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Measurement of Spatial Stability in Precision Grip
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Finger Stiffness.

Thijs C H Oosterhoff1, Sjoerd P F T Nota1, David Ring1

  • 1Orthopaedic Hand Service, Yawkey Center, Suite 2100, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA.

Journal of Hand and Microsurgery
|June 17, 2015
PubMed
Summary
This summary is machine-generated.

Finger stiffness is often linked to overprotectiveness, a coping strategy. This study found overprotectiveness is common in patients with finger stiffness, regardless of the injury

Keywords:
DisabilityFinger stiffnessKinesiophobiaOverprotectivenessPainPain catastrophizing

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Area of Science:

  • Orthopaedic Surgery
  • Rehabilitation Medicine
  • Psychology

Background:

  • Finger stiffness is a common issue in hand and upper extremity conditions, often exceeding expectations based on the underlying pathology.
  • Pain and disability in these patients frequently correlate with maladaptive coping strategies like catastrophic thinking and kinesiophobia, collectively termed overprotectiveness.
  • The study investigates whether the location of the primary pathology (within or outside the hand) influences the prevalence of overprotectiveness in patients with significant finger stiffness.

Purpose of the Study:

  • To determine if patients with finger stiffness exhibit higher rates of overprotectiveness when the primary pathology is located outside the hand compared to within the hand.
  • To assess the prevalence of overprotectiveness across different etiologies of finger stiffness.

Main Methods:

  • A retrospective analysis of 160 patients with greater-than-expected finger stiffness was conducted.
  • Patients were categorized based on the site of primary pathology: inside the hand, outside the hand, or psychiatric etiology.
  • The proportion of patients exhibiting overprotective behaviors was compared across these categories.

Main Results:

  • Out of 160 patients with significant finger stiffness, 132 (82%) were characterized as overprotective.
  • Overprotectiveness was observed in 81% of patients with pathology inside the hand, 89% with pathology outside the hand, and 63% with psychiatric etiology.
  • The differences in overprotectiveness rates based on the site of pathology were not statistically significant.

Conclusions:

  • Overprotectiveness is a prevalent coping strategy in patients experiencing significant finger stiffness, irrespective of the primary pathology's location or type.
  • Early identification and management of maladaptive coping strategies are recommended to mitigate long-term impairment, symptoms, and disability in patients with finger stiffness.
  • This suggests a need for integrated psychological support in the rehabilitation of patients with hand and upper extremity conditions leading to finger stiffness.