Abstract:
:This paper describes the development of an evaluative outcome measure for patients with upper extremity musculoskeletal conditions. The goal is to produce a brief, self-administered measure of symptoms and functional status, with a focus on physical function, to be used by clinicians in daily practice and as a research tool. This is a joint initiative of the American Academy of Orthopedic Surgeons (AAOS), the Council of Musculoskeletal Specialty Societies (COMSS), and the Institute for Work and Health (Toronto, Ontario). Our approach is consistent with previously described strategies for scale development. In Stage 1, Item Generation, a group of methodologists and clinical experts reviewed 13 outcome measurement scales currently in use and generated a list of 821 items. In Stage 2a, Initial Item Reduction, these 821 items were reduced to 78 items using various strategies including removal of items which were generic, repetitive, not reflective of disability, or not relevant to the upper extremity or to one of the targeted concepts of symptoms and functional status. Items not highly endorsed in a survey of content experts were also eliminated. Stage 2b, Further Item Reduction, will be based on results of field testing in which patients complete the 78-item questionnaire. This field testing, which is currently underway in 20 centers in the United States, Canada, and Australia, will generate the final format and content of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Future work includes plans for validity and reliability testing.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Hudak PL,Amadio PC,Bombardier Cdoi
10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4subject
Has Abstractpub_date
1996-06-01 00:00:00pages
602-8issue
6eissn
0271-3586issn
1097-0274pii
10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4journal_volume
29pub_type
杂志文章abstract::Isasbest Ltd., an asbestos-cement factory in Israel, has established dust-preventive measures, maintained high ecological and medical standards, and assisted afflicted workers suffering from asbestos-related diseases. The problems of the handling of asbestos and its relationship to health should be approached accordin...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700100509
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Unionization has been found to be related to higher filing of workers' compensation (WC) claims, but the extent of the relationship and the relationships to other variables have not been previously reported. METHODS:Telephone interviews were conducted with both a population-based and WC-based samples of mus...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10234
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Epichlorohydrin (ECH) is a strong irritant of the eyes, respiratory tract, and skin. The aims of this study were to examine the dose-response relationship between observed abnormal pulmonary function tests and respiratory tract irritation symptoms among epichlorohydrin-exposed workers in Taiwan. METHODS:A t...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10177
更新日期:2003-04-01 00:00:00
abstract::In adults, lead toxicity is most commonly caused by occupation in a lead industry. Whereas lead toxicity has been described in workers who are involved in bridge rehabilitation, as of this date there has been no systematic evaluation published regarding the conditions responsible for lead toxicity in ironworkers. This...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199711)32:5<540::aid-ajim1
更新日期:1997-11-01 00:00:00
abstract::Quantitative evaluation of worker exposure to silica in nine Standard Industrial Classification (SIC) codes was conducted, using data derived from OSHA compliance inspections, in order to assess the silica exposure problem in the U.S. The nine SICs studied were those in which OSHA inspections were concentrated. They i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700100403
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Climate change is a natural phenomenon that has been intensified due to increased emissions of greenhouse gases (GHG). It has become an indispensable issue in international negotiations related to global sustainability and is deeply related to the overall status of environmental health in our planet. METHOD...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22051
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The US military is a large, well-defined occupational cohort offering tremendous opportunities to study risk factors for important health outcomes. This article describes our nested case-control methods to evaluate risk factors for fatal motor vehicle crashes (MVC) within all Service branches in a 1991 Gulf ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20190
更新日期:2005-08-01 00:00:00
abstract::In view of the increasing incidence of diseases such as gastritis and ulcers in workers exposed to noise, we assessed whether noise does in fact affect gastric secretion. Then, considering the conflicting findings published on the effects of noise on gastric secretion, we also investigated whether the response was rel...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700260310
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND:Total paper dust exposure has been associated with respiratory problems among workers in the soft tissue paper industry. However, a comprehensive job exposure matrix (JEM) has not been developed for application to this industry. Our study was intended to address this need and to support further studies of mo...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23090
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:Noise exposure has long been an occupational health concern and has been an important area of focus of the Occupational Safety and Health Administration (OSHA) since its founding. Nevertheless, it remains unclear what effects OSHA's noise standards have had on employer efforts to reduce risks. Consequently...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23116
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Exposure to microbial agents in the composting industry may cause work related airway inflammation. Nasal lavage (NAL) has been proposed as a noninvasive method to assess such effects in population studies. METHODS:Pre- and post-shift NAL were performed in the workers of a compost plant visited in 1995 (n =...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(200005)37:5<459::aid-ajim2
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Due to the aging population and a shift to patient home care, home health aides (HHAs) are a fast-growing occupation. Since little is known about workplace risk factors for back injuries among HHAs, we examined the role of ergonomic and psychosocial factors in injury reporting among HHAs. METHODS:We used th...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22197
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Hotel room cleaners have physically demanding jobs that place them at high risk for shoulder pain. Psychosocial work factors may also play a role in shoulder pain, but their independent role has not been studied in this group. METHODS:Seventy-four percent (941 of 1,276) of hotel room cleaners from five Las ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20832
