Comparison of upper extremity fracture impairment and disability in operative and none-operative intervention groups

Document Type : Original article

Authors

1 Student Research Office, MSc Student in Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Associate Professor of Biostatistics, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aims: Upper extremity fractures are one of the most common fractures of musculoskeletal system. Medical interventions used for this fractures are "operative" and "none-operative". The main purpose of the present study was investigating fracture impairment and disability in two groups of operative and none-operative interventions.
Materials and Method: In the present descriptive study, 70 adults with upper extremity fracture were selected based on convenience sampling. Participants were then divided into two groups of "operative" (34 participants) and "none-operative" groups (36 participants). Impairment rate and disability score, evaluated using AMA guides (6th ed.) and DASH, respectively, were compared in the two groups. Data analysis was performed using SPSS (v. 19) through running independent t-test (p< 0/05).
Results: There was a significant difference in impairment rate between the two groups of operative and none operative interventions, but no significant difference was observed in the disability score between the two groups.
Conclusion: The results of the present study showed that impairment of none-operative fractures was less than that of the operative group. Since AMA is designed based on ICF, according to findings, it was observed to be a better and more comprehensive tool compared with DASH. Also, the results of the present study can be used for fracture management by rehabilitation clinicians.

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Main Subjects


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Volume 5, Issue 2
July and August 2016
Pages 115-121
  • Receive Date: 28 August 2015
  • Revise Date: 16 September 2015
  • Accept Date: 07 October 2015
  • First Publish Date: 21 June 2016