Chronic Pain Associated with Upper-Limb Loss
Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LRChronic pain associated with upper-limb loss. OBJECTIVE:To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb lossphantom limb, residual limb, back, neck, and nonamputate...
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| Veröffentlicht in: | American journal of physical medicine & rehabilitation 2009-09, Vol.88 (9), p.742-751 |
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| container_title | American journal of physical medicine & rehabilitation |
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| creator | Hanley, Marisol A Ehde, Dawn M Jensen, Mark Czerniecki, Joseph Smith, Douglas G Robinson, Lawrence R |
| description | Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LRChronic pain associated with upper-limb loss.
OBJECTIVE:To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb lossphantom limb, residual limb, back, neck, and nonamputated-limb pain.
DESIGN:Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed measures of pain intensity, interference, disability, and health-related quality-of-life.
RESULTS:Nearly all (90%) of the respondents reported pain, with 76% reporting more than one pain type. Phantom-limb pain and residual-limb pain were the most prevalent (79% and 71%, respectively), followed by back (52%), neck (43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was least prevalent, it was reported to cause the highest levels of interference and pain-related disability days. Self-reported quality-of-life was significantly lower for individuals with each type of pain compared with those without any pain. Age, time since amputation, and cause of amputation were not associated with pain.
CONCLUSIONS:In addition to pain in the phantom and residual limb, back, neck, and nonamputated-limb pain are also common after upper-limb loss. All of these pain types are associated with significant disability and activity interference for some individuals, suggesting that assessment of multiple pain types in persons with upper-limb amputation may be important. |
| doi_str_mv | 10.1097/PHM.0b013e3181b306ec |
| format | Article |
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OBJECTIVE:To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb lossphantom limb, residual limb, back, neck, and nonamputated-limb pain.
DESIGN:Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed measures of pain intensity, interference, disability, and health-related quality-of-life.
RESULTS:Nearly all (90%) of the respondents reported pain, with 76% reporting more than one pain type. Phantom-limb pain and residual-limb pain were the most prevalent (79% and 71%, respectively), followed by back (52%), neck (43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was least prevalent, it was reported to cause the highest levels of interference and pain-related disability days. Self-reported quality-of-life was significantly lower for individuals with each type of pain compared with those without any pain. Age, time since amputation, and cause of amputation were not associated with pain.
CONCLUSIONS:In addition to pain in the phantom and residual limb, back, neck, and nonamputated-limb pain are also common after upper-limb loss. All of these pain types are associated with significant disability and activity interference for some individuals, suggesting that assessment of multiple pain types in persons with upper-limb amputation may be important.</description><identifier>ISSN: 0894-9115</identifier><identifier>EISSN: 1537-7385</identifier><identifier>DOI: 10.1097/PHM.0b013e3181b306ec</identifier><identifier>PMID: 19692791</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; Amputation - adverse effects ; Back Pain - epidemiology ; Cross-Sectional Studies ; Female ; Health Surveys ; Humans ; Male ; Middle Aged ; Neck Pain - epidemiology ; Neck Pain - etiology ; Pain Measurement ; Phantom Limb - epidemiology ; Phantom Limb - etiology ; Prevalence ; Prostheses and Implants - adverse effects ; Quality of Life ; Upper Extremity ; Washington - epidemiology ; Young Adult</subject><ispartof>American journal of physical medicine & rehabilitation, 2009-09, Vol.88 (9), p.742-751</ispartof><rights>Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5468-12e89dfe70a7f76d35992c33425be23cf166552d9e49ac9e33652752da3108af3</citedby><cites>FETCH-LOGICAL-c5468-12e89dfe70a7f76d35992c33425be23cf166552d9e49ac9e33652752da3108af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19692791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanley, Marisol A</creatorcontrib><creatorcontrib>Ehde, Dawn M</creatorcontrib><creatorcontrib>Jensen, Mark</creatorcontrib><creatorcontrib>Czerniecki, Joseph</creatorcontrib><creatorcontrib>Smith, Douglas G</creatorcontrib><creatorcontrib>Robinson, Lawrence R</creatorcontrib><title>Chronic Pain Associated with Upper-Limb Loss</title><title>American journal of physical medicine & rehabilitation</title><addtitle>Am J Phys Med Rehabil</addtitle><description>Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LRChronic pain associated with upper-limb loss.
OBJECTIVE:To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb lossphantom limb, residual limb, back, neck, and nonamputated-limb pain.
DESIGN:Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed measures of pain intensity, interference, disability, and health-related quality-of-life.
RESULTS:Nearly all (90%) of the respondents reported pain, with 76% reporting more than one pain type. Phantom-limb pain and residual-limb pain were the most prevalent (79% and 71%, respectively), followed by back (52%), neck (43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was least prevalent, it was reported to cause the highest levels of interference and pain-related disability days. Self-reported quality-of-life was significantly lower for individuals with each type of pain compared with those without any pain. Age, time since amputation, and cause of amputation were not associated with pain.
