Cargando…

Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?

BACKGROUND: Our objective was to explore outcome and clinical changes in hand function, satisfaction in daily occupations, sleep disturbances, health and quality of life in consecutive patients after a severe or major hand injury. Our objective was also to investigate possible differences between gr...

Descripción completa

Detalles Bibliográficos
Autores principales: Cederlund, Ragnhild I, Ramel, Eva, Rosberg, Hans-Eric, Dahlin, Lars B
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022903/
https://www.ncbi.nlm.nih.gov/pubmed/21176232
http://dx.doi.org/10.1186/1471-2474-11-286
_version_ 1782196615185956864
author Cederlund, Ragnhild I
Ramel, Eva
Rosberg, Hans-Eric
Dahlin, Lars B
author_facet Cederlund, Ragnhild I
Ramel, Eva
Rosberg, Hans-Eric
Dahlin, Lars B
author_sort Cederlund, Ragnhild I
collection PubMed
description BACKGROUND: Our objective was to explore outcome and clinical changes in hand function, satisfaction in daily occupations, sleep disturbances, health and quality of life in consecutive patients after a severe or major hand injury. Our objective was also to investigate possible differences between groups according to severity of injury, presence of peripheral nerve injury and the patients' sense of coherence. METHODS: A postal questionnaire, including demographic data, disabilities of the arm, shoulder and hand (DASH), QoL (SF-36), EuroQol (EQ-5D VAS), hand function (VAS), satisfaction in daily occupation (SDO), was sent out 3, 6 and 12 months after injury to 45 consecutive patients with a severe or major hand injury. Sense of coherence (SOC) was evaluated at 6 months. For the descriptive study, non-parametric tests were used since almost all results were measured with ordinal scales, the study sample was small, and most variables not normally distributed. RESULTS: Almost all self-assessed aspects of hand function, satisfaction in daily occupations, health (DASH), and physical QoL (SF-36) improved statistically for the whole group over time. Large clinical improvement was seen for physical QoL and health, while a low or no improvement was observed for mental QoL, and cold sensitivity. Few differences were found between participants with a severe or major of hand injury or with or without a major nerve injury. No significant differences in demographic data were observed between participants with high or low SOC, but participants with low SOC showed significantly lower satisfaction in daily occupations, higher DASH scores, lower mental QoL, more sleep disturbances, and bodily pain. Correlation was found between SOC, and QoL, health and satisfaction in daily occupations. CONCLUSIONS: SOC had a significant influence on patients with a severe or major traumatic hand injury. Patients with lower SOC would probably benefit from extra support and help to master their daily life, indicating that sense of coherence is an indicator for future rehabilitation focus.
format Text
id pubmed-3022903
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-30229032011-01-19 Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus? Cederlund, Ragnhild I Ramel, Eva Rosberg, Hans-Eric Dahlin, Lars B BMC Musculoskelet Disord Research Article BACKGROUND: Our objective was to explore outcome and clinical changes in hand function, satisfaction in daily occupations, sleep disturbances, health and quality of life in consecutive patients after a severe or major hand injury. Our objective was also to investigate possible differences between groups according to severity of injury, presence of peripheral nerve injury and the patients' sense of coherence. METHODS: A postal questionnaire, including demographic data, disabilities of the arm, shoulder and hand (DASH), QoL (SF-36), EuroQol (EQ-5D VAS), hand function (VAS), satisfaction in daily occupation (SDO), was sent out 3, 6 and 12 months after injury to 45 consecutive patients with a severe or major hand injury. Sense of coherence (SOC) was evaluated at 6 months. For the descriptive study, non-parametric tests were used since almost all results were measured with ordinal scales, the study sample was small, and most variables not normally distributed. RESULTS: Almost all self-assessed aspects of hand function, satisfaction in daily occupations, health (DASH), and physical QoL (SF-36) improved statistically for the whole group over time. Large clinical improvement was seen for physical QoL and health, while a low or no improvement was observed for mental QoL, and cold sensitivity. Few differences were found between participants with a severe or major of hand injury or with or without a major nerve injury. No significant differences in demographic data were observed between participants with high or low SOC, but participants with low SOC showed significantly lower satisfaction in daily occupations, higher DASH scores, lower mental QoL, more sleep disturbances, and bodily pain. Correlation was found between SOC, and QoL, health and satisfaction in daily occupations. CONCLUSIONS: SOC had a significant influence on patients with a severe or major traumatic hand injury. Patients with lower SOC would probably benefit from extra support and help to master their daily life, indicating that sense of coherence is an indicator for future rehabilitation focus. BioMed Central 2010-12-22 /pmc/articles/PMC3022903/ /pubmed/21176232 http://dx.doi.org/10.1186/1471-2474-11-286 Text en Copyright ©2010 Cederlund et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Cederlund, Ragnhild I
Ramel, Eva
Rosberg, Hans-Eric
Dahlin, Lars B
Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title_full Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title_fullStr Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title_full_unstemmed Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title_short Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
title_sort outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022903/
https://www.ncbi.nlm.nih.gov/pubmed/21176232
http://dx.doi.org/10.1186/1471-2474-11-286
work_keys_str_mv AT cederlundragnhildi outcomeandclinicalchangesinpatients3612monthsafterasevereormajorhandinjurycansenseofcoherencebeanindicatorforrehabilitationfocus
AT rameleva outcomeandclinicalchangesinpatients3612monthsafterasevereormajorhandinjurycansenseofcoherencebeanindicatorforrehabilitationfocus
AT rosberghanseric outcomeandclinicalchangesinpatients3612monthsafterasevereormajorhandinjurycansenseofcoherencebeanindicatorforrehabilitationfocus
AT dahlinlarsb outcomeandclinicalchangesinpatients3612monthsafterasevereormajorhandinjurycansenseofcoherencebeanindicatorforrehabilitationfocus