25 KB174 KB19 KB200820252012Pihlar, ZdenkaProsič, ZdenkaRupnik Mihelčič, SaraVidmar, Gajletnik:11številka:2str. 19-23ISSN:1580-9315COBISSID:1673321URN:URN:NBN:SI:doc-KSHNCS0LslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Activities of daily livingdelovna terapijadnevne aktivnostiHandHand strengthmoč prijemamoč rokeOccupational therapyrokaUpper extremityzgornja ekstremitetazgornji udOcenjevanje vpliva okvare zgornjega uda na izvedbo želenih aktivnosti| Assessing the impact of upper limb impairment on performing desired activities|Background: People with upper limb impairment face problems in performing many activities that they consider important. We wanted to assess to what extent and in which areas does the impairment cause them problems. Methods: Using the Southampton Hand Assessment Procedure (SHAP), we assessed twenty-one patients with upper limb impairment admitted to inpatient rehabilitation. Using a hand dynamometer we measured their grip strength. The activities where they experience problems were identified during an interview. Results: We found that upper limb impairment reduces gripping ability. Reduced grip strength reduces the ability to perform several activities that a person wants to or has to perform. Conclusions: Using the SHAP and grip strength measurement we confirmed that upper limb impairment affects gripping ability and thus the ability to perform several activities in the fields of self-care and work and productivity. This has to be taken into account when planning occupational therapy and comprehensive rehabilitationIzhodišča: Ljudje imajo po okvari zgornjega uda težave pri številnih aktivnostih, ki so zanje pomembne. Želeli smo oceniti, v kolikšni meri in na katerih področjih jim okvara pri tem povzroča težave. Metode: S Southamptonskim testom za ocenjevanje roke (Southampton Hand Assessment Procedure SHAP) smo ocenili enaindvajset bolnikov z okvaro zgornjega uda, ki smo jih sprejeli na bolnišnično rehabilitacijsko obravnavo. Z ročnim dinamometrom smo jim izmerili grobo moč prijema, bolniki pa so v intervjuju navedli aktivnosti, pri katerih imajo težave. Rezultati: Okvara zgornjega uda vpliva na zmanjšano zmožnost prijemanja. Oslabljena groba moč zmanjša sposobnost posameznika za izvedbo številnih aktivnosti, ki so zanj pomembne in jih želi oziroma jih mora opravljati. Zaključki: S Southamptonskim testom za ocenjevanje roke in merjenjem grobe moči bolnikov smo potrdili, da okvara zgornjega uda vpliva na bolnikovo sposobnost prijemanja in na izvedbo številnih aktivnosti na področju skrbi za sebe, dela in produktivnosti. To je potrebno upoštevati pri načrtovanju delovno-terapevtske obravnave in celostne rehabilitacijeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča