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

Year 2015, Volume: 6 Issue: 3, 228 - 232, 25.10.2015
https://doi.org/10.5799/ahinjs.01.2015.03.0524

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

References

  • Carmen G, Luis CG, Luis MG, et al. Handgrip Strength Predicts Functional Decline at Discharge in Hospitalized Male Elderly: A Hospital Cohort Study. PLoS ONE 2013; e69849.
  • Fortinsky RH, Covinsky HE, Palmer RM, Landefeld CS. Effects of functional status changes before and during hospitalization on nursing horne admission of older adults. J Gerontol Med Sci 1999;54:521-526.
  • Hood C, Johnson J, Kelly C. What is the prevalence of rheumatic disorders in general medical inpatients? Postgrad Med J 2001;77:774-777.
  • Krishnan E. Hospitalization and mortality of patients with systemic lupus erythematosus. J Rheumatol 2006;33:1770-1774.
  • Parodi M, Bensi L, Maio T, et al. Comorbidities in rheumatoid arthritis: analysis of hospital discharge records. Reumatismo 2005;57:154-160.
  • Davydow DS, Hough CL, Levine DA, et al. Functional disability, cognitive impairment, and depression after hospitalization for pneumonia. Am J Med 2013;126:615-624.
  • Guy N, Justo D, Lerman Y, Rabinovich A. Length and outcome of acute inpatient rehabilitation for hospitalassociated deconditioning in the elderly]. Harefuah 2012;151:500-504.
  • Kerr A, Syddall HE, Cooper C, et al. Does admission grip strength predict length of stay in hospitalised older patients? Age Ageing 2006;35:82-84.
  • Kus S, van de Ven-Stevens LA, Coenen M, et al. What is our knowledge of functioning and disability in hand conditions based on? Arch Phys Med Rehabil 2011;92:1326-1332.
  • Kjeken I, Dagfinrud H, Slatkowsky-Christensen B, et al. Activity limitations and participation restrictions in women with hand osteoarthritis: patients’ descriptions and associations between dimensions of functioning. Ann Rheum Dis 2005;64:1633-1638.
  • Tuna Z, Oskay D, Önder D, İnal S. Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. J Clin Exp Invest 2015;6:110-114.
  • Bohannon RW. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther 2008;31:3-10.
  • Keevil V, Mazzuin RR, Chin AV, et al. Grip strength in a cohort of older medical inpatients in Malaysia: a pilot study to describe the range, determinants and association with length of hospital stay. Arch Gerontol Geriatr 2013;56:155-159.
  • Pinals RS, Masi AT, Larsen RA. Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum 1981;24:1308-1315.
  • Öksüz Ç, Akel BS, Oskay D, et al. Cross-cultural adaptation, validation, and reliability process of the Michigan Hand Outcomes Questionnaire in a Turkish population. J Hand Surg Am 011;36:486-492.
  • Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 1984;9:222-226.
  • Smith YA, Hong E, Presson C. Normative and validation studies of the Nine-hole Peg Test with children. Percept Mot Skills 2000;90:823-843.
  • Zisberg A, Zlotnick C, Gur‐Yaish N, et al. Functional decline and satisfaction with nursing care among older hospitalized adults. Int J Nursing Practice 2014 doi: 10.1111/ijn.12289.
  • Morandi A, Bellelli G, Vasilevskis EE, et al. Predictors of rehospitalization among elderly patients admitted to a rehabilitation hospital: the role of polypharmacy, functional status, and length of stay. J Am Med Directors Assoc 2013;14:761-767.
  • Hoyer EH, Needham DM, Atanelov L, et al. Association of impaired functional status at hospital discharge and subsequent ehospitalization. J Hosp Med 2014;9:277-282.
  • Shearer T, Guthrie S. Facilitating early activities of daily living retraining prevent functional decline in older adults . Aust Occup Ther J 2013;60:319–325.
  • O’Toole L, ConnollyD, Smith S. Impact of an occupation-based
  • self-management programme on chronic disease management Aust Occup Ther J 2013;60:30–38.
  • Hoogerduijn JG, Buurman BM, Korevaar JC, et al. The prediction of functional decline in older hospitalised patients. Age Ageing 2012;41:381–387.
  • Legrand D, Vaes B, Matheï C, et al. Muscle strength and physical performance as predictors of mortality, hospitalization, and disability in the oldest old. J Am Geriatr Soc. 2014;62:1030-1038.
  • Palleschi L, Fimognari FL, Pierantozzi A, et al. Acute functional ecline before hospitalization in older patients. Geriatr Gerontol Int 2014;14:769-777.
  • Towheed TE, Anastassiades TP. Rheumatoid hand. Practical approach to assessment and management. Can Fam Physician 1994;40:1303-1309.

