title: Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease.
abstract: METHODS
  Prospective cohort study.
  
  
  BACKGROUND
  The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent.
  
  
  OBJECTIVE
  To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease.
  
  
  METHODS
  Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol).
  
  
  RESULTS
  The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect.
  
  
  CONCLUSIONS
  Safety and social issues of hand function and quality of life had an evident association with functional recovery.
  
  
  METHODS
  IV.
authors.affiliation: Department of Hand Surgery, Plastic Surgery and Burns, County Council of Östergötland, Rehabilitation Unit, Floor 09, 581 85 Linköping, Sweden; Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden. Electronic address: christina.engstrand@regionostergotland.se.
authors.forename: Christina
authors.initials: C
authors.lastname: Engstrand
authors.affiliation: Division of Health Care Analysis, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden.
authors.forename: Barbro
authors.initials: B
authors.lastname: Krevers
authors.affiliation: Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden.
authors.forename: Joanna
authors.initials: J
authors.lastname: Kvist
mesh_terms: D000368:Aged; D004387:Dupuytren Contracture / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D050823:Hand Joints / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Dupuytren's contracture; Emotional function; Quality of life; Range of motion; Recovery of function