Scientific articleRelationships Among Pain Disability, Pain Intensity, Illness Intrusiveness, and Upper Extremity Disability in Patients With Traumatic Peripheral Nerve Injury
Section snippets
Materials and Methods
After we obtained approval from our institutional research ethics boards, we invited adult patients who had experienced a traumatic upper extremity peripheral nerve injury between 6 months and 15 years previously to participate in this study. Exclusion criteria were amputation injury or an upper motor neuron lesion, and the lack of ability to understand the English-language questionnaires. A total of 128 consecutive patients were invited to participate in the study when the study coordinator
Results
Table 1 presents the demographic data. There were 124 patients (83 men and 41 women) with an age of 41 ± 16 years (range, 18–80 y). Time since injury was 24 ± 27 months (median, 14 mo; range, 6–145 mo). The brachial plexus was injured in 43 cases, and the dominant arm was involved in 66 patients. Table 2 presents the scores for each outcome measure (Pain Disability Index, Illness Intrusiveness Rating Scale, DASH, and VAS pain intensity). The mean Pain Rating Index from the SF-MPQ was 13.9 ±
Discussion
In this group of patients with chronic nerve injury who had experienced trauma at least 6 months previously, there was substantial pain disability, illness intrusiveness, and upper extremity disability. In the final regression model, illness intrusiveness, upper extremity disability, and pain intensity were predictors of pain disability. After controlling for the influences of pain intensity and illness intrusiveness, upper extremity disability as measured by the DASH still accounted for a
References (42)
- et al.
Pain following human brachial plexus injury with spinal cord root avulsion and the effect of surgery
Pain
(1998) - et al.
Pain phenomena and sensory recovery following brachial plexus injury and surgical repairs
J Hand Surg
(2006) - et al.
Patient reported outcome following peripheral nerve injury
J Hand Surg
(2009) - et al.
Greater disability with increased pain involvement, pain intensity and depressive preoccupation
Eur J Pain
(1997) Illness intrusiveness and the psychosocial impact of lifestyle disruptions in chronic life-threatening disease
Adv Ren Repl Ther
(1994)- et al.
The Pain Disability Index: psychometric properties
Pain
(1990) - et al.
The Pain Disability Index: factor structure and normative data
Arch Phys Med Rehabil
(1994) - et al.
Confirmatory factor analysis of the Pain Catastrophizing Scale in African American and Caucasian workers' compensation claimants with low back injuries
Pain
(2005) - et al.
Factor structure of the Pain Disability Index in Workers' Compensation claimants with low back injuries
Arch Phys Med Rehabil
(2005) - et al.
Impact of Illness Scale: reliability, validity, and cross-cultural utility
Comp Psychiatr
(2001)
Factor structure and reliability of the Hungarian version of the Illness Intrusiveness Rating Scale invariance across North American and Hungarian dialysis patients
J Psychosom Res
The McGill Pain Questionnaire: major properties and scoring methods
Pain
The short-form McGill Pain Questionnaire
Pain
Nerve transfer to biceps muscle using a part of the ulnar nerve in brachial plexus injury (upper arm type): a report of 32 cases
J Hand Surg
Results of reinnervation of the biceps and brachialis muscles with a double fascicular transfer for elbow flexion
J Hand Surg
Effect of upper extremity nerve damage on activity participation, pain, depression and quality of life
J Hand Surg
Functional outcome of brachial plexus reconstruction after trauma
Neurosurgery
Pain affects the quality of life of neuropathic patients
Neurol Sci
Evaluation of quality of life in brachial plexus injury patients after reconstructive surgery
Hand Surg
Pain dominates measurements of elbow function and health status
J Bone Joint Surg
Predictors of wrist function and health status after operative treatment of fractures of the distal radius
J Hand Surg
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This study was partially funded by a Research Grant from the American Association for Hand Surgery. C.B.N. is supported by a Canadian Institutes of Health Research (CIHR) Doctoral Fellowship Award. J.K. is supported by a CIHR Canada Research Chair in Health Psychology at York University.
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.