Predictors of Disability and Quality of Life With an Upper-Extremity Peripheral Nerve Disorder

We sought to understand the wide range of problems that patients with upper-extremity peripheral nerve disorders experience and to identify predictors of disability and quality of life (QOL). Data from standardized assessments of disability and QOL, physical examination results, and intake surveys f...

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Bibliographic Details
Published in:The American journal of occupational therapy 2017-01, Vol.71 (1), p.7101190050p1-7101190050p8
Main Authors: Stonner, Macyn Miller, Mackinnon, S E, Kaskutas, Vicki
Format: Article
Language:English
Subjects:
Activities of daily living
Analysis
Body Composition
Care and treatment
Correlation
Depression (Psychology)
Disabilities
Emotional Problems
Injuries
Likert Scales
Marital Status
Medical Evaluation
Mental Disorders
Occupational therapy
Outcome Measures
Pain
Patients
Peripheral nervous system diseases
Physical Examinations
Prognosis
Psychometrics
Quality of Life
Reliability
Risk factors
Surveys
Validity
Workers Compensation
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Summary:We sought to understand the wide range of problems that patients with upper-extremity peripheral nerve disorders experience and to identify predictors of disability and quality of life (QOL). Data from standardized assessments of disability and QOL, physical examination results, and intake surveys from 627 patients were analyzed using descriptive and inferential statistics. We compared results between groups and built multivariate models measuring disability, work disability, and physical and mental QOL. The sample demonstrated substantial disability and even greater work disability, which both closely correlated with poorer QOL. Work status was integral in predicting disability. Common predictors across models included problems with sleep and intimate relationships, deficits in work and household performance, and higher pain. To decrease disability and improve QOL, occupational therapy practitioners should help patients with upper-extremity peripheral nerve disorders identify strategies to maintain meaningful work and household roles, intimate relationships, and sleep, while continuing to address pain.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2017.022988