The Prevalence and Impact of Back and Neck Pain in Veterans with Upper Limb Amputation.

Abstract:

OBJECTIVE:1) Describe frequency of back pain only, neck pain only, and co-occurring pain in Veterans with upper limb amputation (ULA); 2) examine changes in pain over one year; and 3) quantify the association of pain and health-related quality of life (HRQoL) and disability. DESIGN:Observational cohort study with a survey of a sample of 792 Veterans with ULA, with 1-year reassessment of 585 (85.3%) of 777 eligible participants. Pain prevalence and intensity were examined. Logistic and linear regressions identified variables associated with pain and examined associations between intensity and Veterans RAND-12 Mental Component Score (MCS) and Physical Component Score (PCS) and QuickDASH. RESULTS:At baseline, 52.3% had co-occurring pain, 20.0% had back pain, and 8.3% had neck pain. Persistent back and neck pain were present in 60.8% and 48.1% respondents, respectively. Pain intensity was unchanged for 59.1% with back pain and 61.3% with neck pain. MCS and QuickDASH were significantly worse with severe and moderate back and neck pain, compared to no pain. Severe/moderate back pain intensity was associated with lower PCS. CONCLUSIONS:Back and neck pain are highly prevalent and persistent in Veterans with ULA. Pain intensity is negatively associated with HRQoL and disability. Pain prevention and intervention is needed in this population.

journal_name

Am J Phys Med Rehabil

authors

Resnik L,Borgia M,Clark MA

doi

10.1097/PHM.0000000000001694

subject

Has Abstract

pub_date

2021-01-11 00:00:00

eissn

0894-9115

issn

1537-7385

pii

00002060-900000000-97767

pub_type

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