A Population-Based Assessment of Depression and Anxiety in Patients With Brachial Plexus Injuries

Yannascoli, Sarah M.; Stwalley, Dustin; Saeed, Mohammed; Olsen, Margaret A.; Dy, Christopher J.

doi:10.1016/j.jhsa.2018.03.056

Cited by 36 publications

(28 citation statements)

References 28 publications

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“…Consideration should be given to factors outside of what is surgically “possible” and to what is better suited to the patient’s individual desires, 14 provided that the surgeons and therapists can offer appropriate counseling regarding realistic outcomes and timeframes. Furthermore, given the impact of emotional distress seen in our analysis and previously reported in BPI patients, 15 multidisciplinary coordinated care with mental health specialists and psychological counseling can optimize quality of life after BPI, similar to SCI. 16 , 17 …”

Section: Discussionsupporting

confidence: 55%

A qualitative study of life satisfaction after surgery for adult traumatic brachial plexus injury

Brogan

Rolf

et al. 2021

Bone & Joint Open

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Aims Brachial plexus injury (BPI) is an often devastating injury that affects patients physically and emotionally. The vast majority of the published literature is based on surgeon-graded assessment of motor outcomes, but the patient experience after BPI is not well understood. Our aim was to better understand overall life satisfaction after BPI, with the goal of identifying areas that can be addressed in future delivery of care. Methods We conducted semi-structured interviews with 15 BPI patients after initial nerve reconstruction. The interview guide was focused on the patient’s experience after BPI, beginning with the injury itself and extending beyond surgical reconstruction. Inductive and deductive thematic analysis was used according to standard qualitative methodology to better understand overall life satisfaction after BPI, contributors to life satisfaction, and opportunities for improvement. Results Among the 15 patients interviewed, the following themes emerged: 1) happiness and life satisfaction were noted despite limitations in physical function; 2) quality of social support influences life satisfaction during recovery from BPI; and 3) social participation and having a sense of purpose impact life satisfaction during recovery from BPI. Conclusion How patients perceive their BPI treatment and recovery varies widely, and is not directly linked to their self-reported functional outcome. Patients with stronger social circles and activities that give them a sense of fulfillment were more likely to be satisfied with their current status. Evaluating a patient’s social network, goals, and potential supportive adaptations early in the treatment timeline through coordinated multidisciplinary care may improve overall satisfaction during recovery from BPI. Cite this article: Bone Joint Open 2020;2(1):9–15.

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Section: Discussionsupporting

confidence: 55%

A qualitative study of life satisfaction after surgery for adult traumatic brachial plexus injury

Brogan

Rolf

et al. 2021

Bone & Joint Open

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“…8 Pain associated with brachial plexopathy poses a burden to the overall quality of life of patients and clinical management by clinicians. [9][10][11][12] Brachial plexopathy is a complex and heterogenous condition that necessitates the use of a substantial amount of resources and a broad array of treatments for each unique patient. Many variables must be considered in the assessment and treatment of brachial plexopathy.…”

Section: Introductionmentioning

confidence: 99%

“… 8 Pain associated with brachial plexopathy poses a burden to the overall quality of life of patients and clinical management by clinicians. 9 10 11 12 …”

Section: Introductionmentioning

confidence: 99%

Pain Relief after Surgical Decompression of the Distal Brachial Plexus

Morgan

Elliot

Banala

et al. 2020

J Brachial Plex Peripher Nerve Inj

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Background Brachial plexopathy causes pain and loss of function in the affected extremity. Entrapment of the brachial plexus terminal branches within the surrounding connective tissue, or medial brachial fascial compartment, may manifest in debilitating symptoms. Open fasciotomy and external neurolysis of the neurovascular bundle in the medial brachial fascial compartment were performed as a surgical treatment for pain and functional decline in the upper extremity. The aim of this study was to evaluate pain outcomes after surgery in patients diagnosed with brachial plexopathy. Methods We identified 21 patients who met inclusion criteria. Documents dated between 2005 and 2019 were reviewed from electronic medical records. Chart review was conducted to collect data on visual analog scale (VAS) for pain, Semmes-Weinstein monofilament test (SWMT), and Medical Research Council (MRC) scale for muscle strength. Pre- and postoperative data was obtained. A paired sample t-test was used to determine statistical significance of pain outcomes. Results Pain severity in the affected arm was significantly reduced after surgery (pre: 6.4 ± 2.5; post: 2.0 ± 2.5; p < 0.01). Additionally, there was an increased response to SWMT after the procedure. More patients achieved an MRC rating score ≥3 and ≥4 in elbow flexion after surgery. This may be indicative of improved sensory and motor function. Conclusion Open fasciotomy and external neurolysis at the medial brachial fascial compartment is an effective treatment for pain when nerve continuity is preserved. These benefits were evident in patients with a prolonged duration elapsed since injury onset.

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“…Along with the loss of sensorimotor function associated with a complex nerve injury, it is becoming increasingly recognized that other secondary complications may influence patient outcomes, including depression and pain. 7,8 The prevalence of depression and anxiety and in patients with brachial plexus injuries is reported to be as high as 38% and 42%, respectively. 7 Pain is also highly prevalent in patients with brachial plexus injuries, reportedly as high as 69%.…”

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confidence: 99%

“…7,8 The prevalence of depression and anxiety and in patients with brachial plexus injuries is reported to be as high as 38% and 42%, respectively. 7 Pain is also highly prevalent in patients with brachial plexus injuries, reportedly as high as 69%. 8 MHCs (e.g., psychiatrist or clinical psychologist) would be well suited to mitigate these secondary complications.…”

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confidence: 99%

Access to Allied Health Care Services in Canadian Interdisciplinary Complex Nerve Injury Programs

Chapman

Doherty

Bristol

et al. 2020

Can. J. Neurol. Sci.

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Nerve transfer surgery (NT) for patients with nerve and spinal cord injuries can result in dramatic functional improvements. As a result, interdisciplinary complex nerve injury programs (CNIPs) have been established in many Canadian centres, providing electrodiagnostic and surgical consultations in a single encounter. We sought to determine which allied health care services are included in Canadian CNIPs, at the 3rd Annual Canadian Peripheral Nerve Symposium. Twenty CNIPs responded to a brief survey and reported access as follows: occupational therapy=60%, physiotherapy=40%, social work=20%, mental health=10%. Access to allied health services is variable in CNIPs across Canada, possibly resulting in heterogeneity in patient care.

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A Population-Based Assessment of Depression and Anxiety in Patients With Brachial Plexus Injuries

Abstract: Prognostic II.

Cited by 36 publications

References 28 publications

A qualitative study of life satisfaction after surgery for adult traumatic brachial plexus injury

A qualitative study of life satisfaction after surgery for adult traumatic brachial plexus injury

Pain Relief after Surgical Decompression of the Distal Brachial Plexus

Access to Allied Health Care Services in Canadian Interdisciplinary Complex Nerve Injury Programs

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