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Relationships between Hand Diseases and Seven Lifestyle Dimensions

Thepparat Kanchanathepsak MD1, Tulyapruek Tawonsawatruk MD, PhD1, Sorasak Suppaphol MD1, Ittirat Watcharananan MD1, Panithan Tuntiyatorn MD1,2

Affiliation : 1 Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2 Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Objective : To analyze the relationships between seven lifestyle dimensions (eating, living, sleeping & rest, sexual activity, communication, working, and learning) and three common hand diseases (carpal tunnel syndrome [CTS], trigger finger, and de Quervain’s disease). These relationships were analyzed from two perspectives: whether each lifestyle dimension affects any of the diseases and whether each disease affects any off the lifestyle dimensions.
Materials and Methods : A cross-sectional study was conducted with 80 patients who had been diagnosed with CTS, trigger finger, or de Quervain’s disease during 2015 and 2016. The 7 lifestyle dimensions [7LSD] questionnaire and the Thai version of the Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire were used to evaluate the patients. The association between each of the diseases and the 7 lifestyle dimensions as well as the correlation between the 7LSD questionnaire and DASH score were analyzed.
Results : The living dimension affected CTS and de Quervain’s disease and the working dimension affected trigger finger (p<0.05). On the other hand, all three diseases affected the living dimension and CTS affected the sleeping & rest dimension (p<0.05). The correlation between the 7LSD questionnaire and DASH score regarding the extent to which each disease affected the lifestyle dimension was moderate correlated (p<0.05).
Conclusion : There is a relationship between hand diseases and three of the 7 lifestyle dimensions: the living, working, and sleeping and rest dimensions.

Keywords : Lifestyle, Carpal tunnel syndrome, Trigger finger, de Quervain’s disease, Hand diseases, 7-lifestyle dimensions


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