Rheumatology Medical News about systemic sclerosis;hand involvement

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A longitudinal follow-up of hand involvement and activities of daily living in early systemic sclerosis
Scandinavian Journal of Rheumatology , 03/23/09

Sandqvist G et al. - In this study hand mobility and activities of daily life (ADL) capacity were maintained during the first years of systemic sclerosis (SSc). Hand Mobility in Scleroderma (HAMIS) test was feasible for longitudinal assessment of hand mobility in these pts.

Methods

Aim was to investigate the development of hand involvement and ADL in early SSc
Usefulness of HAMIS test for assessment of hand mobility was also examined
43 pts; disease duration <3 yrs; atleast 4 yrs of f/u
31 pts were classified as limited cutaneous SSc (lcSSc) and 12 as diffuse cutaneous SSc (dcSSc)
Pts were assessed regarding HAMIS, Grippit, and self-assessed hand function (VAS), vascular involvement (RP), skin involvement (mRss), and ADL capacity (FS)

Results

Hand mobility and ADL capacity were in general good and did not change significantly
However, at the individual level 72% of the pts showed a change in HAMIS score
Grip force and perceived hand function were moderately impaired at baseline and during f/u
Skin involvement in the hand/arm improved significantly
During the observation period, the hand/arm mRss and HAMIS score changed in parallel
ADL capacity correlated with grip force, self-assessed hand function, and RP at baseline, and also with HAMIS at f/u

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