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Related Experiment Videos

Graded work exposure to promote work return after severe hand trauma: a replicated study.

B K Grunert1, C A Devine, C J Smith

  • 1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.

Annals of Plastic Surgery
|December 1, 1992
PubMed
Summary

Graded work exposure effectively helped patients with posttraumatic stress disorder after hand injuries return to work. Most patients maintained full-time employment at 6 months, even those with flashbacks.

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Area of Science:

  • Occupational medicine
  • Psychiatry
  • Rehabilitation

Background:

  • Work-related hand injuries can lead to posttraumatic stress disorder (PTSD).
  • PTSD significantly hinders patients' ability to return to work.
  • Previous return-to-work interventions have shown limited success, especially for patients with specific PTSD symptoms like flashbacks.

Purpose of the Study:

  • To evaluate the effectiveness of a graded work exposure program for patients with PTSD after work-related hand injuries.
  • To assess the program's success in facilitating return to work and sustained employment.

Main Methods:

  • A graded work exposure program was implemented for 51 patients with PTSD following hand injuries.
  • The study included an initial group (25 patients) and a replication group (26 patients).

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  • Outcomes measured included return to work with previous employers and sustained full-time employment at 6-month follow-up.

    • Main Results:

    • The program successfully returned 92% (initial group) and 88% (replication group) of patients to work with their previous employers.
    • At 6-month follow-up, 88% (initial group) and 80.1% (replication group) remained employed full-time.
    • The intervention was effective for 73% of patients experiencing appraisal/projected flashbacks, a symptom previously linked to high failure rates.

    Conclusions:

    • Graded work exposure is an effective treatment for promoting return to work in patients with PTSD after severe hand injuries.
    • The program demonstrates significant success in achieving sustained employment, even for patients with challenging psychological symptoms.
    • This intervention offers a viable pathway for occupational rehabilitation and improved long-term work outcomes.