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work-related upper extremity conditions;classification and diagnosis Article Summary

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A framework for the classification and diagnosis of work-related upper extremity conditions: Systematic review
Seminars in Arthritis and Rheumatism, 05/09/08
Print     Email This Article     Save in My Library   Free Abstract
Boocock MG et al. – A systematic approach to the classification and diagnosis of work-related upper extremity (UE) conditions is likely to lead to more precise estimates of the prevalence and cost of UE conditions, as well as the information on the efficacy of medical and workplace interventions.

Methods
  • The purpose of this study was to identify internationally applied terminology and definitions appropriate to work-related UE conditions
  • An extensive literature search of 15 electronic databases
  • Personal communications with representatives from national and international health and safety organizations

Results
  • Information specific to the umbrella terms and their corresponding conditions was obtained from 15 countries
  • The findings revealed a lack of international consensus over appropriate terminology
  • UE conditions could be classified into three broad categories:
  • (1) 14 “specific conditions” with evidence-based diagnostic criteria
  • (2) 34 “other specific conditions” with no clearly defined diagnosis
  • (3) “nonspecific conditions” requiring a clear pattern of signs and symptoms to be present for a diagnosis to be made
  • A dynamic model for classifying work-related UE conditions is proposed which places greater emphasis on specific diagnosis

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