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Upper extremity cumulative trauma disorder and return to work assessment
1Columbia University, College of Physicians and Surgeons, Programs in Occupational Therapy, 710 West 168th Street, 8th Floor, New York, NY 10032, USA.
Work (Reading, Mass.)
|January 21, 2014
Summary
This study reviews methods for evaluating upper limb cumulative trauma disorder (CTD). It details clinical tests and observations for diagnosis, and outlines a two-stage therapeutic approach for symptom management.
Area of Science:
- Occupational Medicine
- Rehabilitation Science
- Clinical Evaluation
Background:
- Upper limb cumulative trauma disorder (CTD) presents diagnostic and therapeutic challenges.
- Effective management requires a comprehensive evaluation approach.
Purpose of the Study:
- To outline a systematic approach for evaluating patients with upper limb CTD.
- To describe qualitative and quantitative assessment methods.
- To present a staged therapeutic intervention strategy.
Main Methods:
- Review of clinical evaluation techniques for CTD.
- Inclusion of range of motion, strength, sensation, and dexterity tests.
- Emphasis on observational data for posture, symptoms, and pain related to activities of daily living (ADL) and work.
Main Results:
- Quantitative measures like range of motion and strength are essential.
- Qualitative observations of posture and symptoms provide crucial diagnostic information.
- A two-stage intervention (symptom calming, then control) is proposed.
Conclusions:
- A combined qualitative and quantitative evaluation is necessary for upper limb CTD.
- Systematic observation aids in understanding patient presentation and functional limitations.
- A phased therapeutic approach optimizes patient outcomes.
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