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

Year 2015, Volume: 6 Issue: 3, 228 - 232, 25.10.2015
https://doi.org/10.5799/ahinjs.01.2015.03.0524

Abstract

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

References

  • Carmen G, Luis CG, Luis MG, et al. Handgrip Strength Predicts Functional Decline at Discharge in Hospitalized Male Elderly: A Hospital Cohort Study. PLoS ONE 2013; e69849.
  • Fortinsky RH, Covinsky HE, Palmer RM, Landefeld CS. Effects of functional status changes before and during hospitalization on nursing horne admission of older adults. J Gerontol Med Sci 1999;54:521-526.
  • Hood C, Johnson J, Kelly C. What is the prevalence of rheumatic disorders in general medical inpatients? Postgrad Med J 2001;77:774-777.
  • Krishnan E. Hospitalization and mortality of patients with systemic lupus erythematosus. J Rheumatol 2006;33:1770-1774.
  • Parodi M, Bensi L, Maio T, et al. Comorbidities in rheumatoid arthritis: analysis of hospital discharge records. Reumatismo 2005;57:154-160.
  • Davydow DS, Hough CL, Levine DA, et al. Functional disability, cognitive impairment, and depression after hospitalization for pneumonia. Am J Med 2013;126:615-624.
  • Guy N, Justo D, Lerman Y, Rabinovich A. Length and outcome of acute inpatient rehabilitation for hospitalassociated deconditioning in the elderly]. Harefuah 2012;151:500-504.
  • Kerr A, Syddall HE, Cooper C, et al. Does admission grip strength predict length of stay in hospitalised older patients? Age Ageing 2006;35:82-84.
  • Kus S, van de Ven-Stevens LA, Coenen M, et al. What is our knowledge of functioning and disability in hand conditions based on? Arch Phys Med Rehabil 2011;92:1326-1332.
  • Kjeken I, Dagfinrud H, Slatkowsky-Christensen B, et al. Activity limitations and participation restrictions in women with hand osteoarthritis: patients’ descriptions and associations between dimensions of functioning. Ann Rheum Dis 2005;64:1633-1638.
  • Tuna Z, Oskay D, Önder D, İnal S. Assessment of hand dysfunction in patients receiving hemodialysis through arteriovenous fistula. J Clin Exp Invest 2015;6:110-114.
  • Bohannon RW. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther 2008;31:3-10.
  • Keevil V, Mazzuin RR, Chin AV, et al. Grip strength in a cohort of older medical inpatients in Malaysia: a pilot study to describe the range, determinants and association with length of hospital stay. Arch Gerontol Geriatr 2013;56:155-159.
  • Pinals RS, Masi AT, Larsen RA. Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum 1981;24:1308-1315.
  • Öksüz Ç, Akel BS, Oskay D, et al. Cross-cultural adaptation, validation, and reliability process of the Michigan Hand Outcomes Questionnaire in a Turkish population. J Hand Surg Am 011;36:486-492.
  • Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 1984;9:222-226.
  • Smith YA, Hong E, Presson C. Normative and validation studies of the Nine-hole Peg Test with children. Percept Mot Skills 2000;90:823-843.
  • Zisberg A, Zlotnick C, Gur‐Yaish N, et al. Functional decline and satisfaction with nursing care among older hospitalized adults. Int J Nursing Practice 2014 doi: 10.1111/ijn.12289.
  • Morandi A, Bellelli G, Vasilevskis EE, et al. Predictors of rehospitalization among elderly patients admitted to a rehabilitation hospital: the role of polypharmacy, functional status, and length of stay. J Am Med Directors Assoc 2013;14:761-767.
  • Hoyer EH, Needham DM, Atanelov L, et al. Association of impaired functional status at hospital discharge and subsequent ehospitalization. J Hosp Med 2014;9:277-282.
  • Shearer T, Guthrie S. Facilitating early activities of daily living retraining prevent functional decline in older adults . Aust Occup Ther J 2013;60:319–325.
  • O’Toole L, ConnollyD, Smith S. Impact of an occupation-based
  • self-management programme on chronic disease management Aust Occup Ther J 2013;60:30–38.
  • Hoogerduijn JG, Buurman BM, Korevaar JC, et al. The prediction of functional decline in older hospitalised patients. Age Ageing 2012;41:381–387.
  • Legrand D, Vaes B, Matheï C, et al. Muscle strength and physical performance as predictors of mortality, hospitalization, and disability in the oldest old. J Am Geriatr Soc. 2014;62:1030-1038.
  • Palleschi L, Fimognari FL, Pierantozzi A, et al. Acute functional ecline before hospitalization in older patients. Geriatr Gerontol Int 2014;14:769-777.
  • Towheed TE, Anastassiades TP. Rheumatoid hand. Practical approach to assessment and management. Can Fam Physician 1994;40:1303-1309.
There are 27 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Zeynep Tuna

