A bionic hand versus a replanted hand

Objective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand. Design: Case report. Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation. Methods: A quantitative and qualitative eval...

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Main Authors: Ulrika Wijk, Anders Björkman, Ingela K. Carlsson, Freyja Kristiansdottir, Ante Mrkonjic, Birgitta Rosén, Christian Antfolk
Format: Article
Language:English
Published: Medical Journals Sweden 2024-01-01
Series:Journal of Rehabilitation Medicine - Clinical Communications
Subjects:
Online Access:https://medicaljournalssweden.se/jrm-cc/article/view/24854
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author Ulrika Wijk
Anders Björkman
Ingela K. Carlsson
Freyja Kristiansdottir
Ante Mrkonjic
Birgitta Rosén
Christian Antfolk
author_facet Ulrika Wijk
Anders Björkman
Ingela K. Carlsson
Freyja Kristiansdottir
Ante Mrkonjic
Birgitta Rosén
Christian Antfolk
author_sort Ulrika Wijk
collection DOAJ
description Objective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand. Design: Case report. Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation. Methods: A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented. Results: Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI], Brief Pain Inventory [BPI], Visual Analogue Scale [VAS]), cold  intolerance (CISS) and health related quality of life (SF-36), as well as in the standardised grip function test, Southampton Hand Assessment Procedure (SHAP). No referred sensations were seen but the discriminative touch on the forearm was improved. In the qualitative interview, a relief of pain, a lack of cold intolerance, improved appearance, better grip function and overall emotional wellbeing were expressed. Conclusions: The planned amputation and subsequent fitting and usage of a hand prosthesis were satisfying for the individual with positive effects on activity and participation. Clinical relevance: When the hand function after a hand replantation does not reach satisfactory levels, a planned amputation and a prosthetic hand can be the right solution.
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spelling doaj.art-265d5fde333142f982e318cc25788ac82024-01-18T13:41:26ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112024-01-01710.2340/jrmcc.v7.24854A bionic hand versus a replanted handUlrika Wijk0Anders Björkman1Ingela K. Carlsson2Freyja Kristiansdottir3Ante Mrkonjic4Birgitta Rosén5Christian Antfolk6Department of Translational Medicine – Hand Surgery, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Translational Medicine – Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden Department of Translational Medicine – Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden Department of Translational Medicine – Hand Surgery, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Translational Medicine – Hand Surgery, Lund University, Skåne University Hospital, Malmö, SwedenDeptartment of Biomedical Engineering, Faculty of Engineering, Lund University, Lund, SwedenObjective: Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand. Design: Case report. Subjects: One individual that wished for a better quality of life after unsatisfying hand function following a replantation. Methods: A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented. Results: Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI], Brief Pain Inventory [BPI], Visual Analogue Scale [VAS]), cold  intolerance (CISS) and health related quality of life (SF-36), as well as in the standardised grip function test, Southampton Hand Assessment Procedure (SHAP). No referred sensations were seen but the discriminative touch on the forearm was improved. In the qualitative interview, a relief of pain, a lack of cold intolerance, improved appearance, better grip function and overall emotional wellbeing were expressed. Conclusions: The planned amputation and subsequent fitting and usage of a hand prosthesis were satisfying for the individual with positive effects on activity and participation. Clinical relevance: When the hand function after a hand replantation does not reach satisfactory levels, a planned amputation and a prosthetic hand can be the right solution. https://medicaljournalssweden.se/jrm-cc/article/view/24854arm amputationbionic limbhand prosthesishand rehabilitationhand replantation
spellingShingle Ulrika Wijk
Anders Björkman
Ingela K. Carlsson
Freyja Kristiansdottir
Ante Mrkonjic
Birgitta Rosén
Christian Antfolk
A bionic hand versus a replanted hand
Journal of Rehabilitation Medicine - Clinical Communications
arm amputation
bionic limb
hand prosthesis
hand rehabilitation
hand replantation
title A bionic hand versus a replanted hand
title_full A bionic hand versus a replanted hand
title_fullStr A bionic hand versus a replanted hand
title_full_unstemmed A bionic hand versus a replanted hand
title_short A bionic hand versus a replanted hand
title_sort bionic hand versus a replanted hand
topic arm amputation
bionic limb
hand prosthesis
hand rehabilitation
hand replantation
url https://medicaljournalssweden.se/jrm-cc/article/view/24854
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