DOI QR코드

DOI QR Code

Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH

DASH로 평가한 상지 근골격계 질환자의 기능 제한

  • Kim, Kyoo-Sang (Occupational Safety and Health Research Institute, KOSHA) ;
  • Jang, Ki-Un (Department of Rehabilitation Medicine, Hallym University Medical College)
  • 김규상 (한국산업안전보건공단 산업안전보건연구원) ;
  • 장기언 (한림대학교 의과대학 재활의학교실)
  • Received : 2010.01.14
  • Accepted : 2010.03.19
  • Published : 2010.06.30

Abstract

This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

Keywords

References

  1. 김규상, 장기언, 홍창우, 특수도구 과사용으로 유발된 수지관절변형 및 수부 근골격계 질환, 한국의 산업의학, 46(4), 159-169, 2007.
  2. 김규상, 홍창우, 김민기, 제조업 종사 근로자의 동작수행능력에 영향을 미치는 요인, 대한산업의학회지, 21(2), 115-130, 2009.
  3. Beaton, D. E., Cole, D. C., Manno, M., Bombardier, C., Hogg-Johnson, S. and Shannon, H. S., Describing the burden of upper-extremity musculoskeletal disorders in newspaper workers: What differences do case definitions make? J Occup Rehabil, 10(1), 39-53, 2000. https://doi.org/10.1023/A:1009489712094
  4. Beaton, D. E., Davis, A. M., Hudak, P. and McConnel, S., The DASH (disability of the arm, shoulder and hand) outcome measure: What do we know about it now? Br J Hand Ther, 6(4), 109- 118, 2001. https://doi.org/10.1177/175899830100600401
  5. Beaton, D. E., Katz, J. N., Fossel, A. H., Wright, J. G., Tarasuk, V. and Bombardier, C., Measuring the whole or the parts? Validity, reliability and responsiveness of the disabilities of the arm, shoulder and hand outcome measure in different regions of the upper extremity, J Hand Ther, 14(2), 128-146, 2001. https://doi.org/10.1016/S0894-1130(01)80043-0
  6. Fan, Z. J., Smith, C. K. and Silverstein, B. A., Assessing validity of the quick DASH and SF-12 as surveillance tools among workers with neck or upper extremity musculoskeletal disorders, J Hand Ther, 21, 354-365, 2008. https://doi.org/10.1197/j.jht.2008.02.001
  7. Fayad, F., Lefevre-Colau, M-M., Mace, Y., Gautheron, V., Fermanian, J., Roren, A., Roby-Brami, A., Revel, M. and Poiraudeau, S., Responsiveness of the French version of the disability of the arm, shoulder and hand questionnaire (F-DASH) in patients with orthopaedic and medical shoulder disorders, Joint Bone Spine, 75, 579-584, 2008. https://doi.org/10.1016/j.jbspin.2007.11.006
  8. Jette, A. M., Physical disablement concepts for physical therapy research and practice, Physical Therapy, 74(5), 380-386, 1994. https://doi.org/10.1093/ptj/74.5.380
  9. Kitis, A., Celik, E., Aslan, U. B. and Zencir, M., DASH questionnaire for the analysis of musculoskeletal symptoms in industry workers: a validity and reliability study, Appl Ergon, 40, 251-255, 2009. https://doi.org/10.1016/j.apergo.2008.04.005
  10. Lucado, A. M., Li, Z., Russell, G. B., Papadonikolakis, A. and Ruch, D. S., Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture, J Hand Ther, 21, 319-325, 2008. https://doi.org/10.1197/j.jht.2008.01.002
  11. McDermid, J. C., Drosdowech, D. and Faber, K., Responsiveness of selfreport scales in patients recovering from rotator cuff surgery, J Shoulder Elbow Surg, 15(4), 407-414, 2006. https://doi.org/10.1016/j.jse.2005.09.005
  12. Punnett, L. and Wegman, D. H., Work-related musculoskeletal disorders: the epidemiologic evidence and the debate, J Electromyogr Kinesiol, 14(1), 13-23, 2004. https://doi.org/10.1016/j.jelekin.2003.09.015
  13. Solway, S., Beaton, D. E., McConnell, S. and Bombardier, C., The DASH Outcome Measure User's Manual, Second Edition, Toronto: Institute for Work & Health, 2002.
  14. Threlkeld, A. J. and Currier, D. P., Osteoarthritis. Effects on synovial joint tissues, Phys Ther, 68(3), 364-370, 1988. https://doi.org/10.1093/ptj/68.3.364
  15. Turchin, D. C., Beaton, D. E. and Richards, R. R., Validity of observerbased aggregate scoring systems as descriptors of elbow pain, function, and disability, J Bone Joint Surg, 80A(2), 154-162,1998.
  16. Wong, Y. P., Fung, K. K., Chu, M. L. and Chan, K. Y., The use of disabilities of the arm, shoulder, and hand questionnaire in rehablitation after acute traumatic hand injuries, J Hand Ther, 20, 49-56, 2007. https://doi.org/10.1197/j.jht.2006.10.004
  17. Wu, A., Edgar, D. W. and Wood, F. M., The QuickDASH is an appropriate tool for measuring the quality of recovery after upper limb burn injury, Burns, 33, 843-849, 2007. https://doi.org/10.1016/j.burns.2007.03.015