Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis

Abstract

Objective: Hospitalization process causes a variety of physical problems. The decrease of hand use in daily life during hospitalization brings hand dysfunction to mind in inpatients. The aim of this study is to compare the hand functions of hospitalized patients with Rheumatoid Arthritis (RA) to outpatients in detail.

Methods: Grip and pinch strengths of both hospitalized patients in rheumatology service and outpatients on the routine control day were measured. In addition, 9-Hole Peg Test was performed and the disability level was determined by the Turkish version of Michigan Hand Outcomes Questionnaire (MHOQ).

Results: While grip strength and MHOQ scores were similar (p>0.05) in both groups, all three pinch strengths (lateral, bipod, tripod) and 9HPT scores were lower (p<0.05) in hospitalized patients.

Conclusion: Consequently, besides disease activity, hospitalization process also impairs fine hand functions in rheumatological patients. Evaluation of fine hand functions and appropriate rehabilitative interventions may prevent further disability in hospitalized patients. J Clin Exp Invest 2015; 6 (3): 228-232

Key words: Rheumatoid arthritis, rheumatoid hand, hand functions, dexterity, hospitalization

Keywords

• Rheumatoid arthritis, rheumatoid hand, hand functions, dexterity, hospitalization

Romatoid artritli hastalarda hospitalizasyonun ince el fonksiyonlarına etkilerinin incelenmesi ve kavramaya etkileriyle karşılaştırılması

Öz

Amaç: Hospitalizasyon süreci birçok fiziksel probleme yol açmaktadır. Hospitalizasyon sırasında elin günlük yaşamda kullanımının azalması, yatan hastalarda el disfonksiyonunu akla getirmektedir. Bu çalışmanın amacı, yatan Romatoid Artritli hastaların el fonksiyonlarının, dış hastalarla detaylı olarak karşılaştırılmasıdır.Yöntemler: Yatan hastaların romatoloji servisinde ve dış hastaların rutin kontrol günlerinde kavrama ve çimdikleyici kuvvetleri ölçüldü. Ayrıca, hastalara 9 Delikli Peg Test (9DPT) yapıldı ve özür düzeyleri Michigan El Sonuçları Anketi Türkçe versiyonu (MESA-T) ile belirlendi. Bulgular: Grupların kavrama ve MESA-T skorları benzer bulunurken (p>0,05); hospitalize hastaların her üç çimdikleyici (lateral, bipod, tripod) kuvvetleri daha düşük ve 9DPT skorları daha kötü bulunmuştur (p<0,05).Sonuç: Sonuç olarak, hastalık aktivitesinin yanı sıra, hospitalizasyon süreci de romatolojik hastalarda ince el fonksiyonlarını kötüleştirmektedir. İnce el fonksiyonlarının değerlendirilmesi ve buna uygun rehabilitasyon programlarının verilmesi, hospitalize hastalarda daha fazla özrü engelleyebilir

Anahtar Kelimeler

• Romatoid artrit, romatoid el, el fonksiyonları, el becerisi, hospitalizasyon

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