Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome
Abstract Background Regarding musculoskeletal conditions, patient’s psychological distress, are shown to be associated with higher disability. Cervical radiculopathy (CR) and carpal tunnel syndrome (CTS), are two conditions caused by entrapment of cervical nerve roots and carpal median nerve, respec...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05593-2 |
| _version_ | 1818517711080128512 |
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| author | Mahla Daliri B.O. Hamidreza Mazloum Khorasani Neda Daliri Beirak Olia Amin Azhari Mohammadtaghi Shakeri Ali Moradi |
| author_facet | Mahla Daliri B.O. Hamidreza Mazloum Khorasani Neda Daliri Beirak Olia Amin Azhari Mohammadtaghi Shakeri Ali Moradi |
| author_sort | Mahla Daliri B.O. |
| collection | DOAJ |
| description | Abstract Background Regarding musculoskeletal conditions, patient’s psychological distress, are shown to be associated with higher disability. Cervical radiculopathy (CR) and carpal tunnel syndrome (CTS), are two conditions caused by entrapment of cervical nerve roots and carpal median nerve, respectively. This study aims to investigate the association of psychological factors including depression, anxiety, and pain catastrophizing, with measures of upper limb patient-reported and performance-based disability, in patients with CR, and compare the obtained results with our similar study on CTS. Methods In a cross-sectional study, we recruited 92 patients with CR, and investigated their disability level using patient-reported questionnaires (Quick Disabilities of the Arm, Shoulder and Hand (DASH) and pain Likert Scale) and by measuring grip and pinch strength. We also assessed their psychological status with Hospital Anxiety and Depression Scale questionnaire for depression (HADS-D) and anxiety (HADS-A) and also Pain Catastrophizing Scale (PCS) tools. We performed correlational coefficient analysis between disability and psychological scores and regression analysis of dependent variables (Pain, DASH, grip and pinch scores) and independent (psychological) variables. Finally, Z observed value was calculated to compare correlational coefficients between two diseases of CTS and CR. Results The results of the correlational coefficient analysis indicate that all three HADS-A, HADS-D and PCS scores correlated with DASH score (r = 0.49, 0.37, 0.38 for HADS-A, HADS-D and PCS, respectively; p < 0.001 for all three). HADS-A also significantly correlated with VAS pain score (r = 0.41, P < 0.001) and grip strength (r = − 0.25, P = 0.016). Linear regression analysis revealed that anxiety has a notable value for DASH and VAS pain scores as well as grip strength. Fisher’s r correlation coefficient to z transformation, revealed that there was no difference between two diseases of CTS and CR in terms of the resulted r coefficients from correlational coefficient analysis between disability and psychological distress. Conclusion It is concluded that psychological disorders are associated with disability in CR patients, with anxiety also correlating with objective disability parameter of grip strength. Finally, both CTS and CR patients’ disabilities associate with anxiety, depression, and catastrophysing thinking in a similar manner. Level of evidence Level IV (cross-sectional study). |
| first_indexed | 2024-12-11T00:59:59Z |
| format | Article |
| id | doaj.art-52cba39046bf45e9a476f80b3322c5c7 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-11T00:59:59Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-52cba39046bf45e9a476f80b3322c5c72022-12-22T01:26:22ZengBMCBMC Musculoskeletal Disorders1471-24742022-07-012311910.1186/s12891-022-05593-2Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndromeMahla Daliri B.O.0Hamidreza Mazloum Khorasani1Neda Daliri Beirak Olia2Amin Azhari3Mohammadtaghi Shakeri4Ali Moradi5Orthopedics Research Center, Mashhad University of Medical SciencesOrthopedics Research Center, Mashhad University of Medical SciencesOrthopedics Research Center, Mashhad University of Medical SciencesOrthopedics Research Center, Mashhad University of Medical SciencesDepartment of Community Medicine and Public Health, Ghaem Hospital, Mashhad University of Medical SciencesOrthopedics Research Center, Mashhad University of Medical SciencesAbstract Background Regarding musculoskeletal conditions, patient’s psychological distress, are shown to be associated with higher disability. Cervical radiculopathy (CR) and carpal tunnel syndrome (CTS), are two conditions caused by entrapment of cervical nerve roots and carpal median nerve, respectively. This study aims to investigate the association of psychological factors including depression, anxiety, and pain catastrophizing, with measures of upper limb patient-reported and performance-based disability, in patients with CR, and compare the obtained results with our similar study on CTS. Methods In a cross-sectional study, we recruited 92 patients with CR, and investigated their disability level using patient-reported questionnaires (Quick Disabilities of the Arm, Shoulder and Hand (DASH) and pain Likert Scale) and by measuring grip and pinch strength. We also assessed their psychological status with Hospital Anxiety and Depression Scale questionnaire for depression (HADS-D) and anxiety (HADS-A) and also Pain Catastrophizing Scale (PCS) tools. We performed correlational coefficient analysis between disability and psychological scores and regression analysis of dependent variables (Pain, DASH, grip and pinch scores) and independent (psychological) variables. Finally, Z observed value was calculated to compare correlational coefficients between two diseases of CTS and CR. Results The results of the correlational coefficient analysis indicate that all three HADS-A, HADS-D and PCS scores correlated with DASH score (r = 0.49, 0.37, 0.38 for HADS-A, HADS-D and PCS, respectively; p < 0.001 for all three). HADS-A also significantly correlated with VAS pain score (r = 0.41, P < 0.001) and grip strength (r = − 0.25, P = 0.016). Linear regression analysis revealed that anxiety has a notable value for DASH and VAS pain scores as well as grip strength. Fisher’s r correlation coefficient to z transformation, revealed that there was no difference between two diseases of CTS and CR in terms of the resulted r coefficients from correlational coefficient analysis between disability and psychological distress. Conclusion It is concluded that psychological disorders are associated with disability in CR patients, with anxiety also correlating with objective disability parameter of grip strength. Finally, both CTS and CR patients’ disabilities associate with anxiety, depression, and catastrophysing thinking in a similar manner. Level of evidence Level IV (cross-sectional study).https://doi.org/10.1186/s12891-022-05593-2Cervical radiculopathyPsychologyCarpal tunnel syndromeDisability |
| spellingShingle | Mahla Daliri B.O. Hamidreza Mazloum Khorasani Neda Daliri Beirak Olia Amin Azhari Mohammadtaghi Shakeri Ali Moradi Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome BMC Musculoskeletal Disorders Cervical radiculopathy Psychology Carpal tunnel syndrome Disability |
| title | Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome |
| title_full | Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome |
| title_fullStr | Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome |
| title_full_unstemmed | Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome |
| title_short | Association of psychological factors with limb disability in patients with cervical radiculopathy: comparison with carpal tunnel syndrome |
| title_sort | association of psychological factors with limb disability in patients with cervical radiculopathy comparison with carpal tunnel syndrome |
| topic | Cervical radiculopathy Psychology Carpal tunnel syndrome Disability |
| url | https://doi.org/10.1186/s12891-022-05593-2 |
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