Author/Editor		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
Title		Musculoskeletal complaints in transverse upper limb reduction deficiency and amputation in the Netherlands
Type		članek
Vol. and No.		Letnik 97, št. 7
Publication year		2016
Volume		str. 1137-1145
ISSN		0003-9993 - Archives of physical medicine and rehabilitation
Language		eng
Abstract		Objective To: 1) determine the prevalence of musculoskeletal complaints (MSC) in individuals with upper limb absence (ULA) in the Netherlands, 2) assess the health status of individuals with ULA in general and in relation to presence of MSC, and 3) explore the predictors of development of MSC and MSC-related disability in this population. Design cross-sectional study: national survey. Participants 263 individuals (age: 50.7(16.7) years, 60% males) of %18 years, with transverse upper limb reduction deficiency (42%) or amputation (58%) at or proximal to the carpal level (response: 45%), and 108 controls (age: 50.6(15.7) years, 65% male). Intervention Not applicable. Main outcome measures Point and year prevalence of MSC, MSC-related disability (Pain Disability Index), and general health perception and mental health (RAND-36 subscales). Results Point and year prevalence of MSC were almost twice as high in individuals with ULA (57% and 65%, respectively) compared to controls (27% and 34%, respectively), and was most often located in the non-affected limb and upper back/neck. MSC was associated with decreased general health perception and mental health, and higher perceived upper extremity work demands. Prosthesis use was not related to presence of MSC. Clinically relevant predictors of MSC were middle age, being divorced/widowed and lower mental health. Individuals with ULA experienced more MSC-related disability compared to controls. Higher age, more pain, lower general and mental health, and not using a prosthesis were related to higher disability. Conclusion Presence of MSC is a frequent problem in individuals with ULA, 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.
Descriptors		Upper Extremity Congenital abnormalities Amputation
Keywords		zgornji ud prirojene nepravilnosti amputacija Nizozemska