Management and Outcome of Work-Related Musculoskeletal Disorders

Arms Injury Clinical Trial

Official title:

National Taiwan University Hospital

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00154622
• Other study ID #: 9261701040
• Secondary ID: DOH94-HP-1405
• Status: Completed
• Phase: N/A
• First received: September 9, 2005
• Last updated: December 5, 2012
• Start date: January 2004
• Est. completion date: December 2008

Study information

• Verified date: December 2012
• Source: National Taiwan University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Taiwan: Department of Health
• Study type: Interventional

Clinical Trial Summary

Work-related musculoskeletal disorders(MSD)are very common，which account for most of the occupational compensation in U.S.A。According to the epidemiological surveys，injured sites are frequent at low back，neck and shoulder and upper extremity。Although the MSD will not threaten the lives，they result in discomfort，some cost much and decrease the productivity。There was little study in our country to reveal the risk factors of medical utilization and disabling of MSD。Therefore，we do not have well-established strategy of the assessment and treatment for the workers who can not return to work。The purposes of this study are：1、To have sequential surveys to find the prevalence，incidence and possible risk factors of work-related MSD of employees in different industries and their medical utilization and disabled conditions。2、To find the victims of work-related MSD from clinics，assess their disablement and if they return to work and to find the factors those prevent them return to work。3、To develop individualized work hardening programs for the victims who can not return to wok after treatment。The program will be established according to their injuries and their work characteristics。

Description:

Work-related musculoskeletal disorders(MSD)are very common，which account for most of the occupational compensation in U.S.A。According to the epidemiological surveys，injured sites are frequent at low back，neck and shoulder and upper extremity。Although the MSD will not threaten the lives，they result in discomfort，some cost much and decrease the productivity。There was little study in our country to reveal the risk factors of medical utilization and disabling of MSD。Therefore，we do not have well-established strategy of the assessment and treatment for the workers who can not return to work。The purposes of this study are：1、To have sequential surveys to find the prevalence，incidence and possible risk factors of work-related MSD of employees in different industries and their medical utilization and disabled conditions。2、To find the victims of work-related MSD from clinics，assess their disablement and if they return to work and to find the factors those prevent them return to work。3、To develop individualized work hardening programs for the victims who can not return to wok after treatment。The program will be established according to their injuries and their work characteristics。In the first year，questionnaire will be used to find the prevalence of work-related MSD of employees in different industries with various work types。The demographic factors and the exposure factors will also be collected to find the risk factors。One month and 6 months after the first surveillance，the 2nd and 3rd surveillances will be executed to find the new incidence and their medical utilization and loss of work time。In the second year，the injured workers（in low back，neck and shoulder and upper extremity）from outpatient departments will be followed and assessed。They will be followed for 3 months to reveal their medical need，their recovery and if they return to work after treatment。According to all the data，we can find the ratios of loss of work time in different types of injuries and the risk factors causing unable to return to work。In the second half of this year，the authors will begin to establish the individualized work hardening programs and to finish the prevention and training booklets。In the third year，we will find the workers who can not return to wok after 3-month treatment in the clinics。After the assessment of their severity and residual working ability，the workers will be randomized into training or control groups。There will be 15 workers in each group in 3 kinds of injuries（low back，neck and shoulder and upper extremity），totally 90 workers will be recruited。After 3-month work hardening training program，re-assessment will be done and their return-to-work rate will be followed 3 and 6 months later。

Recruitment information / eligibility

• Status: Completed
• Enrollment: 160
• Est. completion date: December 2008
• Est. primary completion date: December 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• aged 18 to 65 years have a job

Exclusion Criteria:

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Arm Injuries
• Arms Injury
• Back Injuries
• Back Injury
• Cumulative Disorder
• Musculoskeletal Diseases
• Neck Injuries
• Neck Injury

Intervention

Behavioral:
• work hardening program

Locations

Country	Name	City	State
Taiwan	National Taiwan University Hospital	Taipei

Sponsors (1)

Lead Sponsor	Collaborator
National Taiwan University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	functional capability evaluation		referral to and duration of PT at the the first day	Yes
Primary	pain evaluation		referral to and duration of PT at the the first day	Yes