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Upper limb absence: predictors of work participation and work productivity
University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands.
University of Groningen, University Medical Center Groningen, Center of Human Movement Sciences, Groningen, the Netherlands.
Rehabilitation Center De Hoogstraat Revalidatie, Utrecht, the Netherlands.
Institute for Rehabilitation, University of Ljubljana, Slovenia; Medical Faculty, University of Ljubjama, Slovenia.
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2016 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 97, no 6, 892-899 p.Article in journal (Refereed) Published
Abstract [en]

Objective: to analyze work participation, work productivity and contributing factors, as well as physical work demands, in individuals with an upper limb defect (ULD).

Design: cross-sectional study: postal survey (response rate: 53%).

Setting: patients of twelve rehabilitation centers and orthopedic workshops in the Netherlands.

Participants: 207 individuals with unilateral transversal upper limb reduction deficiency (ULRD) or amputation (ULA), at or proximal to the carpal level, between the ages of 18 and 65 years, and a convenience sample of 90 controls (matched on age and gender).

Interventions: not applicable.

Main outcome measures: employment status, self-reported work productivity and self-reported upper extremity work demands.

Results: 74% of individuals with ULRD and 57% of the individuals with ULA were employed. Males, using a prosthesis, with medium or higher level of education and good general health were most often employed. Work productivity was similar to the control group. Higher work productivity was related to predominantly mentally demanding type of work and less MSC related pain. Upper extremity work demands were higher in individuals with ULD with predominantly mentally demanding work, compared to controls with this type of work.

Conclusions: the outcome of work participation of individuals with ULRD is comparable to the general population in the Netherlands. Individuals with ULA had lower rates of employment. Work productivity was not associated to one-handedness.

Place, publisher, year, edition, pages
Philadelphia, USA: Elsevier, 2016. Vol. 97, no 6, 892-899 p.
Keyword [en]
Amputation; Efficiency, employment, rehabilitation, upper extremity, upper extremity deformities, congenital
National Category
Medical and Health Sciences Occupational Therapy
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-47278DOI: 10.1016/j.apmr.2015.12.022ISI: 000377237100005PubMedID: 26792618Scopus ID: 2-s2.0-84975783935OAI: oai:DiVA.org:oru-47278DiVA: diva2:890397
Note

Funding Agency:

Stichting Beatrixoord Noord Nederland 210.134

Available from: 2016-01-03 Created: 2016-01-03 Last updated: 2017-10-18Bibliographically approved

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Hermansson, Liselotte M. N.
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School of Health and Medical Sciences, Örebro University, Sweden
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