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Daily activities and hand function in women with scleroderma
Objective: To give a detailed description of hand function and the ability to perform daily activities among patients with systemic sclerosis. Methods: Thirty patients with scleroderma answered a self-administered activities of daily living (ADL) questionnaire. Hand function was estimated with respe...
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| Published in: | Scandinavian journal of rheumatology 2004, Vol.33 (2), p.102-107 |
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| container_title | Scandinavian journal of rheumatology |
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| creator | Sandqvist, G Eklund, M Åkesson, A Nordenskiöld, U |
| description | Objective: To give a detailed description of hand function and the ability to perform daily activities among patients with systemic sclerosis.
Methods: Thirty patients with scleroderma answered a self-administered activities of daily living (ADL) questionnaire. Hand function was estimated with respect to hand mobility, dexterity, and grip force. Perceived symptoms were reported on a visual analogue scale (VAS), and skin thickness was assessed by means of the modified Rodnan skin score.
Results: Finger flexion and extension were the most impaired aspects of hand mobility. Dexterity was on average reduced to 68-80%, and grip force to 46-65% compared with values for healthy persons. The predominant self-perceived problem was Raynaud's phenomenon, whereas pitting scars ulcers were perceived as the least problem. Activities building on hand and arm function were harder to perform than activities depending on lower limb function. Raynaud's phenomenon, stiffness, grip force, and dexterity were factors with the strongest associations with ADL difficulties. Assistive devices and alternative working methods improved ADL ability.
Conclusion: Impaired hand function was related to ADL difficulties and the use of assistive devices improved ADL. This emphasizes the importance of treatments that improve hand function and of testing ergonomic tools. |
| doi_str_mv | 10.1080/03009740410006060 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1080_03009740410006060</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71967854</sourcerecordid><originalsourceid>FETCH-LOGICAL-c538t-7df7e28d0fd166337f91800f0fcc67f09ebc46ff29b6efad90f312e11518c5f3</originalsourceid><addsrcrecordid>eNp9kUtv1DAUhS0EokPhB7BB2cCqges48UN0g1pe0khsurcc57rjyokHO2E0_x4PM7yEqKxrS9ffObr2IeQ5hdcUJLwBBqBECy0FAF7WA7KiHTS1EKx5SFaH-7oAzRl5kvNdgVol1GNyRjvKGaV0RS6vjQ_7ytjZf_Ozx1yZaag2h80tU-nGqfJTtYsjlt3PmyrbgCkOmEbzlDxyJmR8djrPyc2H9zdXn-r1l4-fr96ta9sxOddicAIbOYAbKOeMCaeoBHDgrOXCgcLetty5RvUcnRkUOEYbpGVKaTvHzsn6aJt3uF16vU1-NGmvo_E6LNtSfSmdUTNgXTewVjfQGt0qKbRSwDUI2ijBe-PwYHfxX7vbYldatz_cJMhGFvzVEd-m-HXBPOvRZ4shmAnjkrWgigvZtQWkR9CmmHNC98uZgj7kpf_Jq2henMyXfsTht-IUUAFengCTrQkumcn6_AfHGZRPLtzlkfOTiyWaXUxh0LPZh5h-ith9c7z9S75BE-aNNQn1XVzSVNK95xXfARgbwP8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71967854</pqid></control><display><type>article</type><title>Daily activities and hand function in women with scleroderma</title><source>Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)</source><creator>Sandqvist, G ; Eklund, M ; Åkesson, A ; Nordenskiöld, U</creator><creatorcontrib>Sandqvist, G ; Eklund, M ; Åkesson, A ; Nordenskiöld, U</creatorcontrib><description>Objective: To give a detailed description of hand function and the ability to perform daily activities among patients with systemic sclerosis.
Methods: Thirty patients with scleroderma answered a self-administered activities of daily living (ADL) questionnaire. Hand function was estimated with respect to hand mobility, dexterity, and grip force. Perceived symptoms were reported on a visual analogue scale (VAS), and skin thickness was assessed by means of the modified Rodnan skin score.
Results: Finger flexion and extension were the most impaired aspects of hand mobility. Dexterity was on average reduced to 68-80%, and grip force to 46-65% compared with values for healthy persons. The predominant self-perceived problem was Raynaud's phenomenon, whereas pitting scars ulcers were perceived as the least problem. Activities building on hand and arm function were harder to perform than activities depending on lower limb function. Raynaud's phenomenon, stiffness, grip force, and dexterity were factors with the strongest associations with ADL difficulties. Assistive devices and alternative working methods improved ADL ability.
