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Perceived ability to perform daily hand activities after stroke and associated factors: a cross-sectional study
Department of Health Sciences, Lund University.
Division of Occupational and Environmental Medicine, Lund University.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0001-5294-3332
Lund University Hospital, Skåne University Hospital, Lund, Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Department of Rehabilitation Medicine, Skåne University Hospital.
Number of Authors: 4
2016 (English)In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 16, no 1, 208Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Despite that disability of the upper extremity is common after stroke, there is limited knowledge how it influences self-perceived ability to perform daily hand activities. The aim of this study was to describe which daily hand activities that persons with mild to moderate impairments of the upper extremity after stroke perceive difficult to perform and to evaluate how several potential factors are associated with the self-perceived performance.

METHODS:

Seventy-five persons (72 % male) with mild to moderate impairments of the upper extremity after stroke (4 to 116 months) participated. Self-perceived ability to perform daily hand activities was rated with the ABILHAND Questionnaire. The perceived ability to perform daily hand activities and the potentially associated factors (age, gender, social and vocational situation, affected hand, upper extremity pain, spasticity, grip strength, somatosensation of the hand, manual dexterity, perceived participation and life satisfaction) were evaluated by linear regression models.

RESULTS:

The activities that were perceived difficult or impossible for a majority of the participants were bimanual tasks that required fine manual dexterity of the more affected hand. The factor that had the strongest association with perceived ability to perform daily hand activities was dexterity (p < 0.001), which together with perceived participation (p = 0.002) explained 48 % of the variance in the final multivariate model.

CONCLUSION:

Persons with mild to moderate impairments of the upper extremity after stroke perceive that bimanual activities requiring fine manual dexterity are the most difficult to perform. Dexterity and perceived participation are factors specifically important to consider in the rehabilitation of the upper extremity after stroke in order to improve the ability to use the hands in daily life.

Place, publisher, year, edition, pages
2016. Vol. 16, no 1, 208
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:ltu:diva-60200DOI: 10.1186/s12883-016-0733-xISI: 000386726000001PubMedID: 27806698Scopus ID: 2-s2.0-84995802325OAI: oai:DiVA.org:ltu-60200DiVA: diva2:1045118
Note

Validerad; 2016; Nivå 2; 2016-11-08 (andbra)

Available from: 2016-11-08 Created: 2016-11-08 Last updated: 2017-10-19Bibliographically approved

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