AB1405-HPR REDUCED HAND FUNCTION AFFECTS ACTIVITY PERFORMANCE AND QUALITY OF LIFE IN PERSONS WITH SIBM

Abstract

Background Reduced hand function is common in persons with (IBM) (1). Information regarding how hand function deficits affect activities of daily living and quality of life is limited (2,3). There is a need to improve treatment and increase knowledge on how to assess different aspects of sIBM. Objectives To investigate how hand function can influence activities of daily living and quality of life in persons with sIBM. Methods Data collection have been performed in both USA and in Sweden. In total 62 persons with IBM participated in this study (USA n= 36, Sweden n= 26), median age were (IQR) n=70 (66-75) years with a median disease duration (IQR) 6 (2-8) year. The majority were men n=39 (63%). Hand strength was measured with the Jamar dynamometer and dexterity by the Purdue Pegboard. Activity limitation measured by the Disability of the Arm, Shoulder and Hand (DASH) and Myositis Activities Profile (MAP). Quality of life by SF-36. Results Hand strength and dexterity in IBM was reduced in both women and men (p Persons with IBM had limitations in daily activities when compared to reference values (p Persons with IBM had reduced quality of life in SF-36 domains; Physical Function, Role Physical, General Health, Vitality, Social Function and Mental Health. Hand strength correlated moderately with activity limitation measures by DASH (p Dexterity correlated moderately to DASH (p Conclusion Persons with IBM have reduced hand function and limitations in daily activities and quality of life. Suggesting the importance to include measures on both hand function, activity limitation and quality of life. The expertise on activity and occupational science of an occupational therapist may contribute to the assessment and treatment of persons with IBM.