Importance of hand impairment measures on return to work among industrial workers with zone II flexor tendon repair

A. Anitha; M. Manikumar; J. Muthukumaran

doi:10.53730/ijhs.v6nS6.10197

Authors

Anitha A.
anithaarul86@gmail.com
PhD Scholar, Saveetha College of Physiotherapy, SIMATS, Chennai, Tamil Nadu
M. Manikumar Professor, Saveetha College of Physiotherapy, SIMATS, Chennai, Tamil Nadu
Muthukumaran J. Professor, Saveetha College of Physiotherapy, SIMATS, Chennai, Tamil Nadu

Keywords:

return to work, Zone II, tendon repair, Hand evaluation, time to return to work, power grip

Abstract

Introduction: Hand injuries are one among the commonest yet the most serious occupational trauma among industrial workers leading to impairment of the hand as it affect the return to work (RTW) and sometimes may even cause permanent dysfunction leading to disability. This study investigated the importance of hand impairment measures on RTW and the overall hand impairment measures among industrial workers with Zone II Flexor tendon repair. Methods: Seventy-six subjects with industrial hand injury were recruited in this study to answer the RTW questionnaire and hand evaluation was performed on their affected hands. RTW outcomes assessed whether the subjects successfully returned to the same work, either from a job change, job modification or salary reduction, and the length of the time taken to return to work (TRTW). The hand impairment measures included the hand impairment ratio, total active motion loss, grasp power loss, lateral-pinch power loss, and palmar-pinch power loss. Results: The result of the study indicated that grasp power loss was a significant predictor for the length of TRTW. Besides, the hand impairment ratio was also found to have mild significance influence with TRTW.

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References

Atroshi I, Johnsson R, Ornstein E. Patient satisfaction and return to work after endoscopic carpal tunnel surgery. J Hand Surg. 1998;23A:58–65.

Matheson NL, Isernhagen SJ, Hart DL. Relationships among lifting ability, grip force, and return to work. Phys Ther. 2002;82(3):249–56.

Feuerstein M, Huang GD, Ortiz JM, Shaw WS, Miller VI, Wood PM. Integrated case management for work-related upper extremity disorders: impact of patient satisfaction on health and work status. J Occup Environ Med. 2003;45(8):803–12.

Shankar S, Naveen Kumar R, Mohankumar P, Jayaraman S. Prevalence of work-related musculoskeletal injuries among South Indian hand screen-printing workers. Work. 2017 Jan 1;58(2):163-72.

M. K. Chang and S. C. Tay, “Flexor Tendon Injuries and Repairs: A Single Centre Experience,” J. Hand Surg. (Asian-Pacific Vol., vol. 23, no. 04, pp. 487–495, 2018

De Jong JP, Nguyen JT, Sonnema AJ, Nguyen EC, Amadio PC, Moran SL. The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clin Orthop Surg. 2014;6(2):196 -202.

Manninen M, Karjalainen T, Maat a J, Flinkkia T. Epidemiology of € flexor tendon injuries of the hand in a Northern Finnish population. Scand J Surg. 2016;Aug: 1-5

Bear-Lehman J. Factors affecting return to work after hand injury. Am J Occup Ther. 1983;27:189–94.

Liu YH, Lin MR, Wang JD. Cost and determinants of morbidity from work related disabling injuries in Taiwan. Occup Environ Med. 1995;52:138–42.

Kelsey JL, Praemer A, Nelson LM, Felberg A, Rice DP. Upper extremity disorders: frequency, impact, and cost. New York: Churchill Livingstone; 1997.

O’Sullivan ME, Colville J. The economic impact of hand injuries. J Hand Surg. 1993;18(3):395–8.

Opsteegh L, Reinders-Messelink HA, Schollier D, Groothoff JW, Postema K, Dijkstra PU, van der Sluis CK. Determinants of return to work in patients with hand disorders and hand injuries. J Occup Rehabil. 2009;19:245–55.

Jang Y, Hwang MT, Hsieh CL, Li WS. Factors influencing return to work after occupational hand injuries. J Occup Ther Assoc. 1996;14(2):115–25.

Rusch MD, Dzwierzynski WW, Sanger JR, Pruit NT, Siewert AD. Return to work outcomes after work-related hand trauma: the role of causal attributions. J Hand Surg. 2003;28A:673–7.

