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العنوان
Evaluation of hand function in rheumatoid arthritis patients using abilhand questionnaire and correlation with some clinical data /
الناشر
Mahmoud Mohammed Elnaggar ,
المؤلف
Mahmoud Mohammed Elnaggar
هيئة الاعداد
باحث / Mahmoud Mohammed Elnaggar
مشرف / Basel Kamal Elzorkany
مشرف / Hanan Ahmed Kotb
مناقش / Hanan Ahmed Kotb
تاريخ النشر
2016
عدد الصفحات
142 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الروماتيزم
تاريخ الإجازة
22/3/2017
مكان الإجازة
جامعة القاهرة - كلية الطب - Rheumatology and Rehabilitation
الفهرس
Only 14 pages are availabe for public view

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Abstract

Rheumatoid arthritis (RA) patients with active disease usually develop progressive deleterious clinical and radiological damage that may influence hand function. This thesis aimed to test the relations between hand function and clinical and radiological characteristics of RA. In this study 60 RA patients were subjected to full history taking, clinical examination, radiological evaluation, disease activity assessment by DAS28, objective hands function assessment by testing for power, pinch, and pulp to pulp grips, gross manual dexterity testing by box and block test (BBT), and manual ability assessment by the ABILHAND questionnaire. Radiological damage was linearly correlated to the DAS28 score and disease. The hand function as evaluated by the ABILHAND questionnaire was inversely correlated to the DAS 28, disease duration, and radiological damage. Measures of hands{u2019} strength for power, key pinch, and pulp-to-pulp grips tests of both hands were all found to be significantly correlated. BBT for each hand correlated to power and key pinch grips strength but not to the pulp-to-pulp grip. ABILHAND questionnaire scores could be predicted DAS28 scores and morning stiffness duration while BBT could be predicted by power and pulp-to-pulp grips strengths. Age, disease duration, radiographic findings could not predict ABILHAND and BBT scores