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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

  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Andreia Gushikem
    Correspondence
    Correspondence author: Condominio Ville de Montagne, quadra 21, casa 18. Jardim Botânico, Brasilia, Brazil. 71680-357. Tel.: 55-61-3319-1881, Mob: 55-61-98135-8787
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Physiotherapy department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
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  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Márcio de Mendonça Cardoso
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Neurosurgery department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
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  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Ana Lúcia Lima Cabral
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Physiotherapy department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
    Search for articles by this author
  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Camila Sodré Mendes Barros
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Physiotherapy department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
    Search for articles by this author
  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Herilckmans Belnis Tonha Moreira Isidro
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Psychology department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
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  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Jesiniana Rodrigues Silva
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Nursing department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
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  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Juliana Barnetche Kauer
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Physiotherapy department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
    Search for articles by this author
  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Roberta Temporal Soares
    Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881
    Affiliations
    Pedagogy department, SARAH Rehabilitation Hospital Network, Brasilia, Brazil
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  • Author Footnotes
    # SARAH Rehabilitation Hospital Network,Postal address: SHIN QL 13, area especial C. Lago Norte, Brasilia - DF. 71535-005, Phone: 55 61 3319-1881

      Highlights

      • Rehabilitation reduce disability and improve muscle strength.
      • Time of injury, age and muscle strength improvement influence return to work/study.
      • Severity of the injury, type of work and dominant side involvement does not influence return to work/ study.
      • High levels of satisfaction were achieved with an interdisciplinary approach patient-centered.

      Abstract

      Background

      An important focus of rehabilitation is thereturn to the meningful occupations which may include work and school activities.

      Purpose

      The aim of this study is to investigate predictive factors for return to work/study in traumatic brachial plexus injury patients undergoing rehabilitation and to investigate the level of satisfaction with treatment.

      Study Design

      Retrospective observational study with at least 1 year of follow-up.

      Methods

      One hundred and one individuals with traumatic brachial plexus injury enrolled in this study. Primary outcomes were return to work/study and satisfaction with treatment. A secondary outcome was the self-perception of what influenced return to work. Sociodemographic and related to injury data, rehabilitation interventions, muscle strength, and disability were analyzed as predictors. Associations were investigated using univariable and discriminant analysis and considered a level of significance of P < .05.

      Results

      Return to work/study occurred in 55% of the patients who participated in this study. Muscle strength discerned those who returned to work. Time interval between trauma and surgery and age were lower in those who returned to work.
      Thirty-one patients answered the question regarding self-perception of what influenced return to work. They indicated “necessity”, “rehabilitation”, “my desire” and “not become depressed”. Satisfaction was graded between 8.9 and 9.5 in 95% of the cases.

      Conclusions

      Return to work/study was related to muscle strength improvement and those who returned were younger and had less time elapsed from trauma. Individual factors and rehabilitation were pointed out as helpful in aiding return to work. Satisfaction with treatment was high. These findings can help to optimize goals in the rehabilitation environment.

