Τίτλος:
Association between objective clinical variables and patient-rated
disability of the wrist
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Although the outcome of fractures of the distal radius is traditionally
assessed using objective clinical variables such as grip strength and
range of movement of the wrist, the extent to which they reflect
function and outcomes of importance for the patient is uncertain. This
may cause considerable inconsistencies in the assessment of outcome
using current scoring systems. We prospectively studied 31 patients
recovering from unstable fractures of the distal radius in order to
investigate the association between objective variables and the level of
post-traumatic disability of the wrist as measured by the patient-rated
wrist evaluation (PRWE) score.
Multiple regression showed considerable differences in the extent to
which limitations in specific objective clinical variables reflected the
level of disability of the wrist. Grip strength was shown to be a
significant predictor of the PRWE score (regression coefficient -1.09,
95% confidence interval -1.76 to -0.42, p < 0.01) and thus appears to
be a sensitive indicator of return of function of the wrist. Forearm
rotation and flexion and extension of the wrist were not significantly
associated with the PRWE score. These observations should be taken into
account during the evaluation of methods of treatment and in
constructing future clinical outcome scoring systems.
Συγγραφείς:
Karnezis, IA
Fragkiadakis, EG
Περιοδικό:
JOURNAL OF BONE AND JOINT SURGERY. BRITISH VOLUME
Εκδότης:
BRITISH EDITORIAL SOC BONE & JOINT SURGERY
DOI:
10.1302/0301-620X.84B7.12673
