formed the study group. Based on skin involvement, 31 patients were classified as limited cutaneous SSc (lcSSc) and 12 as diffuse cutaneous SSc (dcSSc). The patients were assessed regarding hand function [mobility (HAMIS), grip force (Grippit), and self-assessed hand function visual analogue scale (VAS)], vascular involvement [Raynaud's phenomenon (RP)], skin involvement [modified Rodnan skin score (mRss)], and ADL capacity [the scleroderma Functional Score (FS)]. Results: Hand mobility and ADL capacity were in general good and did not change significantly. However, at the individual level 72% of the patients showed a change in HAMIS score. Grip force and perceived hand function were moderately impaired at baseline and during the follow-up. Skin involvement in the hand/arm improved significantly (p<0.001). During the observation period, the hand/arm mRss and HAMIS score changed in parallel (r(s) = 0.58, p<0.001). ADL capacity correlated significantly with grip force, self-assessed hand function, and RP at baseline, and also with HAMIS at follow-up. Conclusions: In this study hand mobility and ADL capacity were maintained during the first years of SSc. HAMIS was found to be a feasible test for longitudinal assessment of hand mobility in SSc. (Less)
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organization
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type
Contribution to journal
publication status
published
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in
Scandinavian Journal of Rheumatology
volume
38
pages
304 - 310
publisher
Taylor & Francis
external identifiers
  • wos:000269256000013
  • pmid:19296402
  • scopus:70350633770
ISSN
1502-7732
DOI
10.1080/03009740802695466
language
English
LU publication?
yes
id
851ff1e6-d3ed-45e2-a994-f97e1ec4d452 (old id 1367681)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19296402?dopt=Abstract
date added to LUP
2009-04-08 12:14:20
date last changed
2017-10-29 04:30:34
@article{851ff1e6-d3ed-45e2-a994-f97e1ec4d452,
  abstract     = {Objective: To investigate the development of hand involvement and activities of daily life (ADL) in early systemic sclerosis (SSc), and to examine the usefulness of the Hand Mobility in Scleroderma (HAMIS) test in a longitudinal study. Methods: Forty-three patients with disease duration no longer than 3 years and at least 4 years of follow-up formed the study group. Based on skin involvement, 31 patients were classified as limited cutaneous SSc (lcSSc) and 12 as diffuse cutaneous SSc (dcSSc). The patients were assessed regarding hand function [mobility (HAMIS), grip force (Grippit), and self-assessed hand function visual analogue scale (VAS)], vascular involvement [Raynaud's phenomenon (RP)], skin involvement [modified Rodnan skin score (mRss)], and ADL capacity [the scleroderma Functional Score (FS)]. Results: Hand mobility and ADL capacity were in general good and did not change significantly. However, at the individual level 72% of the patients showed a change in HAMIS score. Grip force and perceived hand function were moderately impaired at baseline and during the follow-up. Skin involvement in the hand/arm improved significantly (p&lt;0.001). During the observation period, the hand/arm mRss and HAMIS score changed in parallel (r(s) = 0.58, p&lt;0.001). ADL capacity correlated significantly with grip force, self-assessed hand function, and RP at baseline, and also with HAMIS at follow-up. Conclusions: In this study hand mobility and ADL capacity were maintained during the first years of SSc. HAMIS was found to be a feasible test for longitudinal assessment of hand mobility in SSc.},
  author       = {Sandqvist, Gunnel and Hesselstrand, Roger and Eberhardt, Kerstin},
  issn         = {1502-7732},
  language     = {eng},
  pages        = {304--310},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Rheumatology},
  title        = {A longitudinal follow-up of hand involvement and activities of daily living in early systemic sclerosis.},
  url          = {http://dx.doi.org/10.1080/03009740802695466},
  volume       = {38},
  year         = {2009},
}