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A BIONIC HAND VS. A REPLANTED HAND

Wijk, Ulrika LU orcid ; Björkman, Anders LU ; Carlsson, Ingela K LU ; Kristjansdottir, Freyja ; Mrkonjic, Ante LU ; Rosén, Birgitta LU and Antfolk, Christian LU (2024) In Journal of Rehabilitation Medicine 7.
Abstract
bjective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand.

Design: Case report.

Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation.

Methods: A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented.

Results: Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI],... (More)
bjective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand.

Design: Case report.

Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation.

Methods: A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented.

Results: Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI], Brief Pain Inventory [BPI], Visual Analogue Scale [VAS]), cold intolerance (CISS) and health related quality of life (SF-36), as well as in the standardised grip function test, Southampton Hand Assessment Procedure (SHAP). No referred sensations were seen but the discriminative touch on the forearm was improved. In the qualitative interview, a relief of pain, a lack of cold intolerance, improved appearance, better grip function and overall emotional wellbeing were expressed.

Conclusions: The planned amputation and subsequent fitting and usage of a hand prosthesis were satisfying for the individual with positive effects on activity and participation.

Clinical relevance: When the hand function after a hand replantation does not reach satisfactory levels, a planned amputation and a prosthetic hand can be the right solution (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Rehabilitation Medicine
volume
7
article number
24854
publisher
Taylor & Francis
external identifiers
  • pmid:38274357
ISSN
1651-2081
DOI
10.2340/jrmcc.v7.24854
language
English
LU publication?
yes
id
a853b6ce-a927-4fe3-8e90-d913d7d10ccf
date added to LUP
2024-10-11 09:49:12
date last changed
2025-04-04 14:32:25
@article{a853b6ce-a927-4fe3-8e90-d913d7d10ccf,
  abstract     = {{bjective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand.<br/><br/>Design: Case report.<br/><br/>Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation.<br/><br/>Methods: A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented.<br/><br/>Results: Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI], Brief Pain Inventory [BPI], Visual Analogue Scale [VAS]), cold  intolerance (CISS) and health related quality of life (SF-36), as well as in the standardised grip function test, Southampton Hand Assessment Procedure (SHAP). No referred sensations were seen but the discriminative touch on the forearm was improved. In the qualitative interview, a relief of pain, a lack of cold intolerance, improved appearance, better grip function and overall emotional wellbeing were expressed.<br/><br/>Conclusions: The planned amputation and subsequent fitting and usage of a hand prosthesis were satisfying for the individual with positive effects on activity and participation.<br/><br/>Clinical relevance: When the hand function after a hand replantation does not reach satisfactory levels, a planned amputation and a prosthetic hand can be the right solution}},
  author       = {{Wijk, Ulrika and Björkman, Anders and Carlsson, Ingela K and Kristjansdottir, Freyja and Mrkonjic, Ante and Rosén, Birgitta and Antfolk, Christian}},
  issn         = {{1651-2081}},
  language     = {{eng}},
  month        = {{01}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{A BIONIC HAND VS. A REPLANTED HAND}},
  url          = {{http://dx.doi.org/10.2340/jrmcc.v7.24854}},
  doi          = {{10.2340/jrmcc.v7.24854}},
  volume       = {{7}},
  year         = {{2024}},
}