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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3182546daf
Original Articles

Comparison of Chronic Occupational Upper Extremity Versus Lumbar Disorders for Differential Disability-Related Outcomes and Predictor Variables

Howard, Krista J. PhD; Mayer, Tom G. MD; Gatchel, Robert J. PhD

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Objective: To systematically evaluate if an interdisciplinary functional restoration program (FRP), shown to be a viable treatment option for patients with chronic disabling occupational lumbar disorders, is as effective in treating chronic disabling occupational upper extremity disorders.

Methods: Participants were 2484 consecutive patients with either arm or lumbar disorders admitted to an FRP. Analyses compared demographic, psychosocial, and work-related factors, and 1-year post-rehabilitation socioeconomic outcomes.

Results: Socioeconomic outcomes showed that work-return and work-retention rates after successful completion of the FRP did not differ between the two groups, or among the upper extremity subgroups.

Conclusions: FRP is equally effective for patients with chronic upper extremity or lumbar spine disorders, regardless of the injury type, site in the upper extremity, or the disparity in injury-specific and psychosocial factors identified before treatment.

©2012The American College of Occupational and Environmental Medicine


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