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Investigating performance-based hand functions in patients with systemic sclerosis.

Emre Alp Akatay1, Deniz Bayraktar2, Eda Otman3

  • 1Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.

Zeitschrift Fur Rheumatologie
|September 8, 2022
PubMed
Summary

Performance-based hand function tests in systemic sclerosis (SSc) are not affected by disease subtype. Patient-reported outcomes, particularly the Duruoz Hand Index, can partially assess these hand functions in SSc patients.

Keywords:
Hand functionsPerformanceRheumatic DiseasesSclerodermaSystemic sclerosis

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Area of Science:

  • Rheumatology
  • Hand Function Assessment
  • Systemic Sclerosis Research

Background:

  • Systemic sclerosis (SSc) is a connective tissue disorder impacting organs, frequently causing skin and vascular issues that impair hand function.
  • Current hand function assessments in SSc predominantly rely on patient-reported outcomes.
  • Objective evaluation of performance-based hand function in SSc is crucial for comprehensive understanding.

Purpose of the Study:

  • To evaluate performance-based hand functions in patients with systemic sclerosis (SSc) using the Sollerman Hand Function Test (SHFT).
  • To compare performance-based hand functions between limited cutaneous SSc (lcSSc) and diffuse cutaneous SSc (dcSSc) subtypes.
  • To explore the correlation between performance-based hand functions (SHFT) and patient-reported measures.

Main Methods:

  • The study included 39 SSc patients (33 female), categorized into lcSSc (n=24) and dcSSc (n=15).
  • Evaluations included Modified Hand Mobility in Scleroderma Test, grip/pinch strength, and patient-reported measures (Duruoz Hand Index, DASH, HAQ, SHAQ).
  • Performance-based hand function was assessed using the Sollerman Hand Function Test (SHFT).

Main Results:

  • No significant differences in performance-based or patient-reported hand functions were found between lcSSc and dcSSc subtypes.
  • SHFT scores demonstrated significant correlations with physical hand characteristics and patient-reported hand function measures (p < 0.05).
  • The strongest correlation observed was between SHFT and the Duruoz Hand Index (rho = -0.652, p < 0.001).

Conclusions:

  • Disease subtype does not appear to significantly affect performance-based hand functions in systemic sclerosis.
  • Patient-reported outcomes, especially the Duruoz Hand Index, may offer partial insight into performance-based hand functions in SSc.
  • The SHFT provides a valuable objective measure for assessing hand function in SSc patients.