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Related Experiment Videos

Effective hand function assessment after burn injuries.

Nisha Umraw1, Yvonne Chan, Manuel Gomez

  • 1Ross Tilley Burn Centre and Sunnybrook & Women's College Health Sciences Centre, Toronto, Ontario, Canada.

The Journal of Burn Care & Rehabilitation
|January 17, 2004
PubMed
Summary
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The Michigan Hand Outcomes Questionnaire (MHQ) effectively identifies hand function decline post-burn injury, guiding the use of the more intensive Test d'Evaluation des Membres Supérieurs des Personnes Agées (TEMPA) for select patients.

Area of Science:

  • Rehabilitation Medicine
  • Burn Care
  • Hand Function Assessment

Background:

  • Hand function deficits are common after burn injuries.
  • Accurate assessment tools are crucial for effective rehabilitation planning.
  • Comparing different assessment methods can optimize resource allocation.

Purpose of the Study:

  • To compare the Michigan Hand Outcomes Questionnaire (MHQ) and the Test d'Evaluation des Membres Supérieurs des Personnes Agées (TEMPA) for assessing hand function in burn survivors.
  • To evaluate the correlation between patient-reported outcomes (MHQ) and objective functional measures (TEMPA).
  • To determine the utility of the MHQ in identifying patients who may benefit from further, more resource-intensive assessments like the TEMPA.

Main Methods:

  • Prospective comparative study involving 20 adult burn patients.

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  • Utilized Spearman's rank correlation coefficient to analyze scores from the MHQ and TEMPA.
  • Data collected from patients discharged from a regional adult burn center between 1995 and 1999.

    • Main Results:

    • The MHQ indicated hand function deterioration in 68% of patients, primarily affecting the non-dominant hand (65%).
    • Activities of daily living (76%) and work (59%) were the most impacted functional domains.
    • Patient satisfaction, as measured by the MHQ, correlated significantly with work performance, aesthetics, pain, and activities of daily living.
    • A significant positive correlation (r =.68, P =.001) was found between the total scores of the MHQ and TEMPA.
    • The MHQ identified more instances of hand function deterioration compared to the TEMPA.

    Conclusions:

    • The Michigan Hand Outcomes Questionnaire (MHQ) is a valuable tool for screening hand function deficits in burn survivors.
    • The MHQ can effectively identify patients who would benefit from the more resource-intensive TEMPA assessment.
    • This comparative study supports the use of the MHQ as an initial assessment to guide further rehabilitation interventions.