Beaudreuil et al developed the Unite Rhumatologique des Affections de la Main (URAM) scale to evaluate disability associated with Dupuytren's disease. This can help to identify a patient who may benefit from more aggressive management. The authors are from Hopital Lariboisiere in Paris and Pfizer.
Patient selection: Dupuytren's disease
Outcome: functional disability associated with the Dupuytren's disease
Measures:
(1) wash self with washcloth keeping the hand flat
(2) wash face
(3) hold a bottle in affected hand
(4) shake someone's hand
(5) stroke something, caress someone
(6) clap hands
(7) spread fingers out
(8) lean on hand
(9) pick up a small object with thumb and index finger
Functional Ability
Points
without difficulty
0
with very little difficulty
1
with some difficulty
2
with much difficulty
3
almost impossible
4
impossible
5
total score =
= SUM(points for all 9 measures)
Interpretation:
• minimum score: 0
• maximum score: 45
• The higher the score the greater the functional disability.
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