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Predictors of return to work with upper limb disorders.

S Moshe¹, R Izhaki², G Chodick³

¹Occupational Medicine Department, Maccabi Healthcare Services, 5840419 Holon, Israel, Environmental and Occupational Health Department, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, 6997801 Tel Aviv, Israel, shlomo.moshe@gmail.com.

Occupational Medicine (Oxford, England)

|July 22, 2015

Summary

A high Disability of the Arm, Shoulder and Hand (DASH) score is a significant predictor of not returning to work for individuals with upper limb disorders (ULDs). Early identification of high DASH scores can guide interventions for successful return to work (RTW).

Keywords:

Incapacity for work musculoskeletal occupational fitness sickness absence upper limb disorder.

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Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

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Published on: February 22, 2020

Area of Science:

Occupational Health
Rehabilitation Medicine
Musculoskeletal Disorders

Background:

Return to work (RTW) is crucial for managing upper limb disorders (ULDs).
Numerous factors and complex interactions complicate identifying individuals at risk of not returning to work (NRTW).
Effective interventions for ULDs require pinpointing predictors of NRTW.

Purpose of the Study:

To evaluate clinical, functional, and occupational parameters influencing RTW in ULD patients.
To identify significant predictors for successful RTW among ULD sufferers.

Main Methods:

Retrospective analysis of 52 workers with ULDs referred to an occupational health clinic.
Functional assessment included objective measures and the Disability of the Arm, Shoulder and Hand (DASH) score.
Work requirements were quantified using Dictionary of Occupational Titles definitions; RTW status was confirmed via telephone.

Main Results:

The overall RTW rate was 42%.
The mean DASH score was significantly lower in the RTW group (27) compared to the NRTW group (56) (P < 0.001).
Multivariate analysis identified only the DASH score as a significant independent predictor of RTW (P < 0.05).

Conclusions:

A high DASH score serves as a critical warning sign for physicians and rehabilitation staff assessing RTW potential in ULD cases.
Focusing on individuals with a significant discrepancy between high DASH scores and low objective disability may optimize intervention efforts.
The DASH score is a key functional parameter for predicting return to work in upper limb disorders.