About this trial
The aim of this study is to examine the association between health literacy, patient-reported outcome measures, and grip strength in a cohort of patients with hand injuries.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-65 years
Voluntarily agreed to participate
Presented with hand and/or forearm injuries
Disqualifiers
Concomitant shoulder or elbow injuries
History of surgery due to neurological, rheumatological, or metabolic conditions affecting the entire upper extremity
Employment in a health-related profession
Trial population
Patients who were referred to the hand rehabilitation unit for hand or forearm injuries, aged 18-65 years who voluntarily agreed to participate will be included to the study
Trial design
Cohort
Prospective
Treatments tested in this trial
Patients who were referred to the hand rehabilitation unit for hand or forearm injuries will be followed for 12 weeks
Other interventionConventional hand therapy will be applied (edema and scar management, exercises) for 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
European Health Literacy Scale
The scale is based on a conceptual framework comprising three health-related domains (treatment, disease prevention, and health promotion) as well as four information-processing stages (accessing, understanding, appraising/decision-making, and applying health information). The instrument contains 47 items rated on a four-point Likert scale.The total score is standardized to range from 0 to 50. Health literacy levels are categorized as follows: (0-25): insufficient, (\>25-33): problematic-limited, (\>33-42): sufficient, (\>42-50): excellent
Michigan Hand Outcomes Questionnaire
The MHOQ assesses hand and wrist status across six domains: function, activities of daily living, work performance, pain, aesthetics, and patient satisfaction. It consists of 63 items addressing both hands. Each item is scored on a 1-5 scale, and each domain score is converted to a 0-100 scale. Except for the pain domain, higher scores indicate better outcomes
Grip strength
Grip strength was assessed according to the procedure recommended by the American Society of Hand Therapists. A Jamar dynamometer was used to evaluate gross grip strength. Measurements were performed with the patient seated without elbow support, the arm in adduction and neutral rotation, the elbow flexed at 90°, the forearm in a neutral position, and the wrist positioned in approximately 30° extension. Beginning with the dominant hand, measurements were taken on both sides. The mean value of three trials was recorded
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