Article

OBJECTIVE: To investigate the correlation between perceived performance in
prioritized activities and physical conditions related to grip reconstruction.
DESIGN: Retrospective clinical outcome study. PATIENTS: Forty-seven individuals
with tetraplegia were included in the study. Each participant underwent tendon
transfer surgery in the hand between November 2002 and April 2009 and had a
complete 1-year follow-up. METHODS: Functional characteristics and performance
data were collected from our database and medical records. Patients' perceived
performances in prioritized activities were recorded using the Canadian
Occupational Performance Measurement. Preoperative data included age at surgery,
time since injury, severity of injury, sensibility and hand dominance. At 1-year
follow-up, grip strength, key pinch strength, finger pulp-to-palm distance,
distance between thumb and index finger and wrist flexion were measured.
Correlation rank coefficient was used to test the possible relationship between
physical data and activity performance. RESULTS: There were improvements in both
functional factors and in rated performance of prioritized activities after
surgery. There was no correlation between performance change and any of the
physical functions, the factors known before surgery, or the functional outcome
factors. CONCLUSION: No correlation exists between a single functional outcome
parameter and the patients' perceived performance of their prioritized goals in
reconstructive hand surgery in tetraplegia.

Langue : ANGLAIS