Accession Number : AD1011935

Title :   Predicting Clinical Outcomes and Lost Work in Patients with Work-Related Upper Extremity Disorders

Descriptive Note : Technical Report

Corporate Author : Uniformed Services University of the Health Sciences Bethesda United States

Personal Author(s) : Miller,Julie K

Full Text :

Report Date : 13 Feb 1998

Pagination or Media Count : 135

Abstract : Although past research bas suggested that a wide range of demographic, occupational, physiological, biomechanical, and psychosocial factors may be important in work-disabled low back pain patients, the influence of a combination of these factors on clinical outcomes and lost work in patients with work-related upper extremity disorders has rarely been studied. The present study utilized a prospective multifactorial approach to predict clinical and work outcomes in a recently diagnosed sample of work-related upper extremity patients. The objectives were two-fold: First, to develop and validate a comprehensive assessment instrument to be utilized by health care professionals to assess and predict clinical outcomes in patients at increased risk for chronic long-term disability. Second, the study attempted to determine whether a multivariate model which considers demographics and occupational status, medical status, pain/symptoms, activity/function, work. demands work characteristics, work environment/work perceptions, support, and mental health measures determined in the early stages of a work-related upper extremity disorder is predictive of clinical and workout comes at one month post initial diagnosis. Forty-eight subjects were assessed via questionnaire and pinch/grip strength measurements no more than six weeks after their initial diagnosis with a work-related upper extremity disorder. Outcome measures of days lost work, pain/symptoms, activity/function, and mental health were completed one month after baseline. MuItivariate hierarchical regression analyses were used to determine the relationship of predictor variables to each of the four outcomes. Results indicated that number of lost workdays was predicted by attorney consultation, days missed work in the previous month, symptom severity, and high work support. Pain/Symptoms were predicted by prior healthcare treatment history, baseline symptom severity and function scores, and ergonomic stressors.

Descriptors :   wounds and injuries , upper extremity , patients , pain , work , health services , surveys , questionnaire

Distribution Statement : APPROVED FOR PUBLIC RELEASE