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Considering the complex structure of hand-forearm injuries and the long rehabilitation process, it is important to investigate factors associated with recovery in geriatric individuals. Therefore, this study aimed to examine the relationship between cognitive status and functional outcomes in geriatric individuals with hand-forearm injuries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Geriatric patients with hand-forearm injuries |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire and Physical Exam | Other | Injury severity will be assessed using the Modified Hand Injury Severity Score. At week 12 after the injury or surgery, cognitive status by Mini-Mental Test, upper extremity function by Upper Extremity Functional Index, pain intensity by Visual Analog Scale, and grip-pinch strength will be evaluated. |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Hand Injury Severity Score | A scoring system that evaluates the severity of hand and forearm injuries based on integumentary, skeletal, motor, and neurovascular components. The total score is obtained by summing the scores of all components and is divided into four categories: minor (<20), moderate (21-50), severe (51-100), and major (>101) injury. | At baseline |
| Standardized Mini-Mental Test | This test will be used to assess the cognitive levels of the participants. The test consists of five subdomains: orientation, registration, attention and calculation, recall, and language, and is scored out of a total of 30 points. The results are evaluated as follows; 27-30 points: within normal limits, 24-27 points: mild cognitive impairment, and below 24 points: severe cognitive impairment. | At 12th week after injury or surgery |
| Upper Extremity Functional Index | A 20-item scale used to assess upper extremity function and is scored using a 0-5 Likert-type rating, with a total score ranging from 0 to 80. Lower scores indicate that the individual has difficulty performing activities as a result of an upper extremity problem. | At 12th week after the injury or surgery |
| Grip-pinch strength | Grip strength will be measured using a Jamar hand dynamometer according to the procedure recommended by the American Society of Hand Therapists. Pinch strength will be measured using a Jamar pinch gauge in four positions: tip pinch, pulp pinch, lateral pinch, and tripod pinch. Results will be recorded in kilograms. | At 12th week after injury or surgery |
| Perceived pain intensity | Perceived pain intensity will be assessed using the Visual Analog Scale. The evaluation will be performed on a 10-cm line ranging from "no pain" to "worst possible pain. |
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Inclusion Criteria:
Exclusion Criteria:
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Volunteer geriatric individuals who were treated conservatively or surgically for hand and forearm injuries at the hand surgery clinic of a university hospital, and who were referred to the hand rehabilitation unit will be included.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Umut Eraslan, PhD | Contact | +905444126520 | ueraslan@pau.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pamukkale University | Denizli | 20170 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32131454 | Result | Carrillo CB, Barr C, George S. Cognitive Status and Outcomes of Older People in Orthopedic Rehabilitation? A Retrospective-Cohort Study. Geriatrics (Basel). 2020 Mar 2;5(1):14. doi: 10.3390/geriatrics5010014. | |
| 31122232 | Result | Kringstad O, Dahlin LB, Rosberg HE. Hand injuries in an older population - a retrospective cohort study from a single hand surgery centre. BMC Musculoskelet Disord. 2019 May 24;20(1):245. doi: 10.1186/s12891-019-2617-x. |
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| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| D012149 | Restraint, Physical |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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|
| At 12th week after injury or surgery |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D032763 | Behavior Control |
| D013812 | Therapeutics |
| D007103 | Immobilization |