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Titre : | Severity of persistent pain and disability can accurately screen for presence of pain catastrophizing and fear of performing wrist movements in individuals with distal radius fracture (2022) |
Auteurs : | Mohammad Mahdavi ; Maryam Farzad ; Saurabh P. Mehta ; Joy C. MacDermid ; Mohsen Vahedi ; Seyed Ali Hosseini ; Erfan Shafiee ; Amir Reza Farhoud |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 57, February 2022) |
Article en page(s) : | 102474 |
Note générale : | https://doi.org/10.1016/j.msksp.2021.102474 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Catastrophisation ; Douleur ; Fractures du radius ; Personnes handicapées ; Psychologie |
Résumé : | Background The evidence indicating presence of psychological factors concerns in individuals who report persistent residual pain and disability over a longer term after distal radius fractures (DRF) is emerging but requires further inquiry. Objectives To examine the associations of persistent wrist pain and disability at 6-months after DRF with the presence of psychological factors. Methods Eighty-five patients with DRF were evaluated for wrist pain and disability with subscales of Patient-rated wrist evaluation (PRWE), 6-months after the fracture. The associations of wrist pain and disability with these psychological factors at 6-months after DRF were examined using multivariable logistic regression models. The ability of PRWE scores at 6-months after DRF to accurately classify individuals with and without these psychological factors was examined using the area under the receiver operating characteristic curve (AUC). Results Higher PRWE-P scores were significantly associated with worse pain catastrophizing, having emotional distress, and fear of performing wrist movements. In addition, higher PRWE-F scores were also highly associated with worse pain catastrophizing, having emotional distress, and fear of performing wrist movements. The PRWE-P or PRWE-F Scores of ?18/50 showed the best combination of sensitivity and specificity in identifying individuals with pain catastrophizing, emotional distress, and fear of performing wrist movements at 6-months after DRF (AUC values of ?0.88). Conclusion The novel finding of this study is that scores of ?18/50 PRWE-P or PRWEF can be used to screen for the presence of these psychological factors. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781221001582 |