更新日期:2010-07-01 00:00:00
abstract::In the past 10 years there has been growing awareness among occupational health professionals worldwide of the large burden of illness associated with musculoskeletal disorders of the neck and upper limbs. It has been suggested that these disorders are associated with highly repetitive work and are due, at least in pa...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,meta分析
doi:10.1002/ajim.4700190111
更新日期:1991-01-01 00:00:00
abstract::The objective of this study was to examine the endocrine profiles of a group of male workers chronically exposed to trichloroethylene (TCE) in an electronics factory. A total of 124 workers participated in a preliminary study, for which 85 satisfied the selection criteria and were recruited to take part in a more deta...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199709)32:3<217::aid-ajim6
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:The occupational lung cancer risk in manufacturing and repair of shoes was studied by pooling of two major case-control studies from Germany. METHODS:Some 4184 incident hospital-based cases of primary lung cancer and 4253 population controls, matched for sex, age, and region of residence were intensively in...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(200006)37:6<575::aid-ajim1
更新日期:2000-06-01 00:00:00
abstract::Mortality and cancer incidence was investigated among 2,807 workers, employed for at least one year before 1972, at 11 Swedish companies manufacturing prefabricated wooden houses. A total of 1,068 workers had been exposed to man-made mineral fibers (MMMF) used for insulation. Mortality was followed from 1969 to 1988 a...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700210605
更新日期:1992-01-01 00:00:00
abstract::Potential exposures to extremely low frequency (ELF) magnetic fields were investigated in response to worker concerns about an apparent increased spontaneous abortion risk in a payroll office environment. Concern in this office centered on the use of video display terminals (VDTs), which have been investigated as a po...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700250204
更新日期:1994-02-01 00:00:00
abstract::Although OSHA promulgates standards for chemical exposures on the basis of workers' relative risk of acquiring chronic disease, it interprets the limits as absolute levels never to be exceeded. This poses a dilemma to the gathering of useful information which can be used to assess and reduce exposures, because employe...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700060407
更新日期:1984-01-01 00:00:00
abstract::Very sensitive and precise analytical methods for measuring total porphyrin excretion and the relative amounts of different porphyrins in urine are required in order to monitor the biological effects of porphyrinogenic substances in workers and the general population. Many analytical steps of a HPLC method for measuri...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700040409
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Between 1987 and 1992, the Finnish Institute of Occupational Health (FIOH) initiated and implemented the Asbestos Program that aimed at reducing asbestos-related risks. It was a cooperative effort between government authorities, labor market organizations, and health care and labor protection personnel. MET...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20282
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Pain and fatigue are commonly associated with work-related upper extremity disorders. Occasionally these symptoms persist beyond a reasonable healing period. One potential explanation for prolonged symptom expression is the concurrent development of a stress-mediated illness or CMI (Chronic Multi-Symptom Ill...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.10068
更新日期:2002-05-01 00:00:00
abstract::Roll-over protective structures (ROPS) on farm tractors could significantly reduce the rate of fatal occupational injury on farms, but comparatively few tractors have them. Many of the policy discussions have focused on trying to identify the percentage of tractors that do not have ROPS, even though such a focus proba...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199610)30:4<447::AID-AJIM1
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:Previous studies of a cohort of rubber hydrochloride workers indicated an association between benzene exposure and excess mortality from leukemia and multiple myeloma. To determine whether risks remain elevated with increasing time since plant shutdown, we extended follow-up from 1981 through 1996. MATERIAL...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10138
更新日期:2002-12-01 00:00:00
abstract::This report presents a mortality study among the 17,344 members of the Construction Workers' Health Insurance Society of Mie Prefecture in Japan. The study period was between 1973 and 1993. During this period, 480 members died. Age-specific mortality rates of Mie Prefecture were used as comparison standards. Significa...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199707)32:1<35::aid-ajim5>
更新日期:1997-07-01 00:00:00
abstract:BACKGROUND:Experimental long-term carcinogenicity bioassays conducted on rats and mice proved that ionizing radiation can induce a variety of tumor types. However few studies have been conducted on rats. METHODS:This report deals with the effects of γ-radiation in groups of 416-1,051 6-weeks old Sprague-Dawley rats ex...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22391
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Potential confounding or effect modification by employment status is frequently overlooked in pregnancy outcome studies. METHODS:To characterize how employed and non-employed women differ, we compared demographics, behaviors, and reproductive histories by maternal employment status for 8,343 mothers of cont...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22700
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Previous studies indicate 20% of injuries represent 80% of injury costs in agriculture. To help prevent the most costly injuries, we aimed to identify characteristics and risk factors associated with serious injuries. METHODS:We analyzed insurance records of 93,550 self-employed Finnish farmers. We ranked i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20688
更新日期:2009-05-01 00:00:00
abstract::Dermatological disorders in athletes may occur as a result of repeated mechanical trauma, physical and chemical agents, climatic conditions, infections, infestations, and exacerbations of pre-existing skin disorders. These include black heel, tennis toe and other causes of subungual hemorrhage, friction blisters, abra...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080422
更新日期:1985-01-01 00:00:00
abstract::An analysis of reported birth record variables by parental occupation suggests that certain birth outcomes may identify toxic or carcinogenic occupational exposures of the parents. Fathers coded to an asbestos and insulation worker rubric sired fewer plural births, and more stillbirths than expected. A number of other...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700160214
更新日期:1989-01-01 00:00:00