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Hand Function After an Electrical Accident-A Case-Control Study.

Lisa Rådman¹, Andrew Wold, Kerstin Norman

¹From the Department of physiotherapy and University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Dr Rådman); University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Dr Wold); National unit for Health and safety, Swedish Police Authority , Stockholm, Sweden (Dr Norman); Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden (Dr Olausson); and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden (Dr Thordstein).

Journal of Occupational and Environmental Medicine

|October 5, 2022

Summary

This summary is machine-generated.

Electrical accidents can impair long-term hand function. This study found reduced hand function in survivors with neurosensory symptoms, highlighting the need for better assessment tools.

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Area of Science:

Occupational Health
Neurology
Rehabilitation Medicine

Background:

Electrical accidents lead to acute and chronic injuries.
Current care for acute electrical injuries is standardized.
Lack of assessment tools for long-term hand function deficits post-electrical accident.

Purpose of the Study:

To investigate the long-term effects of electrical accidents on hand function.
To identify specific deficits in patients reporting neurosensory symptoms after electrical injury.

Main Methods:

A case-control study involving 24 individuals with a history of electrical accidents and 24 healthy controls.
Hand function was assessed 1-5 years post-accident using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, the Purdue Pegboard test, and the Shape and Texture Identification (STI) test.
Participants had self-reported neurosensory symptoms.

Main Results:

Patients with electrical accident history scored significantly lower on the DASH questionnaire compared to controls.
The Purdue Pegboard test revealed significantly poorer performance in the patient group.
The Shape and Texture Identification test showed significantly lower scores for one finger in patients.

Conclusions:

Electrical accidents negatively impact hand function in individuals experiencing neurosensory symptoms.
Objective hand function deficits are present years after an electrical injury.
Further research is needed to develop standardized assessment and rehabilitation strategies for long-term hand dysfunction following electrical accidents.