      Keywords

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      References

        • Kaiser R
        • Waldauf P
        • Ullas G
        • Krajcová A.
        Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis.
        Neurosurg Rev. 2020; 43: 443-452https://doi.org/10.1007/s10143-018-1009-2
        • Faglioni W
        • Siqueira MG
        • Martins RS
        • Heise CO
        • Foroni L.
        The epidemiology of adult traumatic brachial plexus lesions in a large metropolis.
        Acta Neurochirurgica. 2014; 156: 1025-1028https://doi.org/10.1007/s00701-013-1948-x
        • Midha R.
        Epidemiology of brachial plexus injuries in a multitrauma population.
        Neurosurgery. 1997; 40: 1182-1189https://doi.org/10.1097/0006123-199706000-00014
        • Rueda S
        • Chambers L
        • Wilson M
        • et al.
        Association of returning to work with better health in working-aged adults: A systematic review.
        Am J Public Health. 2012; 102: 541-556https://doi.org/10.2105/AJPH.2011.300401
        • Brewerton DA
        • Daniel JW.
        Factors influencing return to work.
        Br Med J. 1971; 4: 277-281https://doi.org/10.1136/bmj.4.5782.277
        • Kretschmer T
        • Ihle S
        • Antoniadis G
        • et al.
        Patient satisfaction and disability after brachial plexus surgery.
        Neurosurgery. 2009; 65https://doi.org/10.1227/01.NEU.0000335646.31980.33
        • Chow A
        • Mayer EK
        • Darzi AW
        • Athanasiou T.
        Patient-reported outcome measures: the importance of patient satisfaction in surgery.
        Surgery. 2009; 146: 435-443https://doi.org/10.1016/j.surg.2009.03.019
        • Compston A.
        Aids to the investigation of peripheral nerve injuries. Medical Research Council: Nerve Injuries Research Committee. His Majesty's Stationery Office: 1942; pp. 48 (iii) and 74 figures and 7 diagrams; with aids to the examination of the peripheral nervous system. By Michael O'Brien for the Guarantors of Brain.
        Saunders Elsevier. 2010; (pp. [8]64 and 94 Figures. Brain : a journal of neurology. 2010;133(10):2838-2844. doi:10.1093/brain/awq270)
        • Orfale AG
        • Araújo PMP
        • Ferraz MB
        • Natour J.
        Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the disabilities of the arm, shoulder hand questionnaire.
        Braz J Med Biol Res. 2005; 38: 293-302https://doi.org/10.1590/S0100-879X2005000200018
        • Franchignoni F
        • Vercelli S
        • Giordano A
        • Sartorio F
        • Bravini E
        • Ferriero G.
        Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (quickDASH).
        J Orthop Sports Phys Ther. 2014; 44: 30-39https://doi.org/10.2519/jospt.2014.4893
        • Brokelman RBG
        • Haverkamp D
        • van Loon C
        • Hol A
        • van Kampen A
        • Veth R.
        The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty.
        Eur Orthop Traumatol. 2012; 3: 101-105https://doi.org/10.1007/s12570-012-0100-3
        • von Elm E
        • Altman DG
        • Egger M
        • Pocock SJ
        • Gøtzsche PC
        • Vandenbroucke JP.
        The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies.
        PLoS Med. 2007; 4: 1623https://doi.org/10.1371/journal.pmed
        • Ferreira SR
        • Martins RS
        • Siqueira MG.
        Correlation between motor function recovery and daily living activity outcomes after brachial plexus surgery.
        Arquivos de Neuro-Psiquiatria, 2017https://doi.org/10.1590/0004-282x20170090 (Published online)
        • Collie A
        • Simpson PM
        • Cameron PA
        • et al.
        Patterns and predictors of return to work after major trauma: a prospective, population-based registry study.
        Ann Surg. 2019; 269: 972-978https://doi.org/10.1097/SLA.0000000000002666
        • Gabbe BJ
        • Simpson PM
        • Harrison JE
        • et al.
        Return to work and functional outcomes after major trauma who recovers, when, and how well?.
        Ann Surg. 2016; 263: 623-632https://doi.org/10.1097/SLA.0000000000001564
        • Berecki-Gisolf J
        • Clay FJ
        • Collie A
        • McClure RJ
        The impact of aging on work disability and return to work: Insights from workers’ compensation claim records.
        J Occup Environ Med. 2012; 54: 318-327https://doi.org/10.1097/JOM.0b013e31823fdf9d
      1. Mancuso CA, Landers ZA, Lee SK, Dy CJ, Wolfe SW, Model Z. Compensation by the Uninjured Arm After Brachial Plexus Injury. HAND. Published online 2016. doi:10.1177/1558944715627635.

        • Wilson TJ
        • Chang KWC
        • LyndaJ-S Yang
        Depression and anxiety in traumatic brachialplexus injury patients are associated withreduced motor outcome after surgicalintervention for restoration of elbow flexion.
        Neurosurgery. 2016; 78: 844-850
        • Franzblau L
        • Chung KC.
        Psychosocial outcomes and coping after complete avulsion traumatic brachial plexus injury.
        Disabil Rehabil. 2015; 37: 135-143https://doi.org/10.3109/09638288.2014.911971
        • Franzblau LE
        • Shauver MJ
        • Chung KC.
        Patient satisfaction and self-reported outcomes after complete brachial plexus avulsion injury.
        J Hand Surgery. 2014; 39https://doi.org/10.1016/j.jhsa.2014.01.022