Impairment and Disability After Severe Hand Injuries With Multiple Phalangeal Fractures

Oosterom, Frederik J.T. van; Ettema, Anke M.; Mulder, Paul; Hovius, Steven E.R.

doi:10.1016/j.jhsa.2006.05.017

Cited by 21 publications

(16 citation statements)

References 22 publications

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“…Chapman et al [5] found a moderate correlation (r = 0.50) between impairment and disability at discharge and a moderately high correlation (r = 0.74) at followup in the early part of recovery after burn injury and a large correlation 4 months after burn injuries. In contrast, van Oosterom et al [40] found no correlation between AMA impairment rating and DASH an average of 7.5 years after phalangeal fracture.…”

Section: Discussionmentioning

confidence: 89%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Any loss or deviation in body function and structure is considered impairment, whereas limitations on activities are fundamental to the definition of disability. Although it seems intuitive that the two should be closely related, this might not be the case; there is some evidence that psychosocial factors are more important determinants of disability than are objective impairments. However, the degree to which this is the case has been incompletely explored.Questions/purposes The purpose of this study was to determine if disability (as measured by the Disabilities of the Arm, Shoulder and Hand [DASH] and the Michigan Hand Questionnaire [MHQ]) and pain intensity correlate with impairment (as measured by the American Medical Association [AMA] impairment guide). Secondary study questions addressed the effect of pain intensity and symptom of depression on predicting disability. Methods Impairment and disability were evaluated in a sample of 107 hand-injured patients a mean of 11 months after injury. Impairment rating was performed prospectively. From the patients who came for therapy, they were invited to fill out the questionnaire and evaluated for impairment rating. Response variables of DASH, MHQ, and visual analog scale pain intensity values were collected at the same setting. Other explanatory variables included demographic, injury-related, and psychological factors (symptoms of depression measured with the Beck Depression Inventory). Initial bivariate and multivariate analyses were performed to determine correlations of disability and pain to impairment rating and other exploratory variables.Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123 Clin Orthop Relat Res (2015) 473:3470-3476 DOI 10.1007/s11999-015-4228-7 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results Disability as measured by the DASH showed intermediate correlation with AMA impairment (r = 0 .38, beta = 0.36, p = 0.000). Together with gender, it accounted for only 22% of the variability in DASH scores. Similarly, MHQ score correlated with impairment rating (r = À0.24, beta = À0.23, p \ 0.05). However, together with age, injured hand accounted for only 19% of the variability in MHQ scores. However, pain intensity did not correlate with impairment (r = À0.46, p [ 0.05). Interestingly...

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Section: Discussionmentioning

confidence: 89%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Ueba 8 and Oosterom et al 9 reported that evaluations of impairment and disability do not always coincide with evaluations of the functional recovery of severely injured hands. However, the importance of the Quick DASH score should not be underestimated because it is a functional evaluation from the patient's point of view.…”

Section: Figurementioning

confidence: 99%

Predicting Functional Recovery and Return to Work After Mutilating Hand Injuries: Usefulness of Campbell's Hand Injury Severity Score

Matsuzaki

Narisawa

Miwa

et al. 2009

The Journal of Hand Surgery

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“…[62] In 78 patients with multiple phalangeal fractures, Van Oosterom et al reported a mean DASH score of 11 at a mean time of 7.5 years after injury. [61] Other authors have investigated the relation between the HISS and the DASH score. Mink van der Molen et al evaluated 110 hand trauma patients admitted to hospital for surgery and found no correlation between the HISS and the DASH score.…”

Section: Hand Injury Severity Scoring Systemmentioning

confidence: 99%