Document Detail


Impairment and employment issues after nerve repair in the hand and forearm.
MedLine Citation:
PMID:  16019872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE:To evaluate retrospectively subjective impairments, experienced disabilities, job and leisure restrictions and job changes in patients at least 2 years after repair of a peripheral nerve injury in the forearm, wrist or hand. METHODS: Between January 1,997 and January 2,000, 125 patients were treated surgically for a peripheral nerve injury in the hand and forearm at the Department of Plastic Surgery of a University Hospital. Sixty-one patients met the inclusion criteria. Using a questionnaire the ability to return to work (RTW), the possible consequences on Activities of Daily Life (ADL) and Instrumental Activities of Daily Life (IADL), job, hobby and housekeeping related disabilities and subjective pain were assessed. RESULTS:Forty of the 61 included patients returned the questionnaire. As a result of the injury, seven patients (19%) were not able to return to their own job and eight patients (20%) needed to quit or change their hobbies. Mean Time Off Work (TOW) was significantly longer (p=0.024) in non-digital nerve lesions (21.4 weeks) as compared to digital nerve lesions (9.5 weeks). CONCLUSIONS:From this study it was concluded that digital nerve lesions have little consequence on the ability to return to work and the time off work. However, the patients' hobbies are significantly affected. At least 2 years after the injury, the effects on ADL and IADL are minor.
Authors:
P M Meiners; J H Coert; P H Robinson; M F Meek
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  27     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-15     Completed Date:  2005-11-01     Revised Date:  2010-03-23    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  617-23     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, University Medical Center Groningen, 9700, RB Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adolescent
Adult
Aged
Employment*
Female
Forearm Injuries / rehabilitation*,  surgery
Hand Injuries / rehabilitation*,  surgery
Hobbies
Housekeeping
Humans
Male
Middle Aged
Pain Measurement
Peripheral Nerves / injuries*
Recovery of Function
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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