gms | German Medical Science

Clinical issue/s: Office and computer related upper quarter musculoskeletal disorder (MSD) incidence is increasing in modern countries and the developing world. Hand Therapists' unique skills provide a valuable contribution to reducing the impact of MSD's. More advanced job analysis skills and knowledge of evidence based ergonomic interventions will improve ergonomic suggestions therapists provide to patients and employers and treatment outcomes. Evidence suggests that patient self-description alone is inaccurate and may exaggerate exposure and underestimate recovery time. This session will focus on use of an Office Job Analysis assessment tool and a systematic set of questions to improve objective understanding of work place issues. By better understanding occupational risk factors, work place contributions to MSD's can be addressed to optimize recovery. Therapists who understand current evidence for office equipment will make well-reasoned suggestions.

Clinical reasoning: Incomplete understanding of the work environment and evidence for interventions may lead to poor outcomes. Therapists with increased understanding of the work place can adjust treatments and provide suggestions that will improve clinical outcomes

Innovative, analytical or new approach: The clinician must have tools to problem solve with the patient to optimize suggestions relative to cost and function. A well-structured interview and assessment tool will be presented. The thoughtful clinician can integrate objective information from the patient, measurements, and photographs to develop suggestions for interventions. Evidence about the value of ergonomic abatements should guide suggestions for corrective actions. Case studies will improve understanding of the suggested process.

Contribution to advancing HT practice: This session will present a well-reasoned systematic patient interview about office postures to better understand work place MSD contributors and improve physical work environments. Understanding these issues can improve problem solving with the patient and employer, and improve treatment outcomes.