gms | German Medical Science

Clinical issue/s: In recent years, the number of individuals with Work related upper extremity Disorders (WRUED) has increased dramatically. Up to now there have been no common published guidelines for this client group. In Switzerland, it is the third most common reason - after lower back pain and fatigue - for people to be on sick-leave.

Clinical reasoning: There are several definitions and terms for the conditions affecting this client group. WRUED, Repetitive Strain Injury (RSI), Cumulated Trauma Disorders (CTD), occupational cervicobrachial disorders, occupational overuse syndrome, upper limb disorders, upper limb pain syndromes or occupational musculo-skeletal injury or illness. In the definition of WRUED, work is a central aspect and cause of the problem. There is a lot of evidence that illustrates the complexity of this work-related problem. However apart from work side, psycho-social aspects can also play a significant role.

Innovative, analytical or new approach: The aim of the project was to develop and implement a sustainable approach for WRUED clients that addresses their psycho-social and work issues at the onset and to empower their self-efficacy so that they can work without pain. Over the last three years, an occupational therapy (OT) approach based on the literature was developed and implemented in two OT departments in January 2018. It will be evaluated and adjusted in the beginning of 2019. This approach has an assessment phase followed by two phases of OT treatment and modules focussed on work, and strengthened with modules from other specialties.

Contribution to advancing HT practice: This presentation on how to empower WRUED-clients and strengthen their self-efficacy will give an overview of the approach. It will show the assessment phase, the two phases of OT treatment and give some informations about the work modules. It will also briefly highlight its developmental process.