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Predictors of work disability in work-related upper-extremity disorders

  [ 52 votes ]   [ Discuss This Article ]
By Friedman PJ • • April 15, 1997

The aim of this study was to compare symptoms, signs, grip strength,
passive wrist flexion angle, and self-rated disability in
work-related upper extremity disorders (WRUEDs) to determine
predictors of work disability in 106 consecutive patients.
Age, gender, and duration of symptoms were unrelated to
current work status. The best predictors of current work hours
were, in descending order, the Fibromyalgia Impact
Questionnaire (FIQ), Modified Stanford Health Assessment
Questionnaire (SHAQ), weeks of work absence, passive wrist
flexion angle of the affected arm, neck pain or stiffness on
movement, and grip in affected arm. FIQ and SHAQ scores were
significantly correlated with objective measures of
upper-extremity function. FIQ and SHAQ scores are valid
measures of work disability in WRUEDs, which are more closely
related to current work hours than to time off work, symptoms,
or physical signs.

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