Friedman P J
Rehabilitation Institute of Auckland, New Zealand.
J Occup Environ Med. 1997 Apr;39(4):339-43. doi: 10.1097/00043764-199704000-00013.
The aim of this study was to compare symptoms, signs, grip strength, passive wrist flexion angle, and self-rated disability in work-related upper extremity disorders (WRUEDs) to determine predictors of work disability in 106 consecutive patients. Age, gender, and duration of symptoms were unrelated to current work status. The best predictors of current work hours were, in descending order, the Fibromyalgia Impact Questionnaire (FIQ), Modified Stanford Health Assessment Questionnaire (SHAQ), weeks of work absence, passive wrist flexion angle of the affected arm, neck pain or stiffness on movement, and grip in affected arm. FIQ and SHAQ scores were significantly correlated with objective measures of upper-extremity function. FIQ and SHAQ scores are valid measures of work disability in WRUEDs, which are more closely related to current work hours than to time off work, symptoms, or physical signs.
本研究的目的是比较106例连续性患者在与工作相关的上肢疾病（WRUEDs）中的症状、体征、握力、被动腕关节屈曲角度和自评残疾情况，以确定工作残疾的预测因素。年龄、性别和症状持续时间与当前工作状态无关。当前工作时长的最佳预测因素，按降序排列为纤维肌痛影响问卷（FIQ）、改良斯坦福健康评估问卷（SHAQ）、缺勤周数、患侧手臂的被动腕关节屈曲角度、运动时的颈部疼痛或僵硬以及患侧手臂的握力。FIQ和SHAQ评分与上肢功能的客观测量指标显著相关。FIQ和SHAQ评分是WRUEDs中工作残疾的有效测量指标，它们与当前工作时长的关系比与缺勤时间、症状或体征的关系更为密切。
