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Related Experiment Videos

Injuries from construction falls. Functional limitations and return to work.

M Gillen1

  • 1Department of Community Health Systems, School of Nursing, University of California, San Francisco, USA.

AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses
|April 17, 1999
PubMed
Summary

The Stanford Health Assessment Questionnaire (HAQ) effectively measures functional limitations after nonfatal falls in construction workers. This disability index provides better data than the Injury Severity Score (ISS) for assessing recovery.

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Area of Science:

  • Occupational Health
  • Injury Assessment
  • Rehabilitation Medicine

Background:

  • Assessing the severity of less serious occupational injuries remains a challenge.
  • Nonfatal falls in the workplace can lead to significant functional limitations and lost workdays.

Purpose of the Study:

  • To evaluate the utility of the Injury Severity Score (ISS) and the Stanford Health Assessment Questionnaire (HAQ) in measuring injury severity after nonfatal falls in construction workers.
  • To determine the functional limitations and recovery patterns of construction workers following workplace falls.

Main Methods:

  • A study involving 255 construction workers who experienced nonfatal falls.
  • Utilized the Injury Severity Score (ISS) and the Stanford Health Assessment Questionnaire (HAQ) to assess injury severity and functional limitations.

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  • Analyzed HAQ scores, task-specific difficulties, and correlation with days lost from work.

    • Main Results:

    • Stanford Health Assessment Questionnaire (HAQ) scores demonstrated a more normal distribution than the Injury Severity Score (ISS).
    • Workers reported most difficulty with heavy chores, dressing, and bending to pick up items.
    • HAQ scores showed a moderate correlation with days lost from work (r = .52, p < .001).
    • A significant number of workers (97) returned to light or modified duty.

    Conclusions:

    • The Stanford Health Assessment Questionnaire (HAQ) is a valuable tool for assessing functional limitations in construction workers after nonfatal falls.
    • The HAQ provides more sensitive and normally distributed data on recovery compared to the ISS for less severe injuries.
    • Understanding functional limitations is crucial for effective return-to-work strategies in occupational injury rehabilitation.