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Graded work exposure to promote work return after severe hand trauma: a replicated study. Ann Plast Surg 1992 Dec;29(6):532-6

Date

12/01/1992

Pubmed ID

1361315

DOI

10.1097/00000637-199212000-00009

Scopus ID

2-s2.0-0027054229   29 Citations

Abstract

Fifty-one patients with posttraumatic stress disorder after work-related hand injuries were placed on a graded work exposure program to facilitate return to work. These patients consisted of an initial group of 25 patients and a replication group of 26 patients. The program returned 92% of the initial group and 88% of the replicated group to work with their previous employers. At 6-month follow-up, 88% of the initial group and 80.1% of the replication group were still working full-time at the jobs to which they had returned. All of the patients not working with their previous employer at follow-up had appraisal/projected flash-backs, which have previously been associated with a 90% failure to return to work. This intervention was successful with 73% of the patients experiencing such flashbacks. In conclusion, graded work exposure was an effective treatment to promote return to work for patients experiencing significant psychological symptomatology after severe hand injury.

Author List

Grunert BK, Devine CA, Smith CJ, Matloub HS, Sanger JR, Yousif NJ

Authors

Brad K. Grunert PhD Professor in the Plastic Surgery department at Medical College of Wisconsin
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Accidents, Occupational
Adult
Desensitization, Psychologic
Female
Follow-Up Studies
Hand Injuries
Humans
Male
Middle Aged
Rehabilitation, Vocational
Reproducibility of Results
Stress Disorders, Post-Traumatic