geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Relationships among pain disability, pain intensity, illness intrusiveness, and upper extremity disability in patients with traumatic peripheral nerve injury


, : Relationships among pain disability, pain intensity, illness intrusiveness, and upper extremity disability in patients with traumatic peripheral nerve injury. Journal of Hand Surgery 35(10): 1633-1639

In patients with a peripheral nerve injury, a simple conceptualization assumes that pain disability is determined by pain intensity. This study evaluated the relationships among pain intensity, illness intrusiveness, and pain disability. After we obtained ethics board approval, we enrolled English-speaking adult patients who had experienced an upper extremity peripheral nerve injury 0.5 to 15 years previously. Patients completed the Disabilities of the Arm, Shoulder, and Hand (DASH), Illness Intrusiveness Scale, Pain Disability Index, and McGill Pain questionnaires. We used multivariate linear regression to evaluate the variables that predicted pain disability. There were 124 patients (41 women, 83 men; mean ± SD, 41 ± 16 y of age). The median time since injury was 14 months (range, 6-145 months), and there were 43 brachial plexus nerve injuries. Mean ± SD scores were: pain disability, 29 ± 18; illness intrusiveness, 40 ± 18; DASH, 45 ± 22; and pain intensity, 4.6 ± 3.0. The pain disability, DASH, and illness intrusiveness scores were significantly higher in patients with brachial plexus injuries than in those with distal nerve injuries (p<.05). There was strong correlation between pain disability and DASH (r = 0.764, p<.001) and illness intrusiveness (r = 0.738, p<.001) and a weaker correlation with pain intensity (r = 0.549, p<.001). The final regression model predicting pain disability scores explained 70% of the variance with these predictors: DASH (β = 0.452, p<.001), illness intrusiveness (β = 0.372, p<.001), and pain intensity (β = 0.143, p=.018). Pain disability was substantial after nerve injury, and pain intensity explained the least variance among the model variables. Pain intensity should be considered only one component of pain, and the impact of pain in the context of disability should be considered in patients with chronic nerve injury. Prognostic IV.

US$19.90

PMID: 20888499

DOI: 10.1016/j.jhsa.2010.07.018


Other references

Spezzaferri Silvia; Yanko Hombach Valentina; Bruchez Sebastien, 2003: Late glacial freshening of the Levantine Basin; isotopic evidence from Iskenderun Bay. Recently the Black Sea, the Marmara Sea, and the Levantine Basin have been studied in search of evidence for Noah's Flood (Ryan et al., 1997). They proposed that once rising postglacial sea level reached the northern sill of the Bosporus, it...

Konoplyantsev A.A.; Vladimirov A.G., 1958: Ispolzovanie podzemnykh vod dlya orosheniya; the using of underground waters for irrigation means. Summarizes data on the nature of ground-water aquifers, the behavior of the water table, and other data of importance in the exploitation of ground waters for irrigation.

Panter, K.E.; Welch, K.D.; Gardner, D.R.; Green, B.T., 2014: Poisonous plants: effects on embryo and fetal development. Poisonous plant research in the United States began over 100 years ago as a result of livestock losses from toxic plants as settlers migrated westward with their flocks, herds, and families. Major losses were soon associated with poisonous plants,...

Franc, Valerian., 1993: Contribution to the knowledge of the beetles fauna Coleoptera of the Slovak Karst Reserve Prispevok k poznaniu fauny chrobakov Coleoptera Slovenskeho Krasu. Zbornik Vychodoslovenskeho Muzea V Kosiciach Prirodny Vedy, 34: 101-108

Plum, I.; Jørgensen, N.; Møller, J., 2007: Reply to Wood WG. Questionable results--who directs the EQAS organisers?. Clinical Chemistry and Laboratory Medicine 42(9): 1076-1077

Iyengar, J.; Luke, A.; Ma, C.Benjamin., 2007: An unusual presentation of synovial chondromatosis of the knee: a case report. Clinical Journal of Sport Medicine 17(2): 157-159

Jogi, S.; Johar, K.S.; Arora, J.S., 1993: Genetic study of dressing percentage, carcass length and back fat thickness of common Indiana pigs. Data generated at the All India Co-ordinated Research Project on Pigs, Jabalpur were used for the present study. Least squares mean for dressing percentage carcass length and back fat thickness were 58.91 +- 0.34; 56.121 +- 0.669 cm and 2.815 +- 0...

Liu, X.; Li, L.; Sun, J.; Yan, Y.; Shu, X.; Liu, B.; Sha, W.; Feng, H.; Sun, S.; Zhu, J., 2012: A coordination complex system for generic, ultrafast, and sensitive multimode fluorescent staining of biomolecules. Gel electrophoresis staining methodologies documented thus far are largely utilized in a biomolecule context-dependent manner. We report herein the development of a generic, ultrafast, and sensitive multimode fluorescent system for the efficient i...

Jacobs, J.E., 1960: Metatarsus varus and hip dysplasia. Clinical Orthopaedics 16: 203-213

Kurvinen, J.P.; Sjovall, O.; Kallio, H., 2002: Molecular weight distribution and regioisomeric structure of triacylglycerols in some common human milk substitutes. Triacylglycerol (TAG) molecular weight distribution and regioisomeric structure of selected molecular weight species in human milk and in 32 human milk substitutes was determined. Negative ion chemical ionization mass spectrometry was used to dete...