Article

OBJECTIVES: To analyze work participation, work productivity, contributing
factors, and physical work demands of individuals with upper limb absence (ULA).
DESIGN: Cross-sectional study: postal survey (response rate, 45%). SETTING:
Twelve rehabilitation centers and orthopedic workshops. PARTICIPANTS: Individuals
(n=207) with unilateral transverse upper limb reduction deficiency (RD) or
acquired amputation (AA), at or proximal to the carpal level, between the ages of
18 and 65 years, and a convenience sample of control subjects (n=90) matched on
age and sex. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Employment
status, self-reported work productivity measured with the Quality-Quantity
method, and self-reported upper extremity work demands measured with the Upper
Extremity Work Demands scale. RESULTS: Seventy-four percent of the individuals
with RD and 57% of the individuals with AA were employed (vs 82% of the control
group and 66% of the general population). Male sex, younger age, a medium or
higher level of education, prosthesis use, and good general health were
predictors of work participation. Work productivity was similar to that of the
control group. Higher work productivity was inversely related to musculoskeletal
complaint-related pain. When having predominantly mentally demanding work,
individuals with ULA perceived higher upper extremity work demands compared with
controls. CONCLUSIONS: Work participation of individuals with RD was slightly
higher compared with that of the general population, whereas employment rates of
individuals with AA were slightly lower. Furthermore, work productivity did not
differ between individuals with RD, AA, and controls.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS