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Faculty of Medicine >
Department of Physical Therapy >
Student Research and Publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25240

Title: The presence of upper extremity musculoskeletal impairments in patients with hand-arm vibration syndrome
Authors: DiNicolantonio, Laura
Goncharova, Kateryna
Laing, Matthew
Pui, Melissa
Vas, Hermina
Advisor: Switzer-McIntyre, Sharon
House, Ron
Department: Physical Therapy
Keywords: hand-arm vibration syndrome (HAVS)
upper extremity
musculoskeletal impairments
assessment
demographics
Issue Date: 2009
Abstract: Purpose: To determine the presence of upper extremity musculoskeletal impairments in patients with Hand-Arm Vibration Syndrome (HAVS) and to describe the demographics of this population so as to enhance the assessment of HAVS and improve patient care. Methods: A descriptive, retrospective chart review of all patients diagnosed with HAVS at the Occupational and Environmental Health Clinic at St. Michael s Hospital, Toronto, Canada in the year 2007. Information was collected on patient demographics, nature of HAVS symptoms, musculoskeletal complaints, musculoskeletal diagnoses, co-existing conditions, and presence of HAVS risk factors. Results: A total of 238 charts were reviewed. Greater than 50% of patients reported pain in the wrist, forearm, elbow, and shoulder. Tenderness in the upper extremity was experienced by 74% of patients, most commonly in the elbow (57%). Patients presented with various upper extremity musculoskeletal impairments, the most prevalent being shoulder/neck pathology (62%). Analysis indicated that range of motion (ROM), stiffness, and strength impairments were not documented in 30% of the charts of patients assessed for HAVS. Conclusions: Patients with HAVS experience pain, weakness, and ROM restrictions throughout the upper extremity. A standardized assessment tool to assess musculoskeletal impairments in the upper extremity in patients with HAVS is required.
Description: Affiliated institutions include: St. Michael s Hospital (R. House), University of Toronto (S. Switzer-McIntyre)
URI: http://hdl.handle.net/1807/25240
Appears in Collections:Student Research and Publications

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