Deran Oskay This is me

Derya Onbulak This is me

Rıdvan Mercan This is me

Publication Date October 25, 2015
Published in Issue Year 2015 Volume: 6 Issue: 3

Cite

APA Tuna, Z., Oskay, D., Onbulak, D., Mercan, R. (2015). Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis. Journal of Clinical and Experimental Investigations, 6(3), 228-232. https://doi.org/10.5799/ahinjs.01.2015.03.0524
AMA Tuna Z, Oskay D, Onbulak D, Mercan R. Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis. J Clin Exp Invest. November 2015;6(3):228-232. doi:10.5799/ahinjs.01.2015.03.0524
Chicago Tuna, Zeynep, Deran Oskay, Derya Onbulak, and Rıdvan Mercan. “Analysis of the Effects of Hospitalization on Fine Hand Functions Compared to Gross Grip in Patients With Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations 6, no. 3 (November 2015): 228-32. https://doi.org/10.5799/ahinjs.01.2015.03.0524.
EndNote Tuna Z, Oskay D, Onbulak D, Mercan R (November 1, 2015) Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis. Journal of Clinical and Experimental Investigations 6 3 228–232.
IEEE Z. Tuna, D. Oskay, D. Onbulak, and R. Mercan, “Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis”, J Clin Exp Invest, vol. 6, no. 3, pp. 228–232, 2015, doi: 10.5799/ahinjs.01.2015.03.0524.
ISNAD Tuna, Zeynep et al. “Analysis of the Effects of Hospitalization on Fine Hand Functions Compared to Gross Grip in Patients With Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations 6/3 (November 2015), 228-232. https://doi.org/10.5799/ahinjs.01.2015.03.0524.
JAMA Tuna Z, Oskay D, Onbulak D, Mercan R. Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis. J Clin Exp Invest. 2015;6:228–232.
MLA Tuna, Zeynep et al. “Analysis of the Effects of Hospitalization on Fine Hand Functions Compared to Gross Grip in Patients With Rheumatoid Arthritis”. Journal of Clinical and Experimental Investigations, vol. 6, no. 3, 2015, pp. 228-32, doi:10.5799/ahinjs.01.2015.03.0524.
Vancouver Tuna Z, Oskay D, Onbulak D, Mercan R. Analysis of the effects of hospitalization on fine hand functions compared to gross grip in patients with rheumatoid arthritis. J Clin Exp Invest. 2015;6(3):228-32.