Outcomes in work-related upper extremity and low back injuries: Results of a retrospective study

Background The outcomes of treatment for work-related injuries and illnesses are multidimensional and complex, but have rarely been explored in derail. This study was intended to provide information on a sample of workers representing a range of jobs and employers typical of the workers compensation system. Method A mailed self-report survey measuring multiple dimensions was conducted. Identified through the Nay Hampshire Division of Workers' Compensation First Report of Injury database a sample of workers with injuries to their lower back (60%) or upper extremities (40%) a year prior to the study were surveyed. Response rate was 80% (N = 169; upper extremity cases = 70; low back cases = 99). Results Most (82.8%) were working one year post-injury. Over half reported residual effects of the injury on work or activities of daily living. Many working subjects reported persistent injury-related anxiety and pain at the end of the work day, worse in those with low back pain compared to those with upper extremity injuries. Almost 40% of those who returned to work suffered a reinjury. Forty-four percent of respondents suffered significant injury-related financial problems, which were worse in those who had been out of work for longer periods. Conclusion Occupational musculoskeletal injuries do result in significant, long-term adverse physical, economic, and psychological consequences, as demonstrated irt self-reported surveys. Am. J. Ind. Med. 37:400-409, 2000. (C) 2000 Wiley-Liss, Inc.