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| 2. |
- Sandqvist, Gunnel, et al.
(författare)
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Evaluation of paraffin bath treatment in patients with systemic sclerosis.
- 2004
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 26:16, s. 981-987
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate the effects of treatment with paraffin bath in patients with systemic sclerosis (scleroderma). Methods: In 17 patients with scleroderma one hand was treated daily with paraffin bath in combination with hand exercise. The other hand was treated with exercise only and was considered a control. Hand function was estimated before treatment and after 1 month of treatment, concerning hand mobility and grip force, and perceived pain, stiffness and skin elasticity. Results: At the follow-up, finger flexion and extension, thumb abduction, volar flexion in the wrist, and perceived stiffness and skin elasticity had improved significantly in the paraffin-treated hand compared with the baseline values. The improved hand function was independent of skin score and disease duration. Improvements in function were significantly greater in the hand which was treated with paraffin bath and exercise than in the hand treated with exercise only concerning extension deficit, perceived stiffness and skin elasticity. Conclusions: In this pilot study hand exercise in combination with paraffin bath seemed to improve mobility, perceived stiffness and skin elasticity. However, further studies with larger sample size are needed to attain more reliable results of the effect of paraffin bath treatment in patients with scleroderma.
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| 3. |
- Sandqvist, Gunnel
(författare)
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Hand function, Everyday Occupations and Wellbeing in Individuals with Systemic Sclerosis
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Systemic sclerosis (scleroderma) is a connective tissue disease which, in various ways, influences an individual’s ability to participate in everyday occupations. The general objective of this work was to elucidate the consequences of scleroderma with respect to hand function, everyday occupations and wellbeing, in order to provide a knowledge base suitable for occupational therapy interventions. The thesis is based on five describing studies, including a total of 110 individuals with scleroderma, mostly women. Standardised tests of hand function, questions on symptoms, and questionnaires and semi-structured interviews were used to assess occupational performance and wellbeing. The following results were obtained. Functioning of the hand varied considerably from normal to severe impairment. Mobility in the hands was above all impaired concerning finger flexion and extension, and grip force was reduced to about 50% of healthy persons. The hand function test, Hand Mobility in Scleroderma (HAMIS) proved to be a valid and reliable screening test of hand mobility in scleroderma. Many occupations requiring hand function were difficult to perform, and short disease duration, decreased hand function, stiffness, Raynaud’s phenomenon, shortness of breath, as well as fatigue and pain seemed to have great influence on ADL and occupational performance. Loss of occupations, dissatisfaction with leisure, perceived fatigue, shortness of breath, and pain were risk factors for decreased wellbeing. There were indications that intervention with paraffin bath and hand exercise improved finger mobility and grip force, and ADL difficulties decreased significantly when using assistive devices or alternative working methods compared with performing the activities in a normal manner. In occupational therapy treatment it is important to elucidate a person’s skills and capacities, especially within leisure occupations. Interventions should focus on supporting good hand function and helping the individuals maintain their ability to perform valued occupations and to establish coping mechanisms in the early phase of the disease.
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| 4. |
- Sandqvist, Gunnel, et al.
(författare)
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Hand Mobility in Scleroderma (HAMIS) test: the reliability of a novel hand function test.
- 2000
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Ingår i: Arthritis Care and Research. - 2151-4658. ; 13:6, s. 74-369
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Tidskriftsartikel (refereegranskat)abstract
- Objective Hand Mobility in Scleroderma (HAMIS) is a new hand function test developed for adults who have systemic sclerosis. HAMIS consists of 9 items designed to measure all movements assessed in an ordinary range of motion (ROM)-measured hand test. The aim of this study was to examine the reliability of the test. Methods Two observers (one occupational therapist and one physiotherapist) performed the assessments independently of each other on 30 adult subjects. There were 25 women and 5 men in the sample (mean age 53 years, average time since diagnosis 4 years). Subjects were tested twice by each rater. Results Internal consistency ranged from 0.80 to 0.85 (Cronbach's alpha). Agreement between the two observers was good for all items (estimated kappa 0.52 to 1.00). The agreement between the observers' first and second assessments was moderate to very good for most items (estimated kappa 0.48 to 1.00), but not for the assessment of supination (estimated kappa 0.25 to 0.59). Conclusion HAMIS is a reliable instrument for evaluation of hand function on scleroderma patients.
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