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Impairment and employment issues after nerve repair in the hand and forearm 

Authors: PM Meiners a;  JH Coert b;  PH Robinson a; MF Meek a
Affiliations:   a Department of Plastic Surgery, University Medical Center Groningen, RB Groningen, The Netherlands
b Department of Plastic, Reconstructive and Hand Surgery, Erasmus University Medical Centre, Rotterdam, CA Rotterdam, The Netherlands
DOI: 10.1080/09638280500030423
Publication Frequency: 18 issues per year
Published in: journal Disability & Rehabilitation, Volume 27, Issue 11 June 2005 , pages 617 - 623
Number of References: 26
Formats available: HTML (English) : PDF (English)
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Abstract

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 1997 and January 2000, 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.
Keywords: Nerve injury; outcome; employment; ADL
view references (26)
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