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Development of a Physical Examination for a Company-Based Management Program for Work-Related Upper Extremity Cumulative Trauma Disorders |
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| Authors: | Ann E. Barr Irene T. Badenchini Marianne Forsyth-Bee Jillian M. Duff Kathryn M. Herring Andrew B. Covit Margareta Nordin |
| Affiliation: | (1) Physical Therapy Department, College of Allied Health Professions, Temple University, 3307 N. Broad Street, Philadelphia, PA, 19140;(2) Program in Ergonomics and Biomechanics, Environmental Health Sciences Program, New York University, New York, NY, 10003;(3) Health and Safety, Sony Music Entertainment, Inc., New York, NY, 10022;(4) Department of Medicine, Robert Wood Johnson University Hospital, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, 08902;(5) Occupational and Industrial Orthopaedic Center, Hospital for Joint Diseases, a Member Organization of New York University Medical Center, New York, NY, 10014 and;(6) Ergonomics and Biomechanics Program, New York University, New York, NY, 10003 |
| Abstract: | The purpose of this project was to develop a streamlined upper extremity examination to be used in a company-based upper extremity CTD management program. Thirty-six symptomatic employees were examined by an occupational health nurse and categorized into those requiring further medical evaluation or those appropriate for conservative management. Backward logistic regression showed that the Appearance and Symmetry (AS) and the Neurological and Special Tests (NST) sections of the examination together explained 86.1% (p = 0.002) of the nurses categorical decisions. Based on these preliminary development data, a short screening examination was proposed. |
| Keywords: | cumulative trauma disorders ergonomics musculoskeletal disorders occupational injuries screening examination upper extremity |
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