Predictors of successful work role functioning after carpal tunnel release surgery.
This study identified the clinical, individual, and workplace predictors of successful work role functioning (WRF) after carpal tunnel release surgery (CTRS). A community-based cohort (n = 197) was followed for 6 months post-CTRS. Predictors of successful WRF were analyzed prospectively using ordinal logistic regression. Baseline WRF predicted successful WRF at 2 months, whereas being depressed and a workers' compensation claimant predicted being out of work. Baseline WRF, improved self-efficacy, and a supportive organization predicted 6-month successful WRF. Supportive organizations have an impact on the effectiveness of medical interventions for CTS. The significance of improved self-efficacy at 6 months and depression at 2 months postsurgery highlights the importance of psychosocial management of musculoskeletal disorders.
Amick
Benjamin C
BC
University of Texas, School of Public Health, Houston, Texas, USA. bamick@sph.uth.tmc.edu
Habeck
Rochelle V
RV
Ossmann
Janet
J
Fossel
Anne H
AH
Keller
Robert
R
Katz
Jeffrey N
JN
D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D004185:Disability Evaluation; D006801:Humans; D016015:Logistic Models; D016272:Occupational Health; D011446:Prospective Studies; D012959:Socioeconomic Factors