Abstract
Study Design
A cross-sectional design was used.
Introduction
Little is known about the effects of osteoarthritis of the hands (OAH) on work ability
in working patients with OAH.
Purpose of the Study
The study aimed to analyze the differences in upper limb functional capacity (ULFC)
between working patients with OAH and healthy workers and to evaluate variables associated
with ULFC and with self-reported disability (SRD) in working patients with OAH.
Methods
Forty-one patients performed the ULFC Evaluation (ULFCE) and also completed 2 SRD
measures. The patients' results were compared with the ULFCE results of 82 matched
healthy workers from a reference database. Three sets of multivariate regression analyses
were used to reveal the predictors of ULFC and SRD.
Results
Patients scored 12%-45% lower on all ULFCE tests (P values ranging from P P Discussion
Working patients with OAH had a considerably lower ULFC compared with healthy workers.
Female gender and the presence of OAH predicted lower ULFC. Pain and lower finger
strength predicted worse scores on SRD.
Conclusion(s)
In the case of professionals advising working patients with OAH, our results suggest
that a careful evaluation of the ULFC and SRD is warranted. Subsequently, advice regarding
exercises or adjustments at work can be given.
Level of Evidence
3b.
Keywords
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JHT Read for Credit
Quiz: #512
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.SRD was used as an acronym for
- a.sympathetic reflex dystrophy
- b.self-regulated disease
- c.self-reported disability
- d.symmetrical repeatable description
- a.
- #2.The patient group were
- a.workers with osteoarthritis involving their hands
- b.patients on disability with OAH
- c.patients with either RA of the hands or OAH
- d.working patients suffering any type of arthritis of the hands
- a.
- #3.Three multivariate linear progression analyses were performed to
- a.compare ULFC scores to DASH scores in the patient group
- b.establish base line ULFC scores in the healthy subject group
- c.predict 50% of the ULFC scores
- d.predict outcomes of all ULFC scores
- a.
- #4.Worse scores on SRD were predicted by
- a.ulnar nerve pain
- b.index and middle finger PIP pain
- c.diminished digital strength and pain
- d.pain and reduced MP flexion
- a.
- #5.The main predictors of ULFC were female gender and OAH
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: March 07, 2017
Accepted:
January 4,
2017
Received in revised form:
December 30,
2016
Received:
April 25,
2016
Footnotes
Conflict of interest: All authors declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964, as revised in 2013. Informed consent was obtained from all patients for being included in the study. This article does not contain any studies with animals performed by any of the authors.
“Beatrixoord Noord-Nederland” is a nonprofit Foundation that provided a gift voucher (€15) for all patients participating in this study.
Identification
Copyright
© 2017 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