Conclusion: Impaired hand function was related to ADL difficulties and the use of assistive devices improved ADL. This emphasizes the importance of treatments that improve hand function and of testing ergonomic tools.</description><identifier>ISSN: 0300-9742</identifier><identifier>ISSN: 1502-7732</identifier><identifier>EISSN: 1502-7732</identifier><identifier>DOI: 10.1080/03009740410006060</identifier><identifier>PMID: 15163111</identifier><identifier>CODEN: SJRHAT</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>ability ; Activities of Daily Living ; Adult ; Aged ; altered working methods ; assistive devices ; Biological and medical sciences ; Clinical Medicine ; daily activities ; Disease Progression ; Diseases of the osteoarticular system ; Female ; Finger Joint - physiopathology ; hamis ; hand function ; Hand Strength ; Humans ; instrument ; Klinisk medicin ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; mobility ; Pain Measurement ; Probability ; Quality of Life ; questionnaire ; Range of Motion, Articular - physiology ; Reumatologi och inflammation ; rheumatoid-arthritis ; Rheumatology and Autoimmunity ; Risk Assessment ; Sampling Studies ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Scleroderma, Systemic - diagnosis ; Scleroderma, Systemic - rehabilitation ; Self-Help Devices - statistics & numerical data ; Severity of Illness Index ; Surveys and Questionnaires ; systemic sclerosis ; systemic-sclerosis scleroderma</subject><ispartof>Scandinavian journal of rheumatology, 2004, Vol.33 (2), p.102-107</ispartof><rights>2003 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2003</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-7df7e28d0fd166337f91800f0fcc67f09ebc46ff29b6efad90f312e11518c5f3</citedby><cites>FETCH-LOGICAL-c538t-7df7e28d0fd166337f91800f0fcc67f09ebc46ff29b6efad90f312e11518c5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15630538$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15163111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/80828$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/123292$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Sandqvist, G</creatorcontrib><creatorcontrib>Eklund, M</creatorcontrib><creatorcontrib>Åkesson, A</creatorcontrib><creatorcontrib>Nordenskiöld, U</creatorcontrib><title>Daily activities and hand function in women with scleroderma</title><title>Scandinavian journal of rheumatology</title><addtitle>Scand J Rheumatol</addtitle><description>Objective: To give a detailed description of hand function and the ability to perform daily activities among patients with systemic sclerosis.
Methods: Thirty patients with scleroderma answered a self-administered activities of daily living (ADL) questionnaire. Hand function was estimated with respect to hand mobility, dexterity, and grip force. Perceived symptoms were reported on a visual analogue scale (VAS), and skin thickness was assessed by means of the modified Rodnan skin score.
Results: Finger flexion and extension were the most impaired aspects of hand mobility. Dexterity was on average reduced to 68-80%, and grip force to 46-65% compared with values for healthy persons. The predominant self-perceived problem was Raynaud's phenomenon, whereas pitting scars ulcers were perceived as the least problem. Activities building on hand and arm function were harder to perform than activities depending on lower limb function. Raynaud's phenomenon, stiffness, grip force, and dexterity were factors with the strongest associations with ADL difficulties. Assistive devices and alternative working methods improved ADL ability.
Conclusion: Impaired hand function was related to ADL difficulties and the use of assistive devices improved ADL. This emphasizes the importance of treatments that improve hand function and of testing ergonomic tools.</description><subject>ability</subject><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>altered working methods</subject><subject>assistive devices</subject><subject>Biological and medical sciences</subject><subject>Clinical Medicine</subject><subject>daily activities</subject><subject>Disease Progression</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finger Joint - physiopathology</subject><subject>hamis</subject><subject>hand function</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>instrument</subject><subject>Klinisk medicin</subject><subject>Medical and Health Sciences</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>mobility</subject><subject>Pain Measurement</subject><subject>Probability</subject><subject>Quality of Life</subject><subject>questionnaire</subject><subject>Range of Motion, Articular - physiology</subject><subject>Reumatologi och inflammation</subject><subject>rheumatoid-arthritis</subject><subject>Rheumatology and Autoimmunity</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Scleroderma, Systemic - diagnosis</subject><subject>Scleroderma, Systemic - rehabilitation</subject><subject>Self-Help Devices - statistics & numerical data</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>systemic sclerosis</subject><subject>systemic-sclerosis