Predictors of successful work role functioning after carpal tunnel release surgery

Publication type
Journal article
Authors
Amick B, Habeck RV, Ossmann J, Fossel AH, Keller RB, Katz JN
Date published
2004 May 01
Journal
Journal of Occupational and Environmental Medicine
Volume
46
Issue
5
Pages
490-500
PMID
15167398
Open Access?
No
Abstract

This study identified the clinical, individual, and workplace predictors of successful work role functioning (WRF) after carpal tunnel release surgery (CTRS). A community-based cohort (n = 197) was followed for 6 months post-CTRS. Predictors of successful WRF were analyzed prospectively using ordinal logistic regression. Baseline WRF predicted successful WRF at 2 months, whereas being depressed and a workers' compensation claimant predicted being out of work. Baseline WRF, improved self-efficacy, and a supportive organization predicted 6-month successful WRF. Supportive organizations have an impact on the effectiveness of medical interventions for CTS. The significance of improved self-efficacy at 6 months and depression at 2 months postsurgery highlights the importance of psychosocial management of musculoskeletal disorders