Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.

OBJECTIVE: To describe upper body structures associated with upper limb reduction deficiency and the development of these structures over time, to examine the presence of physical complaints in this population, and to compare body structures and complaints between groups based on prosthesis use. DES...

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Main Authors: Sietke G Postema, Corry K van der Sluis, Kristina Waldenlöv, Liselotte M Norling Hermansson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3511484?pdf=render
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author Sietke G Postema
Corry K van der Sluis
Kristina Waldenlöv
Liselotte M Norling Hermansson
author_facet Sietke G Postema
Corry K van der Sluis
Kristina Waldenlöv
Liselotte M Norling Hermansson
author_sort Sietke G Postema
collection DOAJ
description OBJECTIVE: To describe upper body structures associated with upper limb reduction deficiency and the development of these structures over time, to examine the presence of physical complaints in this population, and to compare body structures and complaints between groups based on prosthesis use. DESIGN: Prospective cohort study with a follow-up period of 24 years, with matched able-bodied controls. SUBJECTS: Twenty-eight patients with unilateral below-elbow reduction deficiency fitted with myoelectric prostheses, aged 8-18 years at inclusion. METHOD: Measurements of upper arm, trunk and spine were performed and study-specific questionnaires were answered at baseline and follow-up; the Brief Pain Inventory and the Quick Disability of Arm, Shoulder, and Hand questionnaires were answered at follow-up. RESULTS: Both at baseline and follow-up, within-subjects differences in structures of the arm and trunk were shown in patients but not in controls. Spinal deviations, although small, were greater in patients compared to controls. Self-reported disability was higher in patients compared to controls. Differences in back pain and effect of prostheses use could not be shown. CONCLUSIONS: Patients with unilateral below-elbow reduction deficiency have consistent differences in upper body structures. Deviations of the spine, probably of functional origin, do not progress to clinically relevant scoliosis.
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spelling doaj.art-fb14d9be1a6d4aabb80356dff69772e82022-12-21T17:49:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-01711e4972710.1371/journal.pone.0049727Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.Sietke G PostemaCorry K van der SluisKristina WaldenlövLiselotte M Norling HermanssonOBJECTIVE: To describe upper body structures associated with upper limb reduction deficiency and the development of these structures over time, to examine the presence of physical complaints in this population, and to compare body structures and complaints between groups based on prosthesis use. DESIGN: Prospective cohort study with a follow-up period of 24 years, with matched able-bodied controls. SUBJECTS: Twenty-eight patients with unilateral below-elbow reduction deficiency fitted with myoelectric prostheses, aged 8-18 years at inclusion. METHOD: Measurements of upper arm, trunk and spine were performed and study-specific questionnaires were answered at baseline and follow-up; the Brief Pain Inventory and the Quick Disability of Arm, Shoulder, and Hand questionnaires were answered at follow-up. RESULTS: Both at baseline and follow-up, within-subjects differences in structures of the arm and trunk were shown in patients but not in controls. Spinal deviations, although small, were greater in patients compared to controls. Self-reported disability was higher in patients compared to controls. Differences in back pain and effect of prostheses use could not be shown. CONCLUSIONS: Patients with unilateral below-elbow reduction deficiency have consistent differences in upper body structures. Deviations of the spine, probably of functional origin, do not progress to clinically relevant scoliosis.http://europepmc.org/articles/PMC3511484?pdf=render
spellingShingle Sietke G Postema
Corry K van der Sluis
Kristina Waldenlöv
Liselotte M Norling Hermansson
Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
PLoS ONE
title Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
title_full Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
title_fullStr Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
title_full_unstemmed Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
title_short Body structures and physical complaints in upper limb reduction deficiency: a 24-year follow-up study.
title_sort body structures and physical complaints in upper limb reduction deficiency a 24 year follow up study
url http://europepmc.org/articles/PMC3511484?pdf=render
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AT liselottemnorlinghermansson bodystructuresandphysicalcomplaintsinupperlimbreductiondeficiencya24yearfollowupstudy