CONCLUSIONS:In addition to pain in the phantom and residual limb, back, neck, and nonamputated-limb pain are also common after upper-limb loss. All of these pain types are associated with significant disability and activity interference for some individuals, suggesting that assessment of multiple pain types in persons with upper-limb amputation may be important.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Amputation - adverse effects</subject><subject>Back Pain - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck Pain - epidemiology</subject><subject>Neck Pain - etiology</subject><subject>Pain Measurement</subject><subject>Phantom Limb - epidemiology</subject><subject>Phantom Limb - etiology</subject><subject>Prevalence</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Quality of Life</subject><subject>Upper Extremity</subject><subject>Washington - epidemiology</subject><subject>Young Adult</subject><issn>0894-9115</issn><issn>1537-7385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1PwzAMjRAIxsc_QKgnThScpEmaCxKa-JKG4MDOUZq6NNC1I-mY-Pd02sSXfLD07PdsPxNyTOGcglYXT3cP51AA5chpTgsOEt0WGVHBVap4LrbJCHKdpZpSsUf2Y3wFAKG52iV7VEvNlKYjcjauQ9d6lzxZ3yZXMXbO2x7LZOn7OpnO5xjSiZ8VyaSL8ZDsVLaJeLTJB2R6c_08vksnj7f346tJ6kQm85QyzHVZoQKrKiVLLrRmjvOMiQIZdxWVUghWasy0dRo5l4KpAbCcQm4rfkAu17rzRTHD0mHbB9uYefAzGz5NZ735W2l9bV66D8NBre4aBE43AqF7X2DszcxHh01jW-wW0UgltFSSDY3ZutGF4b6A1fcQCmZlsxlsNv9tHmgnvxf8IW18_dFddk2PIb41iyUGU6Nt-toMjwAGElIGoIcASFdQzr8ACw6I7A</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Hanley, Marisol A</creator><creator>Ehde, Dawn M</creator><creator>Jensen, Mark</creator><creator>Czerniecki, Joseph</creator><creator>Smith, Douglas G</creator><creator>Robinson, Lawrence R</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200909</creationdate><title>Chronic Pain Associated with Upper-Limb Loss</title><author>Hanley, Marisol A ; Ehde, Dawn M ; Jensen, Mark ; Czerniecki, Joseph ; Smith, Douglas G ; Robinson, Lawrence R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5468-12e89dfe70a7f76d35992c33425be23cf166552d9e49ac9e33652752da3108af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Amputation - adverse effects</topic><topic>Back Pain - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck Pain - epidemiology</topic><topic>Neck Pain - etiology</topic><topic>Pain Measurement</topic><topic>Phantom Limb - epidemiology</topic><topic>Phantom Limb - etiology</topic><topic>Prevalence</topic><topic>Prostheses and Implants - adverse effects</topic><topic>Quality of Life</topic><topic>Upper Extremity</topic><topic>Washington - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanley, Marisol A</creatorcontrib><creatorcontrib>Ehde, Dawn M</creatorcontrib><creatorcontrib>Jensen, Mark</creatorcontrib><creatorcontrib>Czerniecki, Joseph</creatorcontrib><creatorcontrib>Smith, Douglas G</creatorcontrib><creatorcontrib>Robinson, Lawrence R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of physical medicine & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanley, Marisol A</au><au>Ehde, Dawn M</au><au>Jensen, Mark</au><au>Czerniecki, Joseph</au><au>Smith, Douglas G</au><au>Robinson, Lawrence R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Pain Associated with Upper-Limb Loss</atitle><jtitle>American journal of physical medicine & rehabilitation</jtitle><addtitle>Am J Phys Med Rehabil</addtitle><date>2009-09</date><risdate>2009</risdate><volume>88</volume><issue>9</issue><spage>742</spage><epage>751</epage><pages>742-751</pages><issn>0894-9115</issn><eissn>1537-7385</eissn><abstract>Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LRChronic pain associated with upper-limb loss.
OBJECTIVE:To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb lossphantom limb, residual limb, back, neck, and nonamputated-limb pain.
DESIGN:Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed measures of pain intensity, interference, disability, and health-related quality-of-life.
RESULTS:Nearly all (90%) of the respondents reported pain, with 76% reporting more than one pain type. Phantom-limb pain and residual-limb pain were the most prevalent (79% and 71%, respectively), followed by back (52%), neck (43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was least prevalent, it was reported to cause the highest levels of interference and pain-related disability days. Self-reported quality-of-life was significantly lower for individuals with each type of pain compared with those without any pain. Age, time since amputation, and cause of amputation were not associated with pain.
CONCLUSIONS:In addition to pain in the phantom and residual limb, back, neck, and nonamputated-limb pain are also common after upper-limb loss. All of these pain types are associated with significant disability and activity interference for some individuals, suggesting that assessment of multiple pain types in persons with upper-limb amputation may be important.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>19692791</pmid><doi>10.1097/PHM.0b013e3181b306ec</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of physical medicine & rehabilitation, 2009-09, Vol.88 (9), p.742-751 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Amputation - adverse effects Back Pain - epidemiology Cross-Sectional Studies Female Health Surveys Humans Male Middle Aged Neck Pain - epidemiology Neck Pain - etiology Pain Measurement Phantom Limb - epidemiology Phantom Limb - etiology Prevalence Prostheses and Implants - adverse effects Quality of Life Upper Extremity Washington - epidemiology Young Adult |
| title | Chronic Pain Associated with Upper-Limb Loss |
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