Sollender J L, Rayan G M
Baptist Medical Center in Oklahoma City, USA.
J Okla State Med Assoc. 1999 Mar;92(3):109-13.
Thirteen patients with upper extremity symptoms that were claimed to have occurred in the course of employment were evaluated to determine the role of videotapes in their evaluation and management. Videotapes were of two types: work demonstration by patient or coworker (8 tapes) and surveillance tapes obtained by a private investigator (5 tapes). Four of eight work station videotapes demonstrated significant repetitive motion that could have contributed to their symptoms. Four of eight work station videotapes demonstrated that the tasks were neither forceful nor repetitive in nature. Return to work recommendations were made based on both clinical grounds and job site information provided on tape. After viewing five surveillance videotapes, two fraudulent claims were settled soon after medical opinions were rendered. Two patients were declared able to return to work; one returned to work and the other was dismissed. The videotape of patient No. 13 was not crucial for the decision and he was authorized to have surgery. The opinions formed concerning the causality of alleged claims of injury were often altered by viewing the content of the videotapes. Videotapes are a valuable tool and useful adjunct in the overall management of the workers with upper extremity symptoms.
对13名声称在工作过程中出现上肢症状的患者进行了评估，以确定录像带在其评估和管理中的作用。录像带分为两种类型：患者或同事的工作演示（8份录像带）以及私家侦探获取的监控录像带（5份录像带）。8份工作场所录像带中的4份显示存在显著的重复性动作，这可能导致了他们的症状。8份工作场所录像带中的4份显示任务在性质上既不费力也不重复。根据临床依据和录像带上提供的工作场所信息给出了重返工作岗位的建议。观看5份监控录像带后，在给出医学意见后不久，两项欺诈性索赔得到解决。两名患者被宣布能够重返工作岗位；一名重返工作岗位，另一名被解雇。13号患者的录像带对该决定并非关键因素，他被批准进行手术。通过观看录像带内容，关于所称受伤索赔因果关系形成的意见常常会被改变。录像带是上肢症状工人整体管理中的一种有价值的工具和有用辅助手段。
