工作強化訓練對上肢損傷職災勞工握力、指力與負重能力之成效

Effects of Work Hardening Program on Grasp Power, Pinch Power, and Strength Levels in Work Related Hand Injured Workers

連淑惠(Shwu-Huei Lien) ； 陳月霞(Yueh-Hsia Chen) ； 王怡人(Yi-Jen Wang) ； 呂仲平(Chung-Ping Lu) ； 李佳潔(Chia-Chieh Li)

《臺灣職能治療研究與實務雜誌》 7卷1期 (2011/06) Pp. 51-63

https://doi.org/10.6534/jtotrp.2011.7(1).51

摘要

Objective: The purpose of this study is to examine effects of work hardening program on grasp power, pinch power, and strength levels in work related hand injured workers. Materials and Methods: 26 workers with upper extremity work related injury, referred to our work hardening program. 19 were men and 7 were women and the average age was 36.6 years (range 25-63 years) The average elapsed time between onsst and participating in work hardening program was 277.5 days (range 89-1005 days). All participants underwent average of 4 weeks training. The grasp power, pinch power and strength levels were measured before and after training, Paired-t test was used to examine the difference of grasp power, pinch power and strength levels before and afterprogram. Subjective perception of the confidence of return to work was also measured by a simple questionaire after work hardening program. Results: All workers showed significant improvement in bilateral sides grasp power, pinch power and strength levels between before and after traning. All of the difference of bilateral sides grasp power, pinch power and strength levels before and after work hardening are all statistically significant (p＜.001). 85% trainees agreed that their confidence level of return to work had improved after participating in this program. Conclusions: Work hardening program in this study improve grasp power, pinch power and strength levels of injured workers. The physical capacity fulfilled the work demand after traing therefor their confidence of return to work increased.

關鍵字

上肢損傷 ； 職業災害 ； 工作強化

並列摘要

Objective: The purpose of this study is to examine effects of work hardening program on grasp power, pinch power, and strength levels in work related hand injured workers. Materials and Methods: 26 workers with upper extremity work related injury, referred to our work hardening program. 19 were men and 7 were women and the average age was 36.6 years (range 25-63 years) The average elapsed time between onsst and participating in work hardening program was 277.5 days (range 89-1005 days). All participants underwent average of 4 weeks training. The grasp power, pinch power and strength levels were measured before and after training, Paired-t test was used to examine the difference of grasp power, pinch power and strength levels before and afterprogram. Subjective perception of the confidence of return to work was also measured by a simple questionaire after work hardening program. Results: All workers showed significant improvement in bilateral sides grasp power, pinch power and strength levels between before and after traning. All of the difference of bilateral sides grasp power, pinch power and strength levels before and after work hardening are all statistically significant (p＜.001). 85% trainees agreed that their confidence level of return to work had improved after participating in this program. Conclusions: Work hardening program in this study improve grasp power, pinch power and strength levels of injured workers. The physical capacity fulfilled the work demand after traing therefor their confidence of return to work increased.

並列關鍵字

Upper extremity injury ； Work injury ； Work hardening