title: Clinical tools to facilitate workplace accommodation after treatment for an upper extremity disorder.
abstract: Failure to implement work site accommodations for work-related upper extremity disorders (WRUEDs) may be a factor contributing to delayed functional recovery and relapse. The present study describes the use of the 38-item Job Requirements and Physical Demands (JRPD) scale, a self-report measure of ergonomic exposure, and other case management tools to improve accommodation efforts for 101 workers (75 women, 26 men) returning to work after lost time related to a WRUED. Items were categorized into five subscales based on item content: administrative, computer-related, workstation design, environmental, and equipment. Administrative risk factors were elevated among office clerks, whereas postal clerks and letter carriers reported more workstation design risk factors, and letter carriers and electrical/mechanical workers cited more equipment-related risk factors (p < 0.05). All occupational categories rated computer-related risk factors highest. The Integrated Case Management (ICM) approach, which relies on the JRPD scale to guide recommendations, was used with a subgroup of these workers (n = 53), resulting in 1.4 times more workplace accommodations per worker than with a non-ICM approach. Clinical use of the self-reported exposure measure within the overall workplace accommodation process may have been a factor contributing to more frequent accommodation in the ICM group. This study of a subgroup of workers' compensation cases highlights the need for additional investigation of tools to integrate ergonomic approaches within the workplace accommodation process.
authors.affiliation: Liberty Mutual Center for Disability Research, Hopkinton, Massachusetts, USA.
authors.forename: W S
authors.initials: WS
authors.lastname: Shaw
authors.forename: M
authors.initials: M
authors.lastname: Feuerstein
authors.forename: V I
authors.initials: VI
authors.lastname: Miller
authors.forename: A E
authors.initials: AE
authors.lastname: Lincoln
mesh_terms: D001134:Arm Injuries / Q000503:physiopathology / Q000628:therapy*; D019090:Case Management; D012090:Cumulative Trauma Disorders / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006804:Ergonomics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D009784:Occupational Diseases / Q000503:physiopathology / Q000628:therapy*; D017132:Workplace