| Correlates of upper extremity disability in medical transcriptionists. | |
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MedLine Citation:
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PMID: 20229330 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the association between disability and personal/lifestyle, medical, and psychosocial risk factors for upper extremity musculoskeletal symptoms and disorders (UEMSDs) in medical transcriptionists. METHODS: A web-based survey involving the Disabilities of the Arm, Shoulder and Hand (DASH), Perceived Stress Scale (PSS) and Overall Job Satisfaction (OJS) questionnaires of all medical transcriptionists working at a large healthcare facility. RESULTS: Responses were received from 80% (251 of 314) possible participants. Mean DASH, PSS, and OJS scores for those working at their current position for at least 1 year were 8.5 +/- 10.1, 14.3 +/- 6.7 and 5.3 +/- 0.9. Personal/lifestyle factors including age (P < 0.001), lower educational level (P = 0.014), current or previous smoking (P = 0.012), and limited exercise (P = 0.013); medical conditions including diabetes mellitus (P = 0.015), carpal tunnel syndrome (P < 0.001), prior treatment for upper extremity symptoms (P < 0.001); prior workstation evaluation (P < 0.001) and psychosocial factors of perceived stress (P < 0.001), are associated with increased DASH scores. In these workers, multivariate analysis suggests that medical conditions (finger or other upper extremity symptoms requiring treatment or workstation evaluation; and diabetes mellitus) have a larger effect on the DASH than personal/lifestyle or psychosocial factors (age; previous or current smoking; and perceived stress). CONCLUSIONS: Prior upper extremity musculoskeletal symptoms requiring treatment or ergonomic assessment, high perceived stress and a history of smoking are associated with self-reported disability. Diabetics have significantly higher levels of upper extremity disability than non-diabetics. Prospective studies are needed to see if interventions addressing these factors will prevent future work disability. |
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Authors:
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Russell Gelfman; Timothy J Beebe; Peter C Amadio; Dirk R Larson; Jeffrey R Basford |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of occupational rehabilitation Volume: 20 ISSN: 1573-3688 ISO Abbreviation: J Occup Rehabil Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9202814 Medline TA: J Occup Rehabil Country: Netherlands |
Other Details:
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Languages: eng Pagination: 340-8 Citation Subset: IM |
Affiliation:
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Department of Physical Medicine and Rehabilitation, College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. gelfman.russell@mayo.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cross-Sectional Studies Disability Evaluation* Disabled Persons Educational Status Female Humans Internet Job Satisfaction Life Style Male Medical Records* Midwestern United States / epidemiology Musculoskeletal Diseases / diagnosis*, epidemiology, etiology Occupational Diseases / diagnosis*, epidemiology, etiology Questionnaires Risk Factors Stress, Psychological Upper Extremity |
| Grant Support | |
ID/Acronym/Agency:
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1UL1 RR024150/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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