Occupational performance and grip function following distal radius fracture : A longitudinal study over a six-month period
(2013) In Hand Therapy 18(4). p.118-128- Abstract
Introduction: Recovery following distal radius fracture (DRF) is generally achieved within six months. However, a minority of patients experience functional impairments over a longer period. Traditional outcome measures are grip strength and range of movement. However, this may not reflect all parameters that are important. This study focuses on grip function as well as occupational performance in these patients over a six-month period. Method: A longitudinal study with follow-up at three to four weeks (n=27) and six months (n=22) after plaster removal. Patients with a DRF treated with cast or with closed reduction and cast immobilisation were included. Instruments used were the Sollerman Hand Function Test, Visual Analogue Scale,... (More)
Introduction: Recovery following distal radius fracture (DRF) is generally achieved within six months. However, a minority of patients experience functional impairments over a longer period. Traditional outcome measures are grip strength and range of movement. However, this may not reflect all parameters that are important. This study focuses on grip function as well as occupational performance in these patients over a six-month period. Method: A longitudinal study with follow-up at three to four weeks (n=27) and six months (n=22) after plaster removal. Patients with a DRF treated with cast or with closed reduction and cast immobilisation were included. Instruments used were the Sollerman Hand Function Test, Visual Analogue Scale, Patient-Rated Wrist Evaluation Outcome Questionnaire and Disabilities of the Arm, Shoulder and Hand. Changes over time and correlation between grip function, pain after grip function test and occupational performance were calculated. Results: Improvements in grip function, experienced pain after grip test and occupational performance were significant. A significant correlation was found between grip function and feeling of capability, confidence and usefulness. Grip function was close to normal after six months with no differences between the two treatment methods. A wide distribution of the result in occupational performance after six months indicates the possibility of multi-dimensional reasons for remaining problems. Discussion: The results highlight the importance of a combination of functional assessment and questionnaires addressing complexity in order to acquire a more complete picture of limitations following a DRF.
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- author
- Porter, Susann LU
- publishing date
- 2013-12-17
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- DASH, Distal radius fracture, PRWE, Sollerman's Hand Function Test, VAS
- in
- Hand Therapy
- volume
- 18
- issue
- 4
- pages
- 11 pages
- publisher
- SAGE Publications
- external identifiers
-
- scopus:84890234388
- ISSN
- 1758-9983
- DOI
- 10.1177/1758998313512280
- language
- English
- LU publication?
- no
- id
- 7fe02308-ff66-4239-b9c7-0f6d10d8fc10
- date added to LUP
- 2019-05-16 13:25:28
- date last changed
- 2022-02-23 02:34:58
@article{7fe02308-ff66-4239-b9c7-0f6d10d8fc10,
abstract = {{<p>Introduction: Recovery following distal radius fracture (DRF) is generally achieved within six months. However, a minority of patients experience functional impairments over a longer period. Traditional outcome measures are grip strength and range of movement. However, this may not reflect all parameters that are important. This study focuses on grip function as well as occupational performance in these patients over a six-month period. Method: A longitudinal study with follow-up at three to four weeks (n=27) and six months (n=22) after plaster removal. Patients with a DRF treated with cast or with closed reduction and cast immobilisation were included. Instruments used were the Sollerman Hand Function Test, Visual Analogue Scale, Patient-Rated Wrist Evaluation Outcome Questionnaire and Disabilities of the Arm, Shoulder and Hand. Changes over time and correlation between grip function, pain after grip function test and occupational performance were calculated. Results: Improvements in grip function, experienced pain after grip test and occupational performance were significant. A significant correlation was found between grip function and feeling of capability, confidence and usefulness. Grip function was close to normal after six months with no differences between the two treatment methods. A wide distribution of the result in occupational performance after six months indicates the possibility of multi-dimensional reasons for remaining problems. Discussion: The results highlight the importance of a combination of functional assessment and questionnaires addressing complexity in order to acquire a more complete picture of limitations following a DRF.</p>}},
author = {{Porter, Susann}},
issn = {{1758-9983}},
keywords = {{DASH; Distal radius fracture; PRWE; Sollerman's Hand Function Test; VAS}},
language = {{eng}},
month = {{12}},
number = {{4}},
pages = {{118--128}},
publisher = {{SAGE Publications}},
series = {{Hand Therapy}},
title = {{Occupational performance and grip function following distal radius fracture : A longitudinal study over a six-month period}},
url = {{http://dx.doi.org/10.1177/1758998313512280}},
doi = {{10.1177/1758998313512280}},
volume = {{18}},
year = {{2013}},
}