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

Published on Jul 1, 2016in Archives of Physical Medicine and Rehabilitation2.70
· DOI :10.1016/j.apmr.2016.01.031
Sietke G. Postema4
Estimated H-index: 4
(UMCG: University Medical Center Groningen),
Raoul M. Bongers18
Estimated H-index: 18
(UMCG: University Medical Center Groningen)
+ 5 AuthorsCorry K. van der Sluis17
Estimated H-index: 17
(UMCG: University Medical Center Groningen)
Abstract
Abstract Objective (1) To determine the prevalence of musculoskeletal complaints (MSCs) in individuals with upper limb absence in The Netherlands, (2) to assess the health status of individuals with upper limb absence in general and in relation to the presence of MSCs, and (3) to explore the predictors of development of MSCs and MSC-related disability in this population. Design Cross-sectional study: national survey. Setting Twelve rehabilitation centers and orthopedic workshops. Participants Individuals (n=263; mean age, 50.7±16.7y; 60% men) ≥18 years old, with transverse upper limb reduction deficiency (42%) or amputation (58%) at or proximal to the carpal level (response, 45%) and 108 individuals without upper limb reduction deficiency or amputation (n=108; mean age, 50.6±15.7y; 65% men) (N=371). Interventions Not applicable. Main Outcome Measures Point and year prevalence of MSCs, MSC-related disability (Pain Disability Index), and general health perception and mental health (RAND-36 subscales). Results Point and year prevalence of MSCs were almost twice as high in individuals with upper limb absence (57% and 65%, respectively) compared with individuals without upper limb absence (27% and 34%, respectively) and were most often located in the nonaffected limb and upper back/neck. MSCs were associated with decreased general health perception and mental health and higher perceived upper extremity work demands. Prosthesis use was not related to presence of MSCs. Clinically relevant predictors of MSCs were middle age, being divorced/widowed, and lower mental health. Individuals with upper limb absence experienced more MSC-related disability than individuals without upper limb absence. Higher age, more pain, lower general and mental health, and not using a prosthesis were related to higher disability. Conclusions Presence of MSCs is a frequent problem in individuals with upper limb absence and is associated with decreased general and mental health. Mental health and physical work demands should be taken into account when assessing such a patient. Clinicians should note that MSC-related disability increases with age.
  • References (29)
  • Citations (10)
References29
Newest
#1Anthony J. Metzger (CUA: The Catholic University of America)H-Index: 2
#2Alexander W. Dromerick (Georgetown University)H-Index: 31
Last.Peter S. Lum (CUA: The Catholic University of America)H-Index: 27
view all 4 authors...
#1Kristin Østlie (Innlandet Hospital Trust)H-Index: 6
#2Rosemary Joy Franklin (Innlandet Hospital Trust)H-Index: 4
Last.Per Magnus (FHI: Norwegian Institute of Public Health)H-Index: 63
view all 5 authors...
#1Lonneke Opsteegh (UMCG: University Medical Center Groningen)H-Index: 3
#2Remko Soer (UMCG: University Medical Center Groningen)H-Index: 12
Last.Corry K. van der Sluis (UMCG: University Medical Center Groningen)H-Index: 17
view all 5 authors...
Cited By10
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#1Ivana Cuberovic (Case Western Reserve University)
#2Anisha Gill (Providence VA Medical Center)
Last.Emily L. Graczyk (Case Western Reserve University)H-Index: 3
view all 0 authors...
#1Cody L. McDonald (UW: University of Washington)H-Index: 3
#2Cynthia L. Bennett (UW: University of Washington)H-Index: 10
Last.Katherine M. Steele (UW: University of Washington)H-Index: 14
view all 4 authors...
#1Emily L. Graczyk (Case Western Reserve University)H-Index: 3
#2Linda Resnik (Brown University)H-Index: 23
Last.Dustin J. Tyler (Case Western Reserve University)H-Index: 24
view all 5 authors...
#1Alix Chadwell (University of Salford)H-Index: 2
#2Laurence Kenney (University of Salford)H-Index: 16
Last.Jai Kulkarni (University Hospital of South Manchester NHS Foundation Trust)H-Index: 5
view all 8 authors...
#1Sietke G. Postema (UMCG: University Medical Center Groningen)H-Index: 4
#2Raoul M. Bongers (UG: University of Groningen)H-Index: 18
Last.Michiel F. Reneman (UMCG: University Medical Center Groningen)H-Index: 30
view all 4 authors...
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