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Related Experiment Videos

Factors affecting return to work after hand injury.

J Bear-Lehman

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |March 1, 1983
    PubMed
    Summary

    Return to work after hand injury depends on more than surgery. Financial need, daily living activities, and occupational therapy significantly impact a hand-injured worker's return to employment.

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    Area of Science:

    • Orthopedics
    • Occupational Health
    • Rehabilitation Medicine

    Background:

    • Hand injuries pose significant challenges to wage earners, affecting their ability to return to work.
    • Surgical outcomes alone do not fully explain return-to-work (RTW) status in hand-injured individuals.

    Purpose of the Study:

    • To identify factors beyond surgical excellence that influence return-to-work status for hand-injured wage earners.
    • To explore the relationship between daily living activities, occupational therapy, financial status, and RTW.

    Main Methods:

    • A study involving 61 hand-injured subjects.
    • Data collection through chart audits and interviews.
    • Quantification of medical history, occupational therapy participation, activities of daily living (ADL) capacity, desire/ability to work, and financial support.
    • Measurement of occupational development using the Moorhead Occupational Work History.

    Main Results:

    • Financial need, ADL capacity, and occupational therapy participation were directly related to RTW status.
    • No significant difference in RTW rates was observed between dominant and nondominant hand injuries.
    • The extent of medical care and its delivery setting (inpatient/outpatient) were not associated with RTW.

    Conclusions:

    • Return to work for hand-injured individuals is multifactorial, influenced by psychosocial and functional elements.
    • Occupational therapy and financial support are crucial for facilitating employment re-entry.
    • Focusing solely on surgical outcomes is insufficient for optimizing return-to-work strategies.

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