The use of appreciative inquiry with mental health service consumers - towards responsive occupational therapy programmes

Michelle Elizabeth Uys, Lizahn Gracia Cloete


Background/Aim: Studies on likely sociodemographic and pre-surgical determinants of hand function and satisfaction following
pyrocarbon proximal interphalangeal joint arthroplasty (PPIJA) are scarce. The primary aim of this study was to explore the association
between pre-surgical sociodemographic and clinical characteristics and post-surgical hand function and satisfaction of patients who
underwent PPIJA. A secondary aim was to evaluate the effects of the procedure on pain and active range of movement (AROM) using
retrospective data and on-site follow-up assessment.
A panel survey of 48 patients (male = 13; female = 35) with median age of 64 years, who had PPIJA between 2001 and
2012, with a total of 61 arthroplasties, was conducted. During follow-up, participants’ pain and satisfaction, AROM, and hand disability
were assessed using the Pain and Satisfaction Questionnaire (PSQ), goniometer, and the Disability of the Shoulder, Hand and Elbow
(DASH) Questionnaire respectively.
The main reason for surgery amongst participants was joint stiffness (68%) while 33.3% of the participants had a repeat
surgery. Participants’ median satisfaction and DASH scores at final assessment were 3 and 22.55 respectively. Patients who underwent
arthroplasty once had significantly higher median PSQ scores (p = 0.011) than those who had their surgery repeated. Pain significantly
reduced (p < 0.001) while AROM significantly increased (p = 0.001) from pre-operative assessment to final follow-up assessment.
Conclusions: Pyrocarbon arthroplasty improved treatment outcomes regarding pain and joint motion; post-operative satisfaction may
be associated with patients having a repeat surgery

Keywords: Pyrolytic carbon, proximal interphalangeal joint replacement, arthritis, treatment outcome

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ISSN 0038-2337 (print), ISSN 2310-3833 (online)

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