title: Effective hand function assessment after burn injuries.
abstract: This study compared two methods of hand function assessment, the Michigan Hand Outcomes Questionnaire (MHQ) and the Test d'Evaluation des Membres Supérieurs des Personnes Agées (TEMPA) in 20 patients discharged from a regional adult burn center (1995-1999). Spearman's rank correlation coefficient analysis was used to compare the MHQ and TEMPA scores, with P <.05 considered significant. The MHQ revealed that 68% of patients reported hand function deterioration, mainly with the nondominant hand (65%). Activities of daily living (76%) and work (59%) were the most affected. According to the MHQ, patient satisfaction correlated with work performance (r =.66, P =.002), aesthetics (r =.64, P =.003), pain (r =.59, P =.008), and activities of daily living (r =.54, P =.017). The MHQ indicated more hand function deterioration than the TEMPA. There was a significant correlation between the MHQ and TEMPA total scores (r =.68, P =.001). This study supports using the MHQ to determine which patients would benefit from the more resource-consuming TEMPA.
authors.affiliation: Ross Tilley Burn Centre and Sunnybrook & Women's College Health Sciences Centre, Toronto, Ontario, Canada.
authors.forename: Nisha
authors.initials: N
authors.lastname: Umraw
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Chan
authors.forename: Manuel
authors.initials: M
authors.lastname: Gomez
authors.forename: Robert C
authors.initials: RC
authors.lastname: Cartotto
authors.forename: Joel S
authors.initials: JS
authors.lastname: Fish
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D002056:Burns / Q000503:physiopathology* / Q000601:surgery; D004185:Disability Evaluation; D005260:Female; D006225:Hand / Q000503:physiopathology; D006230:Hand Injuries / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D010865:Pilot Projects; D020127:Recovery of Function; D016038:Skin Transplantation; D011795:Surveys and Questionnaires; D013997:Time Factors; D014937:Work