Influence of Psychological Factors on Grip Strength

Watson, Jeffrey B.; Ring, David

doi:10.1016/j.jhsa.2008.07.006

Cited by 35 publications

(39 citation statements)

References 34 publications

(26 reference statements)

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“…The results are consistent with the findings presented by Bot et al [4] who noted that pain anxiety affects grip strength and disability only in patients recovering from injury, and not in healthy individuals. Grip strength appears to be a reflection of both physical impairment as well as psychological factors [27], and our results demonstrate an important role for pain coping in grip strength during early recovery from hand fractures.…”

Section: Discussionmentioning

confidence: 51%

“…Catastrophization and anxiety affect grip strength recovery with anxiety having persistent effects beyond 3 months. Although psychological factors are known to affect patient-reported disability more than an objective measure of function [27], considerable variances in grip strength (18% at 3-month followup) were explained by pain-coping strategies in our multivariate analysis model. The results are consistent with the findings presented by Bot et al [4] who noted that pain anxiety affects grip strength and disability only in patients recovering from injury, and not in healthy individuals.…”

Section: Discussionmentioning

confidence: 83%

“…For the set of patients with acute pain, we determined the cutoff values for the PCS scores to be the 75 th percentile of our own data series. For our data set, the 75 th percentile cutoff value corresponded to 27.…”

Section: Methodsmentioning

confidence: 99%

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To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Roh

Noh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with hand fractures often have pain, swelling, and stiffness in the joints of the hand, which may lead them to protect their hands, resulting in more stiffness and in delayed recovery. However, the effects of paincoping strategies and catastrophization (the tendency to expect the worst to occur when pain is present, an approach that can be thought of as the opposite of ''coping'') on functional recovery after hand fractures have not been investigated in depth. Questions/purposes Are preoperative catastrophization and anxiety in patients with hand fractures associated with (1) decreased grip strength; (2) decreased range of motion; and (3) increased disability at 3 and 6 months after surgical treatment for a hand fracture? Secondarily, we asked if there are other patient and injury factors that are associated with these outcomes at 3 and 6 months. Methods A total of 93 patients with surgically treated hand fractures were enrolled in this prospective study. Preoperative assessments measured coping strategies evaluated by measuring catastrophic thinking with the Pain Catastrophizing Scale and pain anxiety with the Pain Anxiety Symptom Scale. At 3 and 6 months postoperatively, grip strength, total active range of motion, and disability (Quick Disabilities of the Arm, Shoulder, and Hand score) were assessed. Bivariate and multivariate analyses were performed to identify patient demographic, injury, and coping skills factors that accounted for outcomes of strength, motion, and disability. Results Decreased grip strength was associated with catastrophic thinking (beta = À1.29 [95% confidence interval, À1.67 to À0.89], partial R 2 = 11%, p \ 0.001) and anxiety (beta = À0.83 [À1.16 to À0.50], partial R 2 = 7%, p = 0.007) at 3 months, but by 6 months, only anxiety (beta = À0.74 [À1.04 to À0.44], partial R 2 = 7%, p = 0.010) remained an important factor. Decreased total active range of motion was associated with pain catastrophizing (beta = À0.63 [À0.90 to À0.36], partial R 2 = 6 %, p = 0.024) and anxiety (beta = À0.28 [À0.42 to À0.14], partial R 2 = 3%, p = 0.035) at 3 months but not at 6 months. Similarly, increased disability was associated with pain catastrophizing (beta = 1.09 [1.39-0.79], partial R 2 = 12%, p \ 0.001) and anxiety (beta = 0.93 [1.21-

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 83%

See 1 more Smart Citation

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Roh

Noh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…1,18 suggesting that factors other than effort may influence the shape of the force output curve. 5,8,18,22 One group of patients known to have altered performance on motor skill tests are those with clinical depression. 4,17 Studies have shown ease of fatigability and lack of asymmetry of grip strength among depressed boys, 4 generally reduced force output among depressed individuals compared to age-matched and sex-matched nondepressed persons, 17 and a correlation of improved grip strength to improved affect following intervention.…”

Section: T T Results: Participants With Clinical Depressionmentioning

confidence: 99%

Five-Position Grip Strength Measures in Individuals with Clinical Depression

Phillips

Biland²,

Costa³

et al. 2011

J Orthop Sports Phys Ther

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“…22 Elevated levels of depressive symptoms among physical therapy patients have been linked both cross-sectionally and prospectively to measures of pain intensity, disability, and physical performance. 50,65 Symptoms of depression have also been linked to other pain-related psychosocial risk factors, such as reduced self-efficacy and increased levels of fear of movement and pain catastrophizing. 34 Recent evidence suggests that the co-occurrence of symptoms of depression and pain, and associated negative consequences, appear to T T STUDY DESIGN: Prospective cohort.…”

mentioning

confidence: 99%