Hand function 6 weeks following non-surgically treated proximal phalangeal fractures and factors associated to upper extremity disability
Mortazavi, Katarina ; Carlsson, Ingela K. LU ; Dahlin, Lars B. LU
and Ekstrand, Elisabeth
LU
(2023)
In European Journal of Physiotherapy
25(4).
p.213-222
- Abstract
Purpose: To describe hand function, and investigate adherence to a rehabilitation protocol and factors associated with upper extremity disability in non-surgically treated proximal phalangeal fractures. Material and methods: In a prospective cohort study, 86 patients (58 women, mean age of 49 years) were assessed at cast removal and 6 weeks follow-up. Adherence was registered in a diary. Factors potentially associated with disability were assessed in a logistic regression model. Results: At 6 weeks, the mean total active range of motion in the injured finger was 84% of the uninjured finger and median pain intensity levels were low (VAS <20). Mean grip strength was 66% of the uninjured hand and 28% perceived high upper extremity... (More)
Purpose: To describe hand function, and investigate adherence to a rehabilitation protocol and factors associated with upper extremity disability in non-surgically treated proximal phalangeal fractures. Material and methods: In a prospective cohort study, 86 patients (58 women, mean age of 49 years) were assessed at cast removal and 6 weeks follow-up. Adherence was registered in a diary. Factors potentially associated with disability were assessed in a logistic regression model. Results: At 6 weeks, the mean total active range of motion in the injured finger was 84% of the uninjured finger and median pain intensity levels were low (VAS <20). Mean grip strength was 66% of the uninjured hand and 28% perceived high upper extremity disability (QuickDASH score ≥30). Most patients adhered to exercise and night splint regime. The strongest associated factors with high upper extremity disability were more days in cast (Odds ratio 1.429, 95% CI 1.110–1.840) and fear of movement (Odds ratio 1.119, 95% CI 0.990–1.256) in the final regression model (Nagelkerke R Square 0.46). Conclusion: Most patients regain early satisfactory hand function, but a quarter still perceives high upper extremity disability. Longer immobilisation time in particular and fear of movement are important factors that may negatively affect the early outcome.
(Less)
- author
- Mortazavi, Katarina
; Carlsson, Ingela K.
LU
; Dahlin, Lars B.
LU
and Ekstrand, Elisabeth
LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Association, fingers, fractures, outcome assessment, rehabilitation, treatment adherence and compliance, upper extremity
- in
- European Journal of Physiotherapy
- volume
- 25
- issue
- 4
- pages
- 213 - 222
- publisher
- Informa Healthcare
- external identifiers
-
- scopus:85131370672
- ISSN
- 2167-9169
- DOI
- 10.1080/21679169.2022.2063943
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- id
- 2cc38e57-8365-47fe-bdc8-2f19a30490c3
- date added to LUP
- 2022-10-14 12:20:22
- date last changed
- 2023-10-26 14:57:04
@article{2cc38e57-8365-47fe-bdc8-2f19a30490c3,
abstract = {{<p>Purpose: To describe hand function, and investigate adherence to a rehabilitation protocol and factors associated with upper extremity disability in non-surgically treated proximal phalangeal fractures. Material and methods: In a prospective cohort study, 86 patients (58 women, mean age of 49 years) were assessed at cast removal and 6 weeks follow-up. Adherence was registered in a diary. Factors potentially associated with disability were assessed in a logistic regression model. Results: At 6 weeks, the mean total active range of motion in the injured finger was 84% of the uninjured finger and median pain intensity levels were low (VAS <20). Mean grip strength was 66% of the uninjured hand and 28% perceived high upper extremity disability (QuickDASH score ≥30). Most patients adhered to exercise and night splint regime. The strongest associated factors with high upper extremity disability were more days in cast (Odds ratio 1.429, 95% CI 1.110–1.840) and fear of movement (Odds ratio 1.119, 95% CI 0.990–1.256) in the final regression model (Nagelkerke R Square 0.46). Conclusion: Most patients regain early satisfactory hand function, but a quarter still perceives high upper extremity disability. Longer immobilisation time in particular and fear of movement are important factors that may negatively affect the early outcome.</p>}},
author = {{Mortazavi, Katarina and Carlsson, Ingela K. and Dahlin, Lars B. and Ekstrand, Elisabeth}},
issn = {{2167-9169}},
keywords = {{Association; fingers; fractures; outcome assessment; rehabilitation; treatment adherence and compliance; upper extremity}},
language = {{eng}},
number = {{4}},
pages = {{213--222}},
publisher = {{Informa Healthcare}},
series = {{European Journal of Physiotherapy}},
title = {{Hand function 6 weeks following non-surgically treated proximal phalangeal fractures and factors associated to upper extremity disability}},
url = {{http://dx.doi.org/10.1080/21679169.2022.2063943}},
doi = {{10.1080/21679169.2022.2063943}},
volume = {{25}},
year = {{2023}},
}