Predictive factors for return to work or study and satisfaction in traumatic brachial plexus injury individuals undergoing rehabilitation: A retrospective follow-up study of 101 cases

Gushikem, A; Cardoso, Marcio de Mendonça; Cabral, Ana Lúcia Lima; Barros, Camila Sodré Mendes; Isidro, Herilckmans Belnis Tonha Moreira; Silva, Jesiniana Rodrigues; Kauer, Juliana Barnetche; Soares, Roberta Temporal

doi:10.1016/j.jht.2021.06.008

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…Mechanically, the rationale might be related to muscle strength and neuromuscular control. In a study of patients with traumatic brachial plexus injuries, Gushikem et al 21 found that those patients who did not return to work were older and had less muscular strength. Although age is a noninterventional factor, advice for patients to RTS after surgery needs to be more cautious for older patients, even if the ALAS surgery is trustworthy.…”

Section: Discussionmentioning

confidence: 99%

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

et al. 2023

Am J Sports Med

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Background: Chronic lateral ankle instability that develops after ankle sprains has a severe, negative influence on the patient’s lower extremity function. Anatomic repair or reconstruction of the lateral ankle ligament is an effective treatment for people with chronic lateral ankle instability who want to regain their preinjury levels of work and sport. Purpose: To determine the rate of return to sport (RTS) and related factors after anatomic lateral ankle stabilization (ALAS) surgery. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: Electronic databases including Medline, Embase, the Cochrane Library, and EBSCO Rehabilitation & Sports Medicine Source were searched from the earliest feasible entrance until August 2021. Articles reporting the number of patients who returned to sport after ALAS surgery and analyzing the relevant factors were included. The results were combined using proportion meta-analyses. Results: A total of 25 publications were reviewed, with a total of 1384 participants. Results showed that 95% of patients (95% CI, 91%-99%) returned to any sport, 83% (95% CI, 73%-91%) returned to their preinjury level of sport, and 87% (95% CI, 71%-98%) returned to competitive sport after surgery. The mean time to RTS was 12.45 weeks (95% CI, 10.8-14.1 weeks). Each decade of age increased the likelihood of RTS failure by 6%, and increases in body mass index (BMI) of 5 kg/m2 raised the risk of RTS failure by 4%. The rate of RTS was higher in professional and competitive athletes (93%; 95% CI, 73%-100%) than in recreational athletes (83%; 95% CI, 76%-89%). Analysis showed no differences for arthroscopy versus open surgery, repair versus reconstruction, and early versus late weightbearing. Conclusion: In most cases, patients may return to some kind of sport after ALAS surgery, and some patients RTS at their preinjury level. The relative risk of RTS failure increases according to the magnitude of the increase in age and BMI. Elite athletes are more likely to return compared with nonelite athletes.

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Section: Discussionmentioning

confidence: 99%

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

et al. 2023

Am J Sports Med

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“…[17][18][19] Data were not collected regarding the presence of pain, coping strategies, function and litigation, which are also recognised as features that may prolong return to the workplace. 20 Recovery time following BPI may also be protracted as patients often require multiple surgeries to help to return to function in the upper limb. 4 This study included five patients who were 1 year post-injury.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have also reported that hand dominance does not appear to influence return to work in a BPI cohort. 7,20 In brain injury leading to hemiplegia or upper limb impairments vocational rehab is encouraged and recognised as a factor which contributes to increased post-injury employment rates. 14,15 The structured way traumatic brain injuries, stroke and spinal cord injuries have developed nationally, in specialist centres has allowed this as a focus of rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

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Return to work following brachial plexus injury: A cross-sectional study

Brown,

Kennard,

Tyreman

et al. 2023

Hand Therapy

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Background Qualitative studies following Brachial Plexus Injury (BPI) suggest that return to employment has a major influence on life satisfaction and psychological well-being. However, few studies have focused on return to work following BPI. The physical strain and intensity of an occupation may influence the ability of an individual to return to employment. This study aimed to provide information about the impact of workload intensity on employment status following BPI. Methods This is an observational, retrospective study of 74 participants who responded to a postal questionnaire, sharing information regarding their employment status pre- and post-BPI. The reported occupations were assessed for workload intensity and assigned a Reichsausschuss für Arbeitszeitermittlung (REFA) classification by two assessors. Results Forty-one out of 74 participants (57%) had to change their employment following their BPI. Changes in occupation were more likely if the pre-injury REFA score was 3 or 4 ( n = 22). In the Complete plexus injury group ( n = 8), 100% changed occupation. In the Partial plexus injury group ( n = 66) 50% changed occupation. Hand dominance had no significant influence on change of employment ( p = 0.37). Conclusion This study is the first to focus on the impact of BPI on employment status and workload intensity. Just over half the participants did not maintain the same employment following their BPI and one in five became unemployed. Future research should review the factors that contribute to the inability to return to work. This may direct enhancements in rehabilitation provision and enable healthcare services to focus on facilitating individuals back to the workplace.

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“…Traumatic brachial plexus injury (TBPI) occurs in approximately 1.2% of multi-trauma victims admitted to a large trauma hospital [ 25 ]. It can be extremely disabling; the person may experience several functional limitations ranging from difficulty in performing simple tasks, such as cutting food, to not being able to return to work in the same way as before the trauma [ 11 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Validity of range of motion, muscle strength, sensitivity, and Tinel sign tele-assessment in adults with traumatic brachial plexus injury

et al. 2022

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Background The COVID-19 pandemic and the need for social distancing created challenges for accessing and providing health services. Telemedicine enables prompt evaluation of patients with traumatic brachial plexus injury, even at a distance, without prejudice to the prognosis. The present study aimed to verify the validity of range of motion, muscle strength, sensitivity, and Tinel sign tele-assessment in adults with traumatic brachial plexus injury (TBPI). Methods A cross-sectional study of twenty-one men and women with TBPI admitted for treatment at a Rehabilitation Hospital Network was conducted. The participants were assessed for range of motion, muscle strength, sensitivity, and Tinel sign at two moments: in-person assessment (IPA) and tele-assessment (TA). Results The TA muscle strength tests presented significant and excellent correlations with the IPA (the intra-rater intraclass correlation coefficient, ICC ranged between 0.79 and 1.00 depending on the muscle tested). The agreement between the TA and IPA range of motion tests ranged from substantial to moderate (weighted kappa coefficient of 0.47–0.76 ( p < 0.05) depending on the joint), and the kappa coefficient did not indicate a statistically significant agreement in the range of motion tests of supination, wrist flexors, shoulder flexors, and shoulder external rotators. The agreement between the IPA andTA sensitivity tests of all innervations ranged from substantial to almost perfect (weighted kappa coefficient 0.61–0.83, p < 0.05) except for the C5 innervation, where the kappa coefficient did not indicate a statistically significant agreement. The IPA versus TA Tinel sign test showed a moderate agreement (weighted kappa coefficient of 0.57, p < 0.05). Conclusions The present study demonstrated that muscle strength tele-assessment is valid in adults with TBPI and presented a strong agreement for many components of TA range of motion, sensitivity, and Tinel sign tests.

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Predictive factors for return to work or study and satisfaction in traumatic brachial plexus injury individuals undergoing rehabilitation: A retrospective follow-up study of 101 cases

Cited by 7 publications

References 17 publications

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

Return to work following brachial plexus injury: A cross-sectional study

Validity of range of motion, muscle strength, sensitivity, and Tinel sign tele-assessment in adults with traumatic brachial plexus injury

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