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Measures and time points relevant for post-surgical follow-up in patients with inflammatory arthritis: A pilot study
BMC Musculoskeletal Disorders, 05/19/09

Sandqvist G et al. – Study shows that VAS pain, the Grippit instrument, GAT, DASH symptom scale and COPM are suitable outcome instruments for hand surgery, while SOFI may be a more insensitive test. 6 month is an appropriate time for evaluating short-term effect of hand surgery in rheumatic diseases.

Methods

Study to evaluate:
- if instruments commonly used in rheumatologic clinical practice are suitable to measure outcome of hand surgery and
- to identify time points relevant for f/u
31 pts (median age: 56 yrs; median disease duration: 15 yrs):
- with inflammatory rheumatic disease and
- need for post-surgical occupational therapy intervention
Hand function was assessed regarding:
- grip strength (Grippit), pain (VAS),
- range of motion (ROM) (Signals of Functional Impairment (SOFI)) and
- grip ability (Grip Ability Test (GAT))
Activities of daily life (ADL) were assessed by means of:
- Disabilities of the Arm
- Shoulder and Hand Outcome (DASH) and
- Canadian Occupational Performance Measure (COPM)
Instruments were evaluated by responsiveness and feasibility, f/u points were 0, 3, 6 and 12 mo