Browse > Article
http://dx.doi.org/10.5143/JESK.2010.29.3.311

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

Kim, Kyoo-Sang (Occupational Safety and Health Research Institute, KOSHA)
Jang, Ki-Un (Department of Rehabilitation Medicine, Hallym University Medical College)
Publication Information
Journal of the Ergonomics Society of Korea / v.29, no.3, 2010 , pp. 311-320 More about this Journal
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
DASH; Upper extremity musculoskeletal disorders; Upper limb symptoms;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 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.
2 Threlkeld, A. J. and Currier, D. P., Osteoarthritis. Effects on synovial joint tissues, Phys Ther, 68(3), 364-370, 1988.   DOI
3 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.
4 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.   DOI
5 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.   DOI
6 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.   DOI   ScienceOn
7 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.   DOI
8 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.   DOI
9 Jette, A. M., Physical disablement concepts for physical therapy research and practice, Physical Therapy, 74(5), 380-386, 1994.   DOI
10 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.   DOI
11 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.   DOI
12 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.   DOI
13 Punnett, L. and Wegman, D. H., Work-related musculoskeletal disorders: the epidemiologic evidence and the debate, J Electromyogr Kinesiol, 14(1), 13-23, 2004.   DOI
14 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.   DOI
15 김규상, 장기언, 홍창우, 특수도구 과사용으로 유발된 수지관절변형 및 수부 근골격계 질환, 한국의 산업의학, 46(4), 159-169, 2007.
16 김규상, 홍창우, 김민기, 제조업 종사 근로자의 동작수행능력에 영향을 미치는 요인, 대한산업의학회지, 21(2), 115-130, 2009.
17 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.   DOI