Musculoskeletal Complaints in Transverse Upper Limb Reduction Deficiency and Amputation in The Netherlands: Prevalence, Predictors, and Effect on Health

Postema, Sietke G; Bongers, Raoul M.; Brouwers, Michael A H; Burger, Helena; Norling-Hermansson, Liselotte M.; Reneman, Michiel F.; Dijkstra, Pieter U.; Sluis, Corry K. van der

doi:10.1016/j.apmr.2016.01.031

Cited by 53 publications

(47 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Year prevalence of MSCs in individuals with FPHAs was almost equal to the year prevalence of complaints of the arms, neck, and/or shoulders (CANS) in the general population of the Netherlands (37%) [30], and thus substantially lower than the year prevalence of MSCs in individuals with ULA in the Netherlands (65%) [13]. When MSCs were present, individuals with FPHAs experienced more pain than controls.…”

Section: Main Findingsmentioning

confidence: 92%

“…The control group answered a similar questionnaire, without questions regarding amputation, prosthesis use, and hand function [13].…”

Section: Questionnairementioning

confidence: 99%

“…Patients were excluded if the amputation level was at wrist disarticulation or a more proximal level. A control group, matching in gender and age with the FPHAs group, was assembled using data from Postema et al [13], added with data from newly recruited controls who were acquaintances of the researchers.…”

Section: Participants and Proceduresmentioning

confidence: 99%

“…A modified version of the questionnaire developed by Postema et al was used [13]. The questionnaire consists of nine sections, including: 1.…”

Section: Questionnairementioning

confidence: 99%

“…A prevalence of MSCs in the preceding year in individuals with major ULA (wrist disarticulation or more proximal amputation levels) of 65%, versus a year prevalence of 34% in the control group, was found recently [13]. However, there is inconclusive evidence regarding the factors that may contribute to the development of MSCs, such as level of amputation and time since amputation [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Bouma

Postema

Bongers

et al. 2017

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

Purpose: To compare the prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) with a control group and to explore the effect and predictors of MSCs in individuals with FPHAs. Method: A questionnaire-based cross-sectional study was conducted. The primary outcome measures were: prevalence of MSCs, health status, pain-related disability, physical work demands, work productivity, and hand function. Results: The response rate was 61%. A comparable proportion of individuals with FPHAs (n ¼ 99) and controls (n ¼ 102) reported MSCs in the preceding 4 weeks (33% vs. 28%, respectively) or in the preceding year (37% vs. 33%, respectively). Individuals with FPHAs with MSCs experienced more pain than controls with MSCs. Regular occurrence of stump sensations and self-reported limited range of motion (ROM) of the wrist of the affected limb were predictors for MSCs in individuals with FPHAs. Conclusions: The prevalence of MSCs was comparable in individuals with FPHAs and controls. However, clinicians should pay special attention to the risk of developing MSCs in patients with stump sensations and limited ROM of the wrist of the affected limb. Future research should focus on the role of wrist movements and compensatory movements in the development of MSCs in individuals with FPHAs. ä IMPLICATIONS FOR REHABILITATIONThe prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) and control subjects was similar. Regular occurrence of stump sensations and limited range of motion of the wrist of the affected limb were predictors of developing MSCs in individuals with FPHAs. Clinicians should pay special attention to individuals with FPHAs with the presence of these predictors of developing MSCs. For a better understanding of the development of and treatment options for MSCs, future research focusing on the role of wrist function in the development of MSCs in individuals with FPHAs is necessary. ARTICLE HISTORY

show abstract

Section: Main Findingsmentioning

confidence: 92%

“…The control group answered a similar questionnaire, without questions regarding amputation, prosthesis use, and hand function [13].…”

Section: Questionnairementioning

confidence: 99%

Section: Participants and Proceduresmentioning

confidence: 99%

“…A modified version of the questionnaire developed by Postema et al was used [13]. The questionnaire consists of nine sections, including: 1.…”

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Bouma

Postema

Bongers

et al. 2017

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

show abstract

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

View full text Add to dashboard Cite

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.

show abstract

Factors influencing perceived function in the upper limb prosthesis user population

Zhang

Baun

Trent

et al. 2021

PM&R

View full text Add to dashboard Cite

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.

show abstract

Musculoskeletal Complaints in Transverse Upper Limb Reduction Deficiency and Amputation in The Netherlands: Prevalence, Predictors, and Effect on Health

Cited by 53 publications

References 26 publications

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

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

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

Factors influencing perceived function in the upper limb prosthesis user population

Contact Info

Product

Resources

About