Multidisciplinary team evaluation of upper extremity injuries in a single visit: the UPPER Program

Area of Science:

• Rehabilitation Medicine
• Orthopedics
• Pain Management

Background:

• Musculoskeletal disorders are a primary cause of disability in adults aged 18-64.
• Current management for upper extremity injuries often involves isolated physician and therapist care, with limited options for complex or persistent cases.
• A structured, multidisciplinary approach for chronic upper limb pain has not been previously detailed.

Purpose of the Study:

• To describe the development and structure of the UPper extremity Protocol Evaluation in Rehabilitation (UPPER) Program.
• To provide a model for a multidisciplinary assessment program for patients with disabling upper limb musculoskeletal disorders.
• To facilitate the replication of this program in other institutions.

Main Methods:

• The UPPER Program utilizes a multidisciplinary team including a physiatrist, occupational therapist, physical therapist, exercise physiologist, vocational counselor, and pain psychologist.
• Program components include a pre-evaluation questionnaire, individual assessments by each team member, and a convened team meeting.
• Patient care is concluded with a review of findings and recommendations by the team physician.

Main Results:

• The UPPER Program offers a structured, comprehensive evaluation for patients with disabling upper limb musculoskeletal disorders.
• The program integrates diverse expertise to address complex patient needs.
• Detailed program elements are presented for potential implementation elsewhere.

Conclusions:

• The UPPER Program represents a novel multidisciplinary assessment model for challenging upper limb musculoskeletal conditions.
• This integrated approach aims to improve management options for patients with chronic upper limb pain.
• The program's detailed description supports its potential for wider adoption and adaptation.