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Work-related upper-extremity disorders and work disability: clinical and psychosocial presentation.

Authors
Himmelstein-JS; Feuerstein-M; Stanek-EJ III; Koyamatsu-K; Pransky-GS; Morgan-W; Anderson-KO
Source
J Occup Environ Med 1995 Nov; 37(11):1278-1286
NIOSHTIC No.
00230128
Abstract
Clinical and psychosocial aspects of work disability in work related upper extremity disorders were evaluated in 124 patients completing a base line evaluation at an occupational disorders clinic. Demographic, vocational, medical and psychosocial characteristics of the patients were evaluated. There were 55 patients who were working full or part time and 59 patients who were work disabled in the group. Compared to patients who were working, those who were work disabled were more likely to report that their symptoms were caused by an acute trauma, to have had prior surgery, to report higher levels of pain, to report greater psychological reactivity to pain and symptoms, to report higher levels of anger toward their employer, and to have a lawyer and be involved in litigation. In the disabled group, the diagnosis was more likely to be indeterminate (53%) than in the working group (38%). The authors conclude that there could be advantages to combining medical management directed at symptom relief with interventions to improve the patient's sense of personal control over symptoms and functional loss.
Keywords
NIOSH-Publication; NIOSH-Cooperative-Agreement; Cumulative-trauma-disorders; Musculoskeletal-system-disorders; Psychological-factors; Disabled-workers; Sociological-factors
CODEN
JOEMFM
Publication Date
19951101
Document Type
Journal Article
Funding Type
Cooperative Agreement
Fiscal Year
1996
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-CCU-106156
Issue of Publication
11
ISSN
1076-2752
Priority Area
Musculoskeletal-system-disorders
Source Name
Journal of Occupational and Environmental Medicine
State
MA
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