Analysis of Hand Function, Upper Limb Disability, and Its Relationship with Peripheral Vascular Alterations in Raynaud’s Phenomenon

Rosa Mª Tapia-Haro; Ma Carmen García-Ríos; Adelaida Mª Castro-Sánchez; Sonia Toledano-Moreno; Antonio Casas-Barragán; Mª Encarnación Aguilar-Ferrándiz

doi:10.3390/diagnostics14010093

journal article Open Access Dec 30, 2023

Analysis of Hand Function, Upper Limb Disability, and Its Relationship with Peripheral Vascular Alterations in Raynaud’s Phenomenon

Rosa Mª Tapia-Haro Ma Carmen García-Ríos

Adelaida Mª Castro-Sánchez

Sonia Toledano-Moreno Antonio Casas-Barragán

Mª Encarnación Aguilar-Ferrándiz

Diagnostics Vol. 14 No. 1 pp. 93 · MDPI AG

View at Publisher Save 10.3390/diagnostics14010093

Abstract

This study aimed to compare vascular involvement, hand functionality, and upper limb disability between Raynaud’s phenomenon participants and controls. Also, we analyzed the relationships between vascular impairment, mobility, and strength with disability in this Raynaud population. We conducted a case–control study with fifty-seven participants. We registered sociodemographic and clinical data; vascular variables (temperature, cold test, blood flow, and oxygen saturation); functional variables (pinch strength, range of motion), and disability (Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire) (Q-DASH). Raynaud participants present more disability in all Q-DASH subscales, lower hands’ temperature pre and post cold test, decreased blood flow on radial artery, decreased ranges of motions at passive extension of index finger, and active flexion and extension of thumb than the healthy controls. The multivariate regression analysis showed that extension of the index finger, lateral pinch strength, and oxygen saturation were significantly associated with disability in RP, almost the 55% of the total variance on the upper limb, 27% at sports/arts, and 42% at work. Our findings suggest that RP has a disabling effect on the upper extremities and a practice of activities in people who suffer it. Also, disability in Raynaud seems to be more related with hand mobility and strength impairment than vascular injury.

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Details

Published: Dec 30, 2023
Vol/Issue: 14(1)
Pages: 93
License: View

Authors

R

Rosa Mª Tapia-Haro

Department of Physical Therapy, Faculty of Health Sciences, University of Granada (UGR), 18071 Granada, Spain; ibs.GRANADA Instituto de Investigación Biosanitaria, 18012 Granada, Spain

M

Ma Carmen García-Ríos

Department of Physical Therapy, Faculty of Health Sciences, University of Granada (UGR), 18071 Granada, Spain; ibs.GRANADA Instituto de Investigación Biosanitaria, 18012 Granada, Spain

A

Adelaida Mª Castro-Sánchez

Department of Nursing, Physical Therapy and Medicine, University of Almeria, 04120 Almeria, Spain

S

Sonia Toledano-Moreno

ibs.GRANADA Instituto de Investigación Biosanitaria, 18012 Granada, Spain; Biomedicine Program, Department of Physical Therapy, Faculty of Health Science, University of Granada (UGR), 18071 Granada, Spain

A

Antonio Casas-Barragán

Department of Physical Therapy, Faculty of Health Sciences, University of Granada (UGR), 18071 Granada, Spain; ibs.GRANADA Instituto de Investigación Biosanitaria, 18012 Granada, Spain

M

Mª Encarnación Aguilar-Ferrándiz

Department of Physical Therapy, Faculty of Health Sciences, University of Granada (UGR), 18071 Granada, Spain; ibs.GRANADA Instituto de Investigación Biosanitaria, 18012 Granada, Spain

Cite This Article

Rosa Mª Tapia-Haro, Ma Carmen García-Ríos, Adelaida Mª Castro-Sánchez, et al. (2023). Analysis of Hand Function, Upper Limb Disability, and Its Relationship with Peripheral Vascular Alterations in Raynaud’s Phenomenon. Diagnostics, 14(1), 93. https://doi.org/10.3390/diagnostics14010093

Analysis of Hand Function, Upper Limb Disability, and Its Relationship with Peripheral Vascular Alterations in Raynaud’s Phenomenon

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