Influence of upper limb disability, manual dexterity and fine motor skill on general self-efficacy in institutionalized elderly with osteoarthritis

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• 作者：Jose Manuel Pé ; rez-Má ; rmol ; OT^a ; Marí ; a Azucena Ortega-Valdivieso ; OT ; PhD^a ; Enrique Elí ; as Cano-Deltell ; OT^a ; Marí ; a Isabel Peralta-Ramí ; rez ; PhD^b ; M&ordf ; Carmen Garcí ; a-Rí ; os ; PT ; PhD^c ; Marí ; a Encarnació ; n Aguilar-Ferrá ; ndiz ; PT ; PhD^d ; ^{encaguilar@hotmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Frail elderly ; Osteoarthritis ; Self-efficacy ; Hand ; Upper limb
• 刊名：Journal of Hand Therapy
• 出版年：2016
• 出版时间：January-March 2016
• 年：2016
• 卷：29
• 期：1
• 页码：58-65
• 全文大小：379 K

文摘

Descriptive, cross-sectional.

Introduction

The impact of upper limb (UL) disability, dexterity and fine motor skill on self-efficacy in older adults with osteoarthritis (OA) is not well known yet.

Purposes of the study

To evaluate the self-efficacy and its relationship with UL function/disability in institutionalized OA.

Methods

Institutionalized adults (m>nm> = 45) over the age of 65 years with OA were evaluated in a single session, to determine pinch strength, active range of motion of the hand and UL disability and functionality. They were classified as self-efficacious or not based on their general self-efficacy level. The influence on self-efficacy on upper limb function was statistically analyzed using bivariate and multivariate regression analyses.

Results

Self-effective older adults showed significantly lower scores in disability and higher scores in pinch strength, dexterity and motion of thumb than those who were classified as non-self-effective. Self-efficacy was associated with pinch strength (m>pm> ≤ 0.038), disability (m>pm> < 0.001) and dexterity (m>pm> ≤ 0.048). Multiple regression analyses showed that disability explained almost 40% of the variability of self-efficacy.

Conclusions

Older adults classified as non-self-effective have higher UL disability and less pinch strength, manual dexterity and thumb motion than those who are self-effective, suggesting a relationship between impairment and perceived ability.

Level of evidence

3a.