Correlation between objective and subjective measures of hand function in patients with rheumatoid arthritis

O’Connor, Denise; Kortman, Brenton; Smith, Amanda; Ahern, Michael; Smith, Malcolm D.; Jegan, Krishnan

doi:10.1016/s0894-1130(99)80071-4

Cited by 41 publications

(22 citation statements)

References 14 publications

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“…The task scores are summed and normalized for an overall score from 0 (worst function) to 100 (best function). The Sollerman hand function test has been used in patients with rheumatoid arthritis 21,22 and in patients with rheumatoid arthritis undergoing MCP joint arthroplasty. 23 To limit the length and complexity of the patient assessment, the Sollerman test was shortened to 11 items based on a task analysis that identified items most often used in activities of daily living (ADL).…”

Section: Outcome Measuresmentioning

confidence: 99%

NeuFlex and Swanson Metacarpophalangeal Implants for Rheumatoid Arthritis: Prospective Randomized, Controlled Clinical Trial

Escott

Ronald

Judd

et al. 2010

The Journal of Hand Surgery

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Section: Outcome Measuresmentioning

confidence: 99%

NeuFlex and Swanson Metacarpophalangeal Implants for Rheumatoid Arthritis: Prospective Randomized, Controlled Clinical Trial

Escott

Ronald

Judd

et al. 2010

The Journal of Hand Surgery

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“…8 10 The Sollerman grip test was selected as a measure of hand function as it was designed to reflect the commonest grips used in daily activities, has established validity and reliability in rheumatoid arthritis, and focuses on the hand. 17 We found that the eight year tendon function score was strongly predicted by the MRI bone oedema score derived from baseline and one year scans, and to a lesser extent by the MRI bone erosion score. The bone oedema score has stood out as a predictor of adverse outcome in several studies from this cohort of patients, at different stages of disease and using different outcome measures.…”

Section: Discussionmentioning

confidence: 65%

MRI bone oedema predicts eight year tendon function at the wrist but not the requirement for orthopaedic surgery in rheumatoid arthritis

Zheng

Robinson²,

Yeoman³

et al. 2006

Annals of the Rheumatic Diseases

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Objective: To investigate the role of early magnetic resonance imaging (MRI) of the wrist in predicting functional outcome in rheumatoid arthritis. Methods: MRI scans of the dominant wrist were scored for synovitis, tendon inflammation, bone oedema, and erosion at first presentation (n = 42), at 1 year (n = 42), and at 6 years (n = 31). At 8 years, clinical reassessment (n = 28) was undertaken. Tendon function was graded 0-3 for movement, tendon sheath swelling, and pain on resistance at nine flexor and extensor tendons of the hand. Hand function was also assessed using the Sollerman grip test. The requirement for joint or tendon surgery by 8 years was determined by telephone survey in 39 of the original 42 patients. Results: At 8 years, tendon function was highly correlated with hand function (Sollerman score, R = 20.51, p = 0.005) and global function (health assessment questionnaire score, R = 0.53, p = 0.004). Using a model incorporating baseline and 1 year MRI scores, the MRI bone oedema score was strongly predictive of tendon function at 8 years (x 2 2 = 15.3, p = 0.0005), as was the MRI bone erosion score (x 2 2 = 9.23, p = 0.01). Hand function was also predicted by the baseline MRI erosion score (p = 0.02). MRI variables did not predict the requirement for surgery, but patients who had surgery were more likely to show progression of MRI bone erosion scores between baseline and 1 year (p = 0.008). Conclusions: Extensive MRI bone oedema and erosions at the wrist in early rheumatoid arthritis predict tendon dysfunction and impaired hand function in the medium term but not the requirement for joint or tendon surgery.

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“…22,[31][32][33] The authors developed the Likert scales of the Jebsen tasks and the fine and gross motor ADL to integrate subjective and objective information. In isolation, questionnaires can be unreliable and insensitive to changes in function 34 ; however, used in combination with objective measures, they offer a comprehensive assessment of the subject's hand function.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Positive Pressure Gloves on Hand Function in Adults With Burns

O'Brien

Weinstock-Zlotnick

Hunter

et al. 2006

Journal of Burn Care & Research

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The purpose of this study was to analyze the impact of a standard, custom-made pressure glove vs The NewYork-Presbyterian Dexterity Glove (NYPDG) with silon application on the palmer surface on functional hand use of burn survivors. A standard, custom-made pressure glove and NYPDG were given to 18 participants in a randomized order. Subjects wore each glove for 7 to 10 days during all activities of daily living (ADL). Variables such as hand function, difficulty of fine and gross motor ADL, and participant glove preference were assessed with each glove condition. Data collection of the second glove took place 7 to 10 days later incorporating a quasiexperimental, repeated measure design. A crossover design was used to analyze the data. The NYPDG demonstrated significantly better results in all of the four outcome categories measured: time to complete the Jebsen, the Jebsen Likert scale, fine motor ADL, and gross motor ADL. This study demonstrated that functional tasks took less time to complete and were more easily performed when using the NYPDG.

show abstract

Correlation between objective and subjective measures of hand function in patients with rheumatoid arthritis

Cited by 41 publications

References 14 publications

NeuFlex and Swanson Metacarpophalangeal Implants for Rheumatoid Arthritis: Prospective Randomized, Controlled Clinical Trial

NeuFlex and Swanson Metacarpophalangeal Implants for Rheumatoid Arthritis: Prospective Randomized, Controlled Clinical Trial

MRI bone oedema predicts eight year tendon function at the wrist but not the requirement for orthopaedic surgery in rheumatoid arthritis

Comparison of Positive Pressure Gloves on Hand Function in Adults With Burns

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