Understanding Musculoskeletal Concerns of Adults with Congenital Upper Limb Differences: Prevalence, Impact on Function and Treatment

Limited research exists regarding challenges encountered by individuals with congenital unilateral upper limb differences (CUULD). There is a gap in understanding the impact of these challenges on everyday activities and interventions received. This poses a challenge for rehabilitative professionals to tailor treatments to address the unique needs of this population. This study examined the musculoskeletal concerns of individuals with CUULD, the impact on daily activities and the satisfaction of treatments received for these concerns. Data was gathered from 95 participants with CUULD using a 19-question survey including symptoms, activities impacted, treatments received and perceived satisfaction of those interventions. Data was analyzed using descriptive statistics and frequency analysis. The results indicate that 82% of respondents have or currently experience musculoskeletal issues with 41% experiencing these by the age of 25. Neck pain was the highest reported symptom (51%) followed by general pain (43%) and tingling/numbness (42%). Treatments received indicate a wide variety with mixed satisfaction. Lastly, participants rated weightlifting/strength training as the most impacted activity with yard work/general maintenance rated second. This study highlights the impact of CUULD on individuals and their daily activities and underscores the need for interventions that target the symptoms experienced and address engagement in impacted activities.