Experiences of use of the cerebral palsy hemiplegic hand in young persons treated with upper extremity surgery.
The aim of this qualitative study was to explore the experiences of young persons using their hemiplegic hand in daily life activities following upper extremity surgery (UES). Ten persons, aged 12-24 years, were interviewed individually five to seven years after surgery. The analysis was guided by a comparative method. The findings show that the participants during this period had experienced changes which they related both to the treatment and to development. Data resolved into three main themes. Functional improvements are interwoven into daily life, the hand is easier to use and is used more, and changes in the appearance and in the internal feeling of the arm are of importance. This study reflects the patients' experiences of living with the outcome of UES and yields an important complement to objective, quantitative outcome studies.
Neuropediatric Research Unit, Karolinska Institutet, Stockholm, Sweden. annika.skold@ki.se
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A
Sköld
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S
Josephsson
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H
Fitinghoff
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AC
Eliasson
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000503:physiopathology*; D002648:Child; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000503:physiopathology* / Q000601:surgery; D018737:Hand Strength / Q000502:physiology; D006429:Hemiplegia / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D034941:Upper Extremity / Q000503:physiopathology / Q000601:surgery*