Work‐related carpal tunnel syndrome in Washington State workers' compensation: Utilization of surgery and the duration of lost work

Daniell, William; Fulton‐Kehoe, Deborah; Franklin, Gary M.

doi:10.1002/ajim.20765

Cited by 29 publications

(43 citation statements)

References 25 publications

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“…30 One in ten CTS sufferers remains permanently disabled as a result of the condition, while 12% of workers receive workman's compensation 30 months after diagnosis. 39,42 It is believed that factors other than CTS itself may be responsible for the long recovery periods. Suggested influences include economic incentives, amount of sick leave available, and physical and psychosocial demands in the workplace.…”

Section: Upper Extremity Conditionsmentioning

confidence: 99%

“…39,42 The delay in time between diagnosis and surgical treatment is also cited as a reason for prolonged recovery periods. 39 In medical literature, CTS definitions vary greatly. The presence of symptoms in the median nerve distribution is neither sensitive, nor specific, for a CTS diagnosis.…”

Section: Upper Extremity Conditionsmentioning

confidence: 99%

“…Suggested influences include economic incentives, amount of sick leave available, and physical and psychosocial demands in the workplace. 39,42 Patients requiring surgery often require up to seven weeks of sick leave to recover fully, but surgical intervention is associated S Afr Fam Pract 2011 with better recovery of earning potential. 39,42 The delay in time between diagnosis and surgical treatment is also cited as a reason for prolonged recovery periods.…”

Section: Upper Extremity Conditionsmentioning

confidence: 99%

“…It has also been reported that CTS disability time is significantly longer than that of other WMSDs. [38][39][40] Since nearly 80% of workplace-related upper limb complaints are attributable to CTS, the authors of this article have decided to focus their discussion entirely on it. Other common WMSDs that affect the upper limbs are listed in Table 1.…”

Section: Upper Extremity Conditionsmentioning

confidence: 99%

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Common work-related musculoskeletal strains and injuries

Collins

Rensburg

Patricios

2011

South African Family Practice

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Muscles, tendons, joints and nerves are susceptible to injury when stressed or traumatised repetitively, or over an extended period of time. Regardless of the nature of the work, a large proportion of the working population's time is spent engaged in repetitive movements and maintaining postures for extended periods of time. The reported incidence of work-related back and neck pain, and carpal tunnel syndrome, is between 15-60%, 1-3 indicating that a high proportion of the working population is at risk of developing one or more work-related musculoskeletal disorders. The parts of the body that are most commonly affected are the lower back, neck and shoulder girdle, and upper limbs. Based on current literature, we shall discuss conditions affecting these areas in order to gain a better understanding of the conditions, as well as their prevention.Peer reviewed.

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Section: Upper Extremity Conditionsmentioning

confidence: 99%

Section: Upper Extremity Conditionsmentioning

confidence: 99%

Section: Upper Extremity Conditionsmentioning

confidence: 99%

Section: Upper Extremity Conditionsmentioning

confidence: 99%

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Common work-related musculoskeletal strains and injuries

Collins

Rensburg

Patricios

2011

South African Family Practice

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“…(30) However, reduced functional capacity may extend beyond what is expected, resulting in ongoing work disability, high utilisation of health care services, and associated costs. (31,32) In a study by Hashemi,(33) 7% of workers remained off work one year after surgery for work-related UE disorders. Moreover, although surgery may be effective in ameliorating the symptoms of UE injuries, it has also been reported as a prognostic factor for poor RTW outcomes in musculoskeletal diagnoses, (34) including non-traumatic UE conditions.…”

Section: Non-traumatic Musculoskeletal Disorders Of the Upper Extremitymentioning

confidence: 99%

Factors influencing return-to-work following upper extremity surgery

Peters¹

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The upper extremities are necessary to independently perform everyday activities, engage with the environment and others and, importantly, work. Unfortunately, upper extremity (UE) conditions, resulting in pain and impairments, are common. Although returning to work is usually straightforward, for some it can be difficult and prolonged, impacting significantly on the worker, key stakeholders and society.This thesis utilized mixed methodology to explore factors influencing RTW following surgery for traumatic and non-traumatic UE conditions. Specifically, the overall aims were to: 1) identify gaps in the literature; 2) generate a list of factors influencing RTW; 3) explore stakeholders perspectives of barriers and the strategies to facilitate RTW; 4) determine the assessment tools used by health care providers (HCPs) to evaluate RTW barriers; 5) clarify a definition for delayed RTW; and 6) explore injured workers' lived experiences to understand the context surrounding the factors and processes that may influence RTW.A scoping review identified gaps in the literature (Aim 1), generating the remaining thesis aims. A systematic review of prognostic studies for RTW following a common UE surgery, carpal tunnel release, was then conducted (Aim 2). This review revealed an inconsistent and low level of evidence for any studied prognostic factor for RTW or work disability.A three-round Delphi study determined expert opinion on the barriers and facilitators for RTW following surgery for non-traumatic UE conditions (Aim 2). Thirty-one experts completed all rounds. Strong consensus was achieved for these barriers: mood disorder; symptoms at more than one site; heavy UE work exertions; lack of flexible RTW arrangements; lack of supervisor support; and high pain catastrophising. Strong consensus was achieved for these facilitators: high motivation to RTW; high RTW and recovery selfefficacy; availability of modified duties; flexible RTW arrangements; positive coping skills; limited heavy UE work exertions; no catastrophic thinking; no fear avoidance to RTW, pain or activity; return to meaningful work duties; supportive RTW policies; supportive supervisor; and high job satisfaction.A cross-sectional study of 1011 RTW stakeholders (HCPs, employers, insurers and lawyers) was conducted. This study contained four sub-studies. In the first sub-study, a list ii of factors that stakeholders perceived influence RTW was generated (Aim 2). Highest agreement was found for: RTW self-efficacy; post-operative psychological status; supportive employer or supervisor; employer's willingness to accommodate job modifications; worker's recovery expectations; mood disorder diagnosis; post-operative pain level; and whether the job can be modified. Disagreements between stakeholder groups existed for a third of the factors. Further analysis of the 787 HCPs was conducted in sub-study two (Aim 2). This revealed that HCPs rated difficulty coping with the pain as the main RTW barrier. Few differences between the disciplines existed.In sub-study th...

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Prevalence of carpal tunnel syndrome among dairy workers

Patil

Rosecrance

Douphrate

et al. 2011

American J Industrial Med

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The results of this study indicate that CTS is a significant challenge for dairy parlor workers. The prevalence of CTS was found to be significantly higher among dairy workers performing tasks in the milking parlor as opposed to workers performing tasks in other areas of the dairy farm. The results emphasize the need for administrative and engineering controls to limit the exposure to physical risk factors that are associated with upper limb disorders such as CTS.

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Work‐related carpal tunnel syndrome in Washington State workers' compensation: Utilization of surgery and the duration of lost work

Cited by 29 publications

References 25 publications

Common work-related musculoskeletal strains and injuries

Common work-related musculoskeletal strains and injuries

Factors influencing return-to-work following upper extremity surgery

Prevalence of carpal tunnel syndrome among dairy workers

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