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Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease. | LitMetric
Study Design : Prospective cohort study.Introduction : The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent.Purpose Of The Study : To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease.Methods : Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol).Results : The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect.Discussion : Safety and social issues of hand function and quality of life had an evident association with functional recovery.Level Of Evidence : IV.
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