Search questionnaire... as keywords on MyScienceWork's publications...

stlie K Franklin RJ Skjeldal OH Skrondal A Magnus P Assessing physical function in adult acquired major upper-limb amputees by combining the Disabilities of the Arm Shoulder and Hand DASH Outcome Questionnaire and clinical examination Objectives To describe physical function in adult acquired major upper-limb amputees ULAs by combining self-assessed arm function and physical measures obtained by clinical examinations to estimate associations between background factors and self-assessed arm function in ULAs and to assess whether clinical examination findings may be used to detect reduced arm function in unilateral ULAs Design Survey postal questionnaires and clinical examinations Setting Norwegian ULA population Clinical examinations performed at 3 clinics Participants Questionnaires population-based sample n 224 57 4 response rate Clinical examinations combined referred sample and convenience sample of questionnaire responders n 70 83 3 of those invited Survey inclusion criteria adult acquired major upper-limb amputation resident in Norway mastering of spoken and written Norwegian Interventions Not applicable Main Outcome Measures The Disabilities of the Arm Shoulder and Hand DASH Outcome Questionnaire and clinical examination of joint motion and muscle strength with and without prostheses Results Mean DASH score was 22 7 95 confidence interval CI 20 3 25 0 in bilateral amputees 35 7 95 CI 23 0 48 4 and in unilateral amputees 22 1 95 CI 19 8 24 5 A lower unilateral DASH score better function was associated with paid employment vs not in paid employment adjusted regression coefficient aB 5 40 P 033 vs students aB 13 88 P 022 increasing postamputation time aB 27 P 001 and Norwegian ethnicity aB 14 45 P 001 At clinical examination we found a high frequency of impaired neck mobility and varying frequencies of impaired joint motion and strength at the shoulder elbow and forearm level Prosthesis wear was associated with impaired joint motion in all upper-limb joints P 006 and with reduced shoulder abduction strength P 002 Impaired without-prosthesis joint motion in shoulder flexion ipsilateral aB 12 19 P 001 and shoulder abduction ipsilateral aB 12 01 P 005 contralateral aB 28 82 P 004 was associated with increased DASH scores Conclusions Upper-limb loss clearly affects physical function DASH score limitation profiles may be useful in individual clinical assessments Targeted clinical examination may indicate patients with extra rehabilitational needs Such examinations may be of special importance in relation to prosthesis function

Publication search with questionnaire responders who were clinically examined as keyword

Assessing Physical Function in Adult Acquired Major Upper-Limb Amputees by Combining the Disabilities of the Arm, Should...

Publication search
with questionnaire responders who were clinically examined as keyword