Ocenjevanje funkcije roke pri Bolnikih po možganski kapi s Southamptonskim testom (shap)/Hand function evaluation with the Southampton hand assessment procedure (shap) in stroke patients

Abstract

Background: Improvement of upper limb function in stroke patients is largely determined by changes in hand function. Optimal hand function requires precise control and coordination of movement and forces produced by fingers. The specific grip patterns can be evaluated by the Southampton Hand Assessment Procedure (SHAP). The aim of our study was to evaluate the use of SHAP for impairment assessment and monitoring change or improvement in stroke patients. Methods: A retrospective study was performed that involved sixty stroke patients admitted to inpatient rehabilitation and assessed by SHAP ad admission and discharge. Results: The indices of function of the impaired hand after brain lesion either in the left or in the right hemisphere were statistically significantly lower than those of the unimpaired hand (p<0.01), and were significantly higher on the impaired and the unimpaired side at discharge (p<0.01). The tripod, cylindrical and tip scores were the lowest. The indices of function of both hands of 38 patients at admission and 20 patients at discharge were below the threshold for no impairment. Twenty-five patients had mild somatosensory deficits, whereby the correlation of somatosensory deficits with impaired hand function was statistically significant (r=0.25, p=0.05). Conclusions: The SHAP is an appropriate test for assessing hand function impairments and monitoring changes or improvements over time in mildly disabled stroke patients. The advantage of the SHAP is the separate assessment of both hands; a disadvantage of the test is the one-time performance of the tasks, which does not expose possible fatigue after repeated performance