Predictors of successful work role functioning after carpal tunnel release surgery.
Amick-BC III; Habeck-RV; Ossmann-J; Fossel-AH; Keller-R; Katz-JN
J Occup Environ Med 2004 May; 46(5):490-500
This study identified the clinical, individual, and workplace predictors of successful work role functioning (WRF) after carpal tunnel release surgery (CTRS). A community-based cohort (n = 197) was followed for 6 months post-CTRS. Predictors of successful WRF were analyzed prospectively using ordinal logistic regression. Baseline WRF predicted successful WRF at 2 months, whereas being depressed and a workers' compensation claimant predicted being out of work. Baseline WRF, improved self-efficacy, and a supportive organization predicted 6-month successful WRF. Supportive organizations have an impact on the effectiveness of medical interventions for CTS. The significance of improved self-efficacy at 6 months and depression at 2 months postsurgery highlights the importance of psychosocial management of musculoskeletal disorders.
Work-performance; Workers; Psychological-factors; Psychological-reactions; Psychological-adaptation; Carpal-tunnel-syndrome; Musculoskeletal-system-disorders; Neuromuscular-function; Neuromuscular-system; Neuromuscular-system-disorders
University of Texas, School of Public Health, Houston, Texas, USA
Work Environment and Workforce: Organization of Work
Journal of Occupational and Environmental Medicine
University of Texas, School of Public Health, Houston Health Science Center, Houston, Texas