scleroderma</subject><issn>0300-9742</issn><issn>1502-7732</issn><issn>1502-7732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kUtv1DAUhS0EokPhB7BB2cCqges48UN0g1pe0khsurcc57rjyokHO2E0_x4PM7yEqKxrS9ffObr2IeQ5hdcUJLwBBqBECy0FAF7WA7KiHTS1EKx5SFaH-7oAzRl5kvNdgVol1GNyRjvKGaV0RS6vjQ_7ytjZf_Ozx1yZaag2h80tU-nGqfJTtYsjlt3PmyrbgCkOmEbzlDxyJmR8djrPyc2H9zdXn-r1l4-fr96ta9sxOddicAIbOYAbKOeMCaeoBHDgrOXCgcLetty5RvUcnRkUOEYbpGVKaTvHzsn6aJt3uF16vU1-NGmvo_E6LNtSfSmdUTNgXTewVjfQGt0qKbRSwDUI2ijBe-PwYHfxX7vbYldatz_cJMhGFvzVEd-m-HXBPOvRZ4shmAnjkrWgigvZtQWkR9CmmHNC98uZgj7kpf_Jq2henMyXfsTht-IUUAFengCTrQkumcn6_AfHGZRPLtzlkfOTiyWaXUxh0LPZh5h-ith9c7z9S75BE-aNNQn1XVzSVNK95xXfARgbwP8</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Sandqvist, G</creator><creator>Eklund, M</creator><creator>Åkesson, A</creator><creator>Nordenskiöld, U</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>D95</scope></search><sort><creationdate>2004</creationdate><title>Daily activities and hand function in women with scleroderma</title><author>Sandqvist, G ; Eklund, M ; Åkesson, A ; Nordenskiöld, U</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-7df7e28d0fd166337f91800f0fcc67f09ebc46ff29b6efad90f312e11518c5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>ability</topic><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>altered working methods</topic><topic>assistive devices</topic><topic>Biological and medical sciences</topic><topic>Clinical Medicine</topic><topic>daily activities</topic><topic>Disease Progression</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finger Joint - physiopathology</topic><topic>hamis</topic><topic>hand function</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>instrument</topic><topic>Klinisk medicin</topic><topic>Medical and Health Sciences</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>mobility</topic><topic>Pain Measurement</topic><topic>Probability</topic><topic>Quality of Life</topic><topic>questionnaire</topic><topic>Range of Motion, Articular - physiology</topic><topic>Reumatologi och inflammation</topic><topic>rheumatoid-arthritis</topic><topic>Rheumatology and Autoimmunity</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Scleroderma, Systemic - diagnosis</topic><topic>Scleroderma, Systemic - rehabilitation</topic><topic>Self-Help Devices - statistics & numerical data</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>systemic sclerosis</topic><topic>systemic-sclerosis scleroderma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sandqvist, G</creatorcontrib><creatorcontrib>Eklund, M</creatorcontrib><creatorcontrib>Åkesson, A</creatorcontrib><creatorcontrib>Nordenskiöld, U</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Lunds universitet</collection><jtitle>Scandinavian journal of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sandqvist, G</au><au>Eklund, M</au><au>Åkesson, A</au><au>Nordenskiöld, U</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Daily activities and hand function in women with scleroderma</atitle><jtitle>Scandinavian journal of rheumatology</jtitle><addtitle>Scand J Rheumatol</addtitle><date>2004</date><risdate>2004</risdate><volume>33</volume><issue>2</issue><spage>102</spage><epage>107</epage><pages>102-107</pages><issn>0300-9742</issn><issn>1502-7732</issn><eissn>1502-7732</eissn><coden>SJRHAT</coden><abstract>Objective: To give a detailed description of hand function and the ability to perform daily activities among patients with systemic sclerosis.
Methods: Thirty patients with scleroderma answered a self-administered activities of daily living (ADL) questionnaire. Hand function was estimated with respect to hand mobility, dexterity, and grip force. Perceived symptoms were reported on a visual analogue scale (VAS), and skin thickness was assessed by means of the modified Rodnan skin score.
Results: Finger flexion and extension were the most impaired aspects of hand mobility. Dexterity was on average reduced to 68-80%, and grip force to 46-65% compared with values for healthy persons. The predominant self-perceived problem was Raynaud's phenomenon, whereas pitting scars ulcers were perceived as the least problem. Activities building on hand and arm function were harder to perform than activities depending on lower limb function. Raynaud's phenomenon, stiffness, grip force, and dexterity were factors with the strongest associations with ADL difficulties. Assistive devices and alternative working methods improved ADL ability.
Conclusion: Impaired hand function was related to ADL difficulties and the use of assistive devices improved ADL. This emphasizes the importance of treatments that improve hand function and of testing ergonomic tools.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>15163111</pmid><doi>10.1080/03009740410006060</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0300-9742 |
| ispartof | Scandinavian journal of rheumatology, 2004, Vol.33 (2), p.102-107 |
| issn | 0300-9742 1502-7732 1502-7732 |
| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | ability Activities of Daily Living Adult Aged altered working methods assistive devices Biological and medical sciences Clinical Medicine daily activities Disease Progression Diseases of the osteoarticular system Female Finger Joint - physiopathology hamis hand function Hand Strength Humans instrument Klinisk medicin Medical and Health Sciences Medical sciences Medicin och hälsovetenskap Middle Aged mobility Pain Measurement Probability Quality of Life questionnaire Range of Motion, Articular - physiology Reumatologi och inflammation rheumatoid-arthritis Rheumatology and Autoimmunity Risk Assessment Sampling Studies Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Scleroderma, Systemic - diagnosis Scleroderma, Systemic - rehabilitation Self-Help Devices - statistics & numerical data Severity of Illness Index Surveys and Questionnaires systemic sclerosis systemic-sclerosis scleroderma |
| title | Daily activities and hand function in women with scleroderma |
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