Cognitive Ability, Functional Abilities, Geriatric Population, Hand Injuries
Conditions
Keywords
geriatric population, hand Injuries, functional outcome, cognitive function
Brief summary
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.
Interventions
OTHERQuestionnaire and Physical Exam
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.
Sponsors
Pamukkale University
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
66 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being over 65 years of age * Having sufficient communication skills and auditory-visual abilities to complete cognitive tests
Exclusion criteria
* Inability to perform functional tests due to active wounds, open fractures, or severe pain * Inability to administer cognitive tests due to aphasia or severe hearing or visual impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Hand Injury Severity Score | At baseline | 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. |
| Standardized Mini-Mental Test | At 12th week after injury or surgery | 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. |
| Upper Extremity Functional Index | At 12th week after the injury or surgery | 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. |
| Grip-pinch strength | At 12th week after injury or surgery | 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. |
| Perceived pain intensity | At 12th week after injury or surgery | 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. |
Countries
Turkey (Türkiye)
Contacts
CONTACTUmut Eraslan, PhD
Outcome results
None listed