Katz JN, Keller RB, Fossel AH, Punnett L, Bessette L, Simmons BP, Mooney N. Predictors of return to work following carpal tunnel release. Am J Ind Med. 1997;31(1):85–91.

Bruyns CNP, Jaquet JB, Schreuders TAR, Kalmijn S, Kuypers PDL, Hovius SER. Predictors for return to work in patients with median and ulnar nerve injuries. J Hand Surg. 2003;28A(1): 28–34

Mink van der Molen AB, Matloub HS, Dzwierzynski W, Sanger JR. The hand injury severity scoring system and workers’ compensation cases in Wisconsin, USA. J Hand Surg. 1999;24B: 184–6.

Saxena P, Cutler L, Feldberg L. Assessment of the severity of hand injuries using ‘‘hand injury severity score’’, and its correlation with the functional outcome. Injury. 2004;35(5):511–6.

Mink van der Molen AB, Ettema AM, Hovius SER. Outcome of hand trauma: the hand injury severity scoring system (HISS) and subsequent impairment and disability. J Hand Surg. 2003; 28(B):295–9.

Lee CL, Wu MY, Chang JH, Chiu HY, Chiang CH, Huang MH, Guo YL. Prediction of hand function after occupational hand injury by evaluation of initial anatomical severity. Disabil Rehabil. 2008;30(11):848–54.

Hart DL, Berlin S, Braeger P, Caruso M, Hejduk JFJ, Howar JM,

Snyder KP, Susi JL, Wahl MD. Development of clinical standards in industrial rehabilitation. J Orthop Sports Phys Ther. 1994;19(5):232–41.

Mackin EJ, Callahan AD, Osterman AE, Skirven TM, Schneider LH, Hunter JM. Rehabilitation of the hand and upper extremity.Louis: Mosby; 2002

Rondinelli RD, Katz RT. Merits and shortcomings of the American medical association guides to the evaluation of permanent impairment, 5th edition: a physiatric perspective. Phys Med Rehabil Clinics NA. 2002;13(2):355–70.

American Medical Association. Guides to the evaluation of permanent impairment. 5th ed. Chicago: American Medical Association; 2001.

Heolmes EB. Impairment rating and disability determination. 2005; Available from: http://www.emedicine.com/pmr/topic170. htm.

Gloss DS, Wardle MG. Reliability and validity of American Medical Association’s guide to ratings of permanent impairment. JAMA. 1982;248(18):2292–6.

McCarthy ML, McAndrew MP, MacKenzie EJ, Burgess AR, Cushing BM, Delateur BJ, Jurkovich GJ, Norris JA, Swiontkowski MF, McCarthy ML. Correlation between the measures of impairment, according to the modified system of the American Medical Association, and function. J Bone Joint Surg Am. 1998;80(7):1034–42

Chiu HY, Su FC. The motion analysis system and the maximal area of fingertip motion: a preliminary report. J Hand Surg. 1996;21(5):604–8.

Malaviya GN, Husain S. A complimentary technique for functional evaluation of the hand. J Hand Surg. 1993;18B:631–4.

Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg. 1984;9A:222–6

Petersen P, Petrick M, Connor H, Conklin D. Grip strength and hand dominance: challenging the 10% rule. Am J Occup Ther. 1989;43(7):444–7

Strickland JW. Results of flexor tendon surgery in zone II. Hand Clin. 1985;1(1):167–79.

Herbin ML. Work capacity evaluation for occupational hand injuries. J Hand Surg. 1987;12:958–61.

Suryasa, W. (2019). Historical Religion Dynamics: Phenomenon in Bali Island. Journal of Advanced Research in Dynamical and Control Systems, 11(6), 1679-1685.

Suryasa, W., Sudipa, I. N., Puspani, I. A. M., & Netra, I. (2019). Towards a Change of Emotion in Translation of Kṛṣṇa Text. Journal of Advanced Research in Dynamical and Control Systems, 11(2), 1221-1231.

Lopez, M. M. L., Herrera, J. C. E., Figueroa, Y. G. M., & Sanchez, P. K. M. (2019). Neuroscience role in education. International Journal of Health & Medical Sciences, 3(1), 21-28. https://doi.org/10.31295/ijhms.v3n1.109