Background Rheumatoid arthritis (RA) is a chronic, inflammatory, and systemic disease often results in impairments in upper extremities and therefore, limitations in activities of daily living, Cinically, it is observed that patients' complaints about their disabilities do not always match with their actual physical performance.
Objectives The aim of this pilot study is to investigate the relationship between patient self-reported functional levels of hands and objective functional performance in RA patients.
Methods Twenty-six patients (51±13 years) with RA diagnosis participated in the study. Hand-grip and pinch (lateral, bipod, tripod) strengths were measured and Nine-Hole Peg Test and Jebsen Hand Function Test (JHFT) were performed for objective functional performance. Michigan Hand Outcome Questionnaire (MHOQ)and Duruöz Hand Index were completed by patients.
Results Grip and all three pinch strength results were significantly correlated with Duruöz Hand Index scores (p<0,05). JHFT results except the sentence writing were also correlated with the Duruöz scores (p<0,05). MHOQ scores were related to the grip strength, JHFT and Nine-Hole Peg Test results (p<0,05).
Conclusions Our results showed that self-reported outcome scales may be used for determining functional level of hand in patients with RA in rheumatology practice.Objective quantitative functional tests are the best methods in evaluating functional level of hand, however it requires valid and reliable equipments with accurate calibration. Therefore, in case of inavailablity of objective assessment tools, patient-reported scales may be used instead.
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Disclosure of Interest None declared
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