Work-related upper-extremity disorders (WRUEDs) are an increasingly common cause of work-related symptoms and disability.
Although most upper-extremity disorders are acute and self-limited, a small percentage of workers with symptoms go on to permanent disability and account for the majority of costs associated with these conditions.
Little is known, however, about this progression from symptoms to disability and how it might be prevented.
In this study, we evaluate the demographic, vocational, medical, and psychosocial characteristics of patients with WRUEDs and examine several hypotheses regarding the differences between working and work-disabled patients.
One hundred twenty four consecutive patients were evaluated in a clinic specializing in occupational upper-extremity disorders.
Patients currently working (n=55) and work-disabled patients (n=59) were similar with regard to age, gender, and reported job demands.
The work-disabled group reported less time on the job, more surgeries, a higher frequency of acute antecedent trauma, and more commonly had « indeterminate » musculoskeletal diagnoses.
They also reported higher pain levels, more anger with their employer, and a greater psychological response or reactivity to pain.
These findings, though cross-sectional in nature, suggest that, in addition to medical management, more aggressive approaches to pain control, prevention of unnecessary surgery, directed efforts to improve patients'abilities to manage r...
Mots-clés Pascal : Traumatisme, Récidive, Exposition professionnelle, Homme, Membre supérieur, Canal carpien syndrome, Incapacité travail, Activité professionnelle, Etude comparative, Démographie, Douleur, Perception sociale, Coping, Peur, Compression, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie, Bien être, Médecine travail
Mots-clés Pascal anglais : Trauma, Relapse, Occupational exposure, Human, Upper limb, Carpal tunnel syndrome, Work disability, Professional activity, Comparative study, Demography, Pain, Social perception, Coping, Fear, Compression, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system, Well being, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0066260
Code Inist : 002B16N. Création : 199608.