Psoriasis rarely stops at the skin. What appears as a visible, scaly plaque often carries a quieter burden one that shows up in the small, ordinary moments of daily life. Tasks that once felt automatic, like writing a note, fastening buttons, or holding a cup, can slowly become effortful and frustrating.
For some individuals, the condition deepens with the onset of psoriatic arthritis, bringing joint pain, stiffness, and reduced hand mobility. In these cases, the challenge is no longer just about appearance but about function about what the hands can no longer do as easily as before.
This study explores that shift. It focuses on how psoriasis affects hand function and everyday participation from an occupational therapy perspective. Hand performance will be assessed using the Jebsen Taylor Hand Function Test, which reflects practical, task-based ability. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire will help capture the patient’s own experience of difficulty, while the Dermatology Life Quality Index will explore the emotional and social weight that often accompanies visible disease.
It is expected that these layers physical and psychological intertwine, shaping how individuals engage with their daily lives. By looking beyond the surface, this study highlights the need to include occupational therapy in psoriasis care, not just to treat limitations but to help restore confidence, independence, and participation in the rhythms of everyday living.