Evaluation of Quality of Life in Brachial Plexus Injury Patients After Reconstructive Surgery

Kitajima, Izuru; Doi, Kazuteru; Hattori, Yasunori; Takka, Semih; Estrella, Emmanuel P.

doi:10.1142/s0218810406003279

Cited by 37 publications

(28 citation statements)

References 5 publications

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“…Kitajima et al evaluated 30 patients with brachial plexus nerve injuries with a minimum follow-up of 12 months. 81 Compared to the Japanese normative data, the nerve-injured patients had significantly lower health status (physical function, bodily pain, role physical and physical composite score). Generic questionnaires are useful for assessing general health status, but they may be limited in the assessment of UE outcome.…”

Section: Assessment Of Disability and Health Statusmentioning

confidence: 77%

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Novak

Katz²

2010

Physiotherapy Canada

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Purpose: The purpose of this review was to present an analysis of the literature of the outcome studies reported in patients following traumatic upperextremity (UE) nerve injuries (excluding amputation), to assess the presence of an association between neuropathic pain and outcome in patients following traumatic UE nerve injuries, and to provide recommendations for inclusion of more comprehensive outcome measures by clinicians who treat these patients. Summary of Key Points: A Medline and CINAHL literature search retrieved 48 articles. This review identified very few studies of patients with peripheral nerve injury that reported neuropathic pain. When pain was reported, visual analogue or numeric rating scales were most frequently used; standardized questionnaires measuring pain or psychosocial function were rarely administered. Recent evidence shows substantial long-term disability and pain in patients following peripheral nerve injury. Recommendation: To better understand neuropathic pain in patients following peripheral nerve injury, future outcome studies should include valid, reliable measures of physical impairment, pain, disability, health-related quality of life, and psychosocial functioning.Key Words: literature review, nerve injury, neuropathic pain, outcome Novak CB, Katz J. Neuropathic pain in patients with upper-extremity nerve injury. Physiother Can. 2010;62:190-201. RÉ SUMÉObjectif : L'objectif de cette revue é tait de pré senter une analyse de la documentation portant sur les é tudes ré pertorié es concernant les patients aux prises avec des lé sions nerveuses traumatiques des membres supé rieurs (excluant l'amputation), d'é valuer la pré sence d'un lien entre la douleur né vropathique et les ré sultats attendus chez les patients à la suite de lé sions nerveuses traumatiques des membres supé rieurs et de formuler des recommandations en vue d'inclure le recours à des mesures de rendement plus complè tes par les cliniciens traitant ces patients. Ré sumé des principales é tapes : Une recherche documentaire dans Medline et dans CINAHL a permis de ré pertorier 48 articles. Cette recherche a permis de constater que parmi les patients souffrant de lé sions nerveuses pé riphé riques é tudié s, trè s peu avaient signalé des douleurs né vropathiques. Lorsque de la douleur é tait signalé e, des é chelles de mesure numé riques ou des é chelles visuelles analogues é taient utilisé es le plus fré quemment et l'on faisait rarement appel à des questionnaires normalisé s pour é valuer la douleur ou la fonction psychosociale. Des faits ré cents dé montrent qu'à la suite d'une lé sion nerveuse pé riphé rique, de nombreux patients ressentent de la douleur et souffrent d'une incapacité à long terme. Recommandation : Pour mieux comprendre la douleur né vropathique qui survient à la suite d'une lé sion nerveuse pé riphé rique, les prochaines é tudes devraient inclure des mesures valables et fiables des dé ficiences physiques, de la douleur, des incapacité s, de la qualité de vie lié e à la santé et à la fonctio...

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Section: Assessment Of Disability and Health Statusmentioning

confidence: 77%

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Novak

Katz²

2010

Physiotherapy Canada

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“…16 -18 High levels of disability and decreased health status in patients after brachial plexus injury and reconstructive surgery have been reported. 16,18 In our select patients, whose status was at least 6 months after nerve injury and who sought medical assessment, there was a high level of disability and a significantly lower health status in all SF-36 domains.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcome After Peripheral Nerve Injury

Novak

Anastakis

Beaton

et al. 2009

The Journal of Hand Surgery

112

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“…5,9,10,15 Advances in BPI surgical techniques have made surgery an option for more patients; however, surgery is not curative and the goals are to improve severe symptoms and to restore as much function and quality of life as possible. 5,14 Function has been measured in various ways, such as with surgeons' ratings of motion and sensation, therapists' ratings of performance-based tasks (ie, grasp), and patients' ratings of ability to do essential and discretionary activities. 1,3,7,8,[13][14][15] The most widely used patient-reported scale for BPI is the Disabilities of the Arm, Shoulder, and Hand (DASH) which addresses symptoms, ability to perform certain tasks, such as change a light bulb, and ability to engage in complex activities, such as participate in social and work activities.…”

Section: Introductionmentioning

confidence: 99%

Compensation by the Uninjured Arm After Brachial Plexus Injury

Mancuso

Lee

et al. 2016

Hand (New York, N,Y.)

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The goals of this study were to assess how preoperative and postoperative patients use their uninjured arm to compensate for adult brachial plexus injury (BPI) and to determine whether the Disabilities of Arm, Shoulder, and Hand (DASH) Questionnaire measures this compensation. Ten preoperative and 13 postoperative patients were enrolled in this qualitative-quantitative study. During the qualitative phase, patients were asked how they compensated because of BPI; responses were analyzed with grounded theory. During the quantitative phase, patients completed a standard-DASH reflecting the ability to do activities in any way using both arms as necessary, and a qualified-DASH reflecting their estimated ability to do activities using the uninjured arm the way they otherwise usually would. Two DASH scores were calculated (range, 0-100, higher = worse) and were compared with paired tests. There were 3 categories of compensation: using the uninjured arm more, exclusively, or to position the injured arm so that the hand (if functional) could be used. The mean standard-DASH and qualified-DASH scores, respectively, were 52 and 74 for preoperative patients (difference 22, < .0001), and 41 and 64 for postoperative patients (difference 23, = .0008). Patients with BPI report different types of compensation by the uninjured arm which can be discerned by the DASH.

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Evaluation of Quality of Life in Brachial Plexus Injury Patients After Reconstructive Surgery

Cited by 37 publications

References 5 publications

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Patient-Reported Outcome After Peripheral Nerve Injury

Compensation by the Uninjured Arm After Brachial Plexus Injury

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