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

Roh, Young Hak; Noh, Jung Ho; Oh, Joo Han; Gong, Hyun Sik; Baek, Goo Hyun

doi:10.1007/s11999-015-4269-y

Cited by 22 publications

(15 citation statements)

References 27 publications

(34 reference statements)

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“…11 Three months following hand fracture surgical treatment, Roh observed that Pain Catastrophizing Scale (PCS) scores correlated with increased disability on the qDASH. 18 Interestingly and without a clear explanation, these correlations were absent at the six month postoperative visit. 18 …”

Section: Discussionmentioning

confidence: 98%

“…18 Interestingly and without a clear explanation, these correlations were absent at the six month postoperative visit. 18 …”

Section: Discussionmentioning

confidence: 98%

“…17 More recently, Roh observed a correlation between pain-related anxiety and decreased grip strength, decreased total active range of motion, and increased disability three months following surgically-treated hand fractures. 18 In both studies, the authors utilized the revised Pain Anxiety Symptom Scale (PASS), which evaluates pain-related anxiety by measuring cognitive anxiety, fear of pain, escape and avoidance, and physiologic anxiety. In contrast, the PROMIS Anxiety CAT focuses upon fear, anxious misery, hyperarousal, and somatic symptoms pertaining to arousal – it only contains one behavioral avoidance question and therefore may not thoroughly evaluate behavioral fear avoidance.…”

Section: Discussionmentioning

confidence: 99%

“…9,11,13,18,19 Menendez observed that 51% of variability in the qDASH was explained by differences in PROMIS PI CAT scores among new or follow-up hand surgery patients at an urban academic medical center, and furthermore reported a large correlation between PROMIS PI and qDASH scores and medium correlation between PROMIS depression CAT and qDASH scores. 19 Nota observed that pain interference had a strong influence on qDASH variability in a similar patient cohort.…”

Section: Discussionmentioning

confidence: 99%

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Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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Purpose The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically-targeted metrics which can be administered using computer adaptive testing (CAT). Three metrics measuring self-reported physical function (herein referred to in combination as “functional” metrics) include the PROMIS Physical Function (PF) CAT, PROMIS Upper Extremity (UE) CAT, and the quick-Dash (qDASH). Two metrics assessing psychosocial factors include the PROMIS Anxiety and Pain Interference (PI) CATs (“non-functional” metrics). This study evaluates whether the functional metrics were correlated with non-functional metrics. Methods The five questionnaires were administered prospectively on a tablet computer to all consecutive adult patients presenting to outpatient hand and upper extremity (non-shoulder) clinic at a tertiary academic medical center from 1/1/2014 – 11/1/2014. For patients with multiple visits during the study period, only the first was included. Data were evaluated retrospectively to assess the relationship between functional and non-functional measures, with Pearson correlation coefficients to understand the relationship between continuous variables, and one-way ANOVAs to examine for differences in outcome measures across demographic groups. Multivariable linear regression analyses were performed to determine factors predicting functional disability. Results We included 1299 patients: mean age was 46.8 years, 53% were female, and 23% were unemployed or on disability. The PROMIS PF CAT, PROMIS UE CAT, and qDASH scores were all significantly correlated with PROMIS Anxiety CAT (Pearson correlation coefficients −0.46, −0.48, and 0.53, respectively) and PROMIS PI CAT (−0.60, −0.65, and 0.76, respectively) scores. Multivariable regression analyses demonstrated that increased PROMIS Anxiety and Pain Interference CAT scores each independently and adversely influenced PROMIS PF CAT, PROMIS UE CAT, and qDASH scores. Conclusions Increasing levels of patient anxiety and pain interference are independently associated with decreased patient-reported upper extremity function. Clinical Relevance Statement This study provides further support of the biopsychosocial model by highlighting that increased anxiety is associated with decreased self-reported function using the PROMIS platform.

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Section: Discussionmentioning

confidence: 98%

“…18 Interestingly and without a clear explanation, these correlations were absent at the six month postoperative visit. 18 …”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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“…Nevertheless, this belief may lead to misconceptions and give incorrect information if both instruments are related to similar nonbiological factors. Recently, Roh et al [ 36 ] found that poor pain-coping strategies were associated with decreased grip strength and decreased ROM at 3 months after hand fractures. To date, with the exception of a study by Roh et al [ 35 ], there is no research, to our knowledge, addressing this question in patients with shoulder problems.…”

Section: Introductionmentioning

confidence: 99%

Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain

Wolfensberger

Vuistiner

Konzelmann

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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BackgroundValidated clinician outcome scores are considered less associated with psychosocial factors than patient-reported outcome measurements (PROMs). This belief may lead to misconceptions if both instruments are related to similar factors.QuestionsWe asked: In patients with chronic shoulder pain, what biopsychosocial factors are associated (1) with PROMs, and (2) with clinician-rated outcome measurements?MethodsAll new patients between the ages of 18 and 65 with chronic shoulder pain from a unilateral shoulder injury admitted to a Swiss rehabilitation teaching hospital between May 2012 and January 2015 were screened for potential contributing biopsychosocial factors. During the study period, 314 patients were screened, and after applying prespecified criteria, 158 patients were evaluated. The median symptom duration was 9 months (interquartile range, 5.5–15 months), and 72% of the patients (114 patients) had rotator cuff tears, most of which were work injuries (59%, 93 patients) and were followed for a mean of 31.6 days (SD, 7.5 days). Exclusion criteria were concomitant injuries in another location, major or minor upper limb neuropathy, and inability to understand the validated available versions of PROMs. The PROMs were the DASH, the Brief Pain Inventory, and the Patient Global Impression of Change, before and after treatment (physiotherapy, cognitive therapy and vocational training). The Constant-Murley score was used as a clinician-rated outcome measurement. Statistical models were used to estimate associations between biopsychosocial factors and outcomes.ResultsGreater disability on the DASH was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale combined coefficient, 0.64; 95% CI, 0.25–1.03; p = 0.002) and social factors (language, professional qualification combined coefficient, −6.15; 95% CI, −11.09 to −1.22; p = 0.015). Greater pain on the Brief Pain Inventory was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale combined coefficient, 0.076; 95% CI, 0.021–0.13; p = 0.006). Poorer impression of change was associated with psychological factors (Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia coefficient, 0.93; 95% CI, 0.87–0.99; p = 0.026) and social factors (education, language, and professional qualification coefficient, 6.67; 95% CI, 2.77–16.10; p < 0.001). Worse clinician-rated outcome was associated only with psychological factors (Hospital Anxiety and Depression Scale (depression only), Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia combined coefficient, −0.35; 95% CI, −0.58 to −0.12; p = 0.003).ConclusionsDepressive symptoms and catastrophizing appear to be key factors influencing PROMs and clinician-rated outcomes. This study suggests revisiting the Constant-Murley score.Level of EvidenceLevel III, prognostic study.

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Effects of Psychological Predictors and Interventions on Recovery from Surgery

Gidron

2019

Behavioral Medicine

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

Cited by 22 publications

References 27 publications

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain

Effects of Psychological Predictors and Interventions on Recovery from Surgery

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