Sposato L, Yancosek K, Lospinoso J, Cancio J. Psychosocial reactions to upper extremity limb salvage: A cross-sectional study.
J Hand Ther 2019;
31:494-501. [PMID:
28802537 DOI:
10.1016/j.jht.2017.05.020]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2016] [Revised: 05/18/2017] [Accepted: 05/25/2017] [Indexed: 02/03/2023]
Abstract
STUDY DESIGN
Descriptive cross-sectional survey study.
INTRODUCTION
Limb salvage spares an extremity at risk for amputation after a major traumatic injury. Psychosocial recovery for individuals with lower extremity limb salvage has been discussed in the literature. However, to date, psychosocial reactions for individuals with upper extremity (UE) limb salvage have not been examined.
PURPOSE OF THE STUDY
To determine which factors may influence psychosocial adaptation to UE limb salvage.
METHODS
Participants (n = 30; 28 males) were adults (mean, 30.13; range, 18-61) who sustained an UE limb salvage from a traumatic event. Adaptation was measured using a modified version of the Reactions to Impairment and Disability Inventory.
RESULTS
A linear mixed-effects regression found that worse psychosocial adaptation was associated with having less than a college degree, being less than 6 months post-injury, being older than 23 years, and having more pain. Dominant hand injuries were found to influence poor adaptation on the denial Reactions to Impairment and Disability Inventory subscale only.
DISCUSSION
The results of this study indicate that there is potential for nonadaptive reactions and psychological distress with certain variables in UE limb salvage. Therapists may use these results to anticipate which clients may be at risk for poor psychosocial outcomes.
CONCLUSIONS
This study indicates the need for early consideration to factors that affect psychological prognosis for the UE limb salvage population. However, future research is indicated to better understand the unique psychosocial challenges and needs of these individuals.
LEVEL OF EVIDENCE
4.
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