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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 Publisher Pubmed



Mahdavi M1 ; Farzad M2, 3 ; Mehta SP4, 5 ; Macdermid JC6, 7, 8 ; Vahedi M9 ; Hosseini SA1 ; Shafiee E2 ; Farhoud AR10
Authors
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Authors Affiliations
  1. 1. Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  2. 2. School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, ON, Canada
  3. 3. University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  4. 4. School of Physical Therapy, Marshall University, Huntington, WV, United States
  5. 5. Department of Orthopedic Surgery, Joan C Edwards School of Medicine, Marshall University, Huntington, WV, United States
  6. 6. Physical Therapy and Surgery, Western University, London, ON, Canada
  7. 7. Co-director Clinical Research Lab, Hand and Upper Limb Center, St. Joseph's Health Center, London, ON, Canada
  8. 8. Professor Rehabilitation Science McMaster University, Hamilton, ON, Canada
  9. 9. Department of Biostatistics and Epidemiology, University of Social Welfare and Rehabilitation Science, Tehran, Iran
  10. 10. Imam Hospital Complex, Tehran University of Medical Sciences, Joint Reconstruction Research Center, Iran

Source: Musculoskeletal Science and Practice Published:2022


Abstract

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. © 2021 Elsevier Ltd
Related Docs
1. Occupational Performance 1 Year After a Distal Radius Fracture From the Perspective of the International Classification of Functioning, Disability and Health, American Journal of Occupational Therapy (2023)
2. Psychometric Evaluation of the Hamilton Inventory to Evaluate Signs and Symptoms in Patients With Complex Regional Pain Syndrome (Crps), Journal of Hand Therapy (2025)
3. Application of Continuous Passive Motion in Patients With Distal Radius Fractures: A Randomized Clinical Trial; [Utilisation D'un Arthromoteur Passif Continu Chez Les Patients Avec Une Fracture De L'extremite Distale Du Radius: Essai Clinique Randomise], Hand Surgery and Rehabilitation (2020)
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