Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Bouma, Sietske; Postema, Sietke G; Bongers, Raoul M.; Dijkstra, Pieter U.; Sluis, Corry K. van der

doi:10.1080/09638288.2017.1289418

Cited by 19 publications

(13 citation statements)

References 36 publications

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“…It is also possible that those with shorter residual limbs have a greater reliance on the nonamputated limb for activity performance, given that items on the AM-ULA are scored lower if the prosthesis is used passively or not at all. 27 Although not statistically significant across all domains, our study indicates that shoulder pain in the moderate intensity range is associated with functional performance and HRQOL outcomes in long-term upper limb prosthesis users. Our study specifically found a negative correlation coefficient between contralateral shoulder pain and measures of upper limb disability and the physical component of HRQOL.…”

Section: Discussioncontrasting

confidence: 55%

Frequency, severity, and implications of shoulder pain in people with major upper limb amputation who use prostheses: Results of a National Study

Webster

Borgia

et al. 2021

PM&R

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Background People with upper limb amputation are potentially at increased risk of shoulder pain because they often perform compensatory movements to operate their prostheses and rely more heavily on their nonamputated limb for everyday activities. Objective To describe the frequency, severity, associated factors, and implications of shoulder pain in people with unilateral major upper limb amputation who use prostheses. Design Cross‐sectional, observational design. Setting National recruitment of people living in the community. Participants U.S. veterans and civilians (N = 107) with unilateral major upper limb amputation. Interventions Not applicable. Main Outcome Measures Shoulder pain (any, ipsilateral and contralateral to amputation), activity performance (Activities Measure for Upper Limb Amputation), health‐related quality of life (Veterans RAND 12‐Item Health Survey mental component summary [MCS] and physical component summary [PCS]), and disability (Quick Version of the Disabilities of the Arm, Shoulder and Hand Score [QuickDASH]). Results All participants completed a comprehensive in‐person assessment. Participants were 97% male with a mean age of 57.1 years and a mean time since amputation of 23.4 years. The prevalence of any shoulder pain was 30% (15% ipsilateral, 25% contralateral, 10% bilateral). Shoulder pain intensity (0 to 10 scale) was moderate for both ipsilateral (mean 4.9, SD 2.0) and contralateral (mean 4.2, SD 2.0) pain. No significant difference in shoulder pain frequency was observed by amputation level. The prevalence of any shoulder pain was greater in those using a body‐powered prosthesis (38% compared to 18% in externally powered users). Each additional year since amputation was associated with an increased likelihood of having contralateral shoulder pain (odds ratio: 1.05, confidence interval: 1.01, 1.10). In linear regression models, those with contralateral shoulder pain had worse PCS (β = −7.07, p = .008) and worse QuickDASH (β = 18.25, p < .001) scores. Conclusions In our sample of predominantly male veterans with major upper limb amputation, shoulder pain was a common condition associated with functional and quality of life implications. Among prosthesis users, the shoulder contralateral to the amputation was at greatest risk, with risk increasing with every year since amputation.

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Section: Discussioncontrasting

confidence: 55%

Frequency, severity, and implications of shoulder pain in people with major upper limb amputation who use prostheses: Results of a National Study

Webster

Borgia

et al. 2021

PM&R

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“…Probabilities of these complications are given in Table 1. 4,5,7,8,9,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of Finger Replantation Compared With Revision Amputation

et al. 2019

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“…Although these studies contribute largely to our knowledge about perceived function and other factors, most are limited to the veteran population, do not model the impact that both satisfaction and pain could have on perceived function, and/or do not use a PRO that solely focuses on perceived function. Many studies examining the upper limb prosthesis user population also fail to include partial hand/finger amputation levels 10,13‐15 …”

Section: Introductionmentioning

confidence: 99%

“…Many studies examining the upper limb prosthesis user population also fail to include partial hand/finger amputation levels. 10,[13][14][15] Understanding the gaps identified from recent literature, the goal of this study was to use the ICF model to identify which health condition-related, body function, environmental, and personal factors influence activity as measured by perceived function in the upper limb prosthesis user population, with a focus on the U.S. civilian population and inclusion of individuals with distal limb loss/difference. Having a clear understanding of the factors that influence perceived function can help improve the overall rehabilitation approaches for this unique patient population.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing perceived function in the upper limb prosthesis user population

Zhang

Baun

Trent

et al. 2021

PM&R

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Background: Patient-reported outcomes (PROs) can be used to evaluate perceived capacity of an individual in executing tasks in a natural environment with their prosthetic device. According to the World Health Organization International Classification of Health, Functioning, and Disability (ICF) models, there may be specific factors of a person, factors of assistive prosthetic technology, or factors related to the health condition or body function that affect their functioning and disability. However, an understanding of factors affecting an upper limb prosthesis user's perception of their ability to execute tasks in a natural environment is not well established. Objective: To use the ICF model to identify which health condition-related, body function, environmental, and personal factors influence activity as measured by perceived function in the upper limb prosthesis user population. Design: Quantitative clinical descriptive study. Setting: Clinical offices within outpatient private practice (removed for blinding). Participants: A sample of 101 participants with upper limb amputation who use a prosthetic device and were undergoing a prosthesis fitting process. Interventions: Not applicable. Main Outcome Measures: PROs on pain with/without a prosthesis, satisfaction, and perceived function derived from the Comprehensive Arm Prosthesis and Rehabilitation Outcomes Questionnaire. Results: Model coefficients indicate that with a unit increase in satisfaction (p < .001) and pain (p = .031) scores (with higher pain scores signifying less pain), the mean of perceived function increases by 0.66 and 0.47 units, respectively. Conversely, for individuals with elbow disarticulation, transhumeral, shoulder disarticulation, and interscapulothoracic amputations, the mean of perceived function decreases by 22.02 units (p = .006). Conclusions: Based on our sample, perceived function is significantly associated with satisfaction, pain, and amputation level. These findings could potentially help to inform initial clinical approach and targeted outcomes for patients based on these factors.

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Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Cited by 19 publications

References 36 publications

Frequency, severity, and implications of shoulder pain in people with major upper limb amputation who use prostheses: Results of a National Study

Frequency, severity, and implications of shoulder pain in people with major upper limb amputation who use prostheses: Results of a National Study

Cost-effectiveness of Finger Replantation Compared With Revision Amputation

Factors influencing perceived function in the upper limb prosthesis user population

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