Literature DB >> 16019872

Impairment and employment issues after nerve repair in the hand and forearm.

P M Meiners1, J H Coert, P H Robinson, M F Meek.   

Abstract

PURPOSE: To evaluate retrospectively subjective impairments, experienced disabilities, job and leisure restrictions and job changes in patients at least 2 years after repair of a peripheral nerve injury in the forearm, wrist or hand.
METHODS: Between January 1,997 and January 2,000, 125 patients were treated surgically for a peripheral nerve injury in the hand and forearm at the Department of Plastic Surgery of a University Hospital. Sixty-one patients met the inclusion criteria. Using a questionnaire the ability to return to work (RTW), the possible consequences on Activities of Daily Life (ADL) and Instrumental Activities of Daily Life (IADL), job, hobby and housekeeping related disabilities and subjective pain were assessed.
RESULTS: Forty of the 61 included patients returned the questionnaire. As a result of the injury, seven patients (19%) were not able to return to their own job and eight patients (20%) needed to quit or change their hobbies. Mean Time Off Work (TOW) was significantly longer (p=0.024) in non-digital nerve lesions (21.4 weeks) as compared to digital nerve lesions (9.5 weeks).
CONCLUSIONS: From this study it was concluded that digital nerve lesions have little consequence on the ability to return to work and the time off work. However, the patients' hobbies are significantly affected. At least 2 years after the injury, the effects on ADL and IADL are minor.

Entities:  

Mesh:

Year:  2005        PMID: 16019872     DOI: 10.1080/09638280500030423

Source DB:  PubMed          Journal:  Disabil Rehabil        ISSN: 0963-8288            Impact factor:   3.033


  5 in total

1.  Correlation of return to work outcomes and hand impairment measures among workers with traumatic hand injury.

Authors:  Jer-Hao Chang; Mingyi Wu; Chia-Ling Lee; Yue-Liang Guo; Haw-Yen Chiu
Journal:  J Occup Rehabil       Date:  2011-03

2.  Neuropathic pain in patients with upper-extremity nerve injury.

Authors:  Christine B Novak; Joel Katz
Journal:  Physiother Can       Date:  2010-07-23       Impact factor: 1.037

3.  Optimizing Costs and Outcomes for Carpal Tunnel Release Surgery: A Cost-Effectiveness Analysis from Societal and Health-Care System Perspectives.

Authors:  Miranda J Rogers; Andrew R Stephens; Minkyoung Yoo; Richard E Nelson; Nikolas H Kazmers
Journal:  J Bone Joint Surg Am       Date:  2021-08-24       Impact factor: 5.284

4.  Validity of the dictionary of occupational titles for assessing upper extremity work demands.

Authors:  Lonneke Opsteegh; Remko Soer; Heleen A Reinders-Messelink; Michiel F Reneman; Corry K van der Sluis
Journal:  PLoS One       Date:  2010-12-03       Impact factor: 3.240

5.  Determinants of return to work in patients with hand disorders and hand injuries.

Authors:  Lonneke Opsteegh; Heleen A Reinders-Messelink; Donna Schollier; Johan W Groothoff; Klaas Postema; Pieter U Dijkstra; Corry K van der Sluis
Journal:  J Occup Rehabil       Date:  2009-05-13
  5 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.