To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Hand function after an electrical accident: a case-control study
Örebro University, School of Medical Sciences. Department of physiotherapy and University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
National unit for Health and safety, Swedish Police Authority, Stockholm, Sweden.
Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.
Show others and affiliations
2023 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 65, no 3, p. 242-248Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Electrical accidents cause both acute and long-term injuries. The care of acute injuries is somewhat standardized, but currently recommendations or assessment tools are not available for assessing the long-term effects of an accident on hand function.

METHODS: A case-control study of 24 healthy controls and 24 cases, 1-5 years after an electrical accident and with self-reported neurosensory symptoms, was performed using three hand-function tests: the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the Purdue Pegboard test and the Shape and Identification (STI) test.

RESULTS: Compared to the control group, patients received statistically significantly lower scores for the DASH outcome measure and the Purdue Pegboard and for one finger on the STI test.

CONCLUSION: Hand function is affected after an electrical accident in individuals with self-reported neurosensory symptoms.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2023. Vol. 65, no 3, p. 242-248
Keywords [en]
Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, electrical accident, hand function, long-term
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-101676DOI: 10.1097/JOM.0000000000002720ISI: 000943335100022PubMedID: 36198622Scopus ID: 2-s2.0-85149961179OAI: oai:DiVA.org:oru-101676DiVA, id: diva2:1701552
Note

Funding agencies:

AFA Insurance group 190010

Swedish Government

Örebro county councils

ALF-agreement OLL-839111

Örebro County Research Committee OLL-881331

Available from: 2022-10-06 Created: 2022-10-06 Last updated: 2023-04-11Bibliographically approved
In thesis
1. Effects of electrical accidents: occupational and health perspectives
Open this publication in new window or tab >>Effects of electrical accidents: occupational and health perspectives
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Professionals working in the electrical industry are at risk of accidental injuries caused by electricity. Electrical accidents can cause persistent neurological symptoms, previously mainly described in patients whose injuries were initially extensive. The overall aim of this thesis was to study the prevalence of persisting, self-reported symptoms after electrical accidents and to explore their relationship to results obtained using clinical methods that are commonly used to study nerve function and hand-arm function. Another aim was to increase knowledge about the work situation and the safety culture of Swedish electricians and to describe the frequency with which electricians seek health care after electrical accidents. Study I was a retrospective survey of 523 Swedish male electricians. In study II, the electricians who reported persistent symptoms were further invited to undergo clinical examinations that included quantitative sensory testing (QST), assessment of fine motor skills and tactile gnosis. The most common self-reported symptoms were pain, reduced sensation and reduced muscle function. For a few, these symptoms persisted at the time of survey. Roughly half of the group exhibited abnormal warm and cold perception thresholds and tactile gnosis test values. Study III included 24 participants with persisting self-reported sensory symptoms, 1-5 years after an accident. Observations of nerve function; QST, laserevoked potentials (LEP) and nerve conductions studies, were performed. At least one neurosensory impairment was present- in at least one of the tests in 67% of the participants. The participants in study III were also evaluated in study IV, in which a control group of 24 healthy persons was added. Hand function was affected in many participants assessed with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire as was tactil gnosis and manual dexterity, for the participants in the case group. Only a quarter of the participants in study I sought health care after their accidents, and the safety culture questionnaire revealed deficiencies, particularly in the reporting culture. The conclusions of this thesis are that self-reported neurosensory symptoms can persist for years after an electrical accident and that these symptoms can be evaluated using standard neurophysiological and functional tests that reflect changes in nerve function. Accordingly, hand function, examined using both objective and subjective measures, may be affected after work-related electrical accidents. This thesis highlights some aspects of safety culture and the work situations of professionals within the electrical industry. These areas need to be improved so that reporting routines provide opportunities to learn from and prevent accidents.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2022. p. 95
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 274
Keywords
Electrical accident, Neurosensory symptoms, No-let-go phenomenon, Pain, Voltage, Quantitative sensory testing
National Category
General Practice
Identifiers
urn:nbn:se:oru:diva-100921 (URN)9789175294766 (ISBN)
Public defence
2022-12-09, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2022-08-29 Created: 2022-08-29 Last updated: 2022-11-21Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Rådman, Lisa

Search in DiVA

By author/editor
Rådman, Lisa
By organisation
School of Medical Sciences
In the same journal
Journal of Occupational and Environmental Medicine
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 59 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf