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Vocational rehabilitation for enhancing return-to-work in workers with traumatic upper limb injuries

  1. Wen-Hsuan Hou1,2,
  2. Ching-Chi Chi3,4,*,
  3. Heng-Lien Daniel Lo5,
  4. Ken N Kuo6,
  5. Hung-Yi Chuang7

Editorial Group: Cochrane Work Group

Published Online: 13 OCT 2013

Assessed as up-to-date: 5 MAY 2013

DOI: 10.1002/14651858.CD010002.pub2

How to Cite

Hou WH, Chi CC, Lo HLD, Kuo KN, Chuang HY. Vocational rehabilitation for enhancing return-to-work in workers with traumatic upper limb injuries. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD010002. DOI: 10.1002/14651858.CD010002.pub2.

Author Information

  1. 1

    Taipei Medical University, School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei, Taiwan, Taipei, Taiwan

  2. 2

    Taipei Medical University Hospital, Department of Physical Medicine and Rehabilitation, Taipei, Taiwan

  3. 3

    Chang Gung Memorial Hospital, Department of Dermatology and Centre for Evidence-Based Medicine, Chiayi, Taiwan

  4. 4

    Chang Gung University, College of Medicine, Taoyuan, Taiwan

  5. 5

    Taipei Medical University, Center for Evidence-Based Medicine, Taipei, Taiwan

  6. 6

    College of Medicine, Taipei Medical University, Center for Evidence-Based Medicine, Taipei, Taiwan

  7. 7

    Kaohsiung Medical University Hospital and Kaohsiung Medical University, Occupational and Environmental Medicine, Kaohsiung City, Taiwan

*Ching-Chi Chi, Department of Dermatology and Centre for Evidence-Based Medicine, Chang Gung Memorial Hospital, 6, Sec West, Chia-Pu Road, Puzih, Chiayi, 61363, Taiwan.

Publication History

  1. Publication Status: New
  2. Published Online: 13 OCT 2013



References to studies excluded from this review

  1. References to studies excluded from this review
  2. Additional references
Bear-Lehman 1983 {published data only}
  • Bear-Lehman J. Factors affecting return to work after hand injury. The American Journal of Occupational Therapy 1983;37:189-94.
Berecki-Gisolf 2012 {published data only}
  • Berecki-Gisolf J, Clay FJ, Collie A, McClure RJ. Predictors of sustained return to work after work-related injury or disease: Insights from workers' compensation claims records. Journal of Occupational Rehabilitation 2012;22:283-91.
Burton 2008 {published data only}
  • Burton AK, Kendall NAS, Pearce BG, Birrell LN, Bainbridge LC. Management of upper limb disorders and the biopsychosocial model. The Health and Safety Executive (HSE): Norwich 2008.
Chang 2011 {published data only}
  • Chang JH, Wu M, Lee CL, Guo YL, Chiu HY. Correlation of return to work outcomes and hand impairment measures among workers with traumatic hand injury. Journal of Occupational Rehabilitation 2011;21:9-16.
Cheng 2011 {published data only}
  • Cheng ASK, Cheng SWC. Use of job-specific functional capacity evaluation to predict the return to work of patients with a distal radius fracture. The American Journal of Occupational Therapy 2011;65:8.
Feehan 2004 {published data only}
  • Feehan LM, Bassett K. Is there evidence for early mobilization following an extraarticular hand fracture?. Journal of Hand Therapy 2004;17:300-8.
Freeland 2007 {published data only}
Hales 1992 {published data only}
  • Hales TR, Bertsche PK. Management of upper extremity cumulative trauma disorders. AAOHN Journal 1992;40:118-28.
Lohstrater 2006 {published data only}
  • Lohstrater A, Bak P. Efficiency and cost-effectiveness of the rehabilitation management of the VBG in patients after distal radius fracture. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2006; Vol. 16, issue 3:155-9.
Meijer 2006 {published data only}
  • Meijer EM, Sluiter JK, Heyma A, Sadiraj K, Frings-Dresen MHW. Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up. International Archives of Occupational and Environmental Health 2006;79:654-64.
Pasila 1974 {published data only}
  • Pasila M, Karaharju EO, Lepisto PV. Role of physical therapy in recovery of function after Colles' fracture. Archives of Physical Medicine and Rehabilitation 1974;55:130-4.
Schenck 1989 {published data only}
  • Schenck RR. Prevention and treatment of hand injuries. Professional Safety 1989;34(5):30-3.
Shaw 2003 {published data only}
  • Shaw WS, Feuerstein M, Miller VI, Wood PM. Identifying barriers to recovery from work related upper extremity disorders: use of a collaborative problem solving technique. AAOHN Journal 2003:337-46.
Shaw 2004 {published data only}
Unsworth-White 1994 {published data only}

Additional references

  1. References to studies excluded from this review
  2. Additional references
Aas 2011
ABI & TUC 2002
  • Association of British Insurers and Trades Union Congress. Getting back to work: a rehabilitation discussion paper. London: ABI & TUC 2002.
Allaire 2003
Arends 2012
  • Arends I, Bruinvels David J, Rebergen David S, Nieuwenhuijsen K, Madan I, Neumeyer-Gromen A, et al. Interventions to facilitate return to work in adults with adjustment disorders. Cochrane Database of Systematic Reviews 2012, Issue 12. [DOI: 10.1002/14651858.CD006389.pub2; CD006389]
Arnetz 2003
  • Arnetz BB, Sjögren B, Rydéhn B, Meisel R. Early workplace intervention for employees with musculoskeletal-related absenteeism: a prospective controlled intervention study. Journal of Occupational and Environmental Medicine 2003;45(5):499-506.
ASCC 2008
  • Australian Safety and Compensation Council. Work-related hand and wrist injuries in Australia. Commonwealth of Australia, 2008.
Baker 1984
  • Baker SP, O'Neill B, Karpf RS. The injury fact book. Lexington Books (Lexington, Mass.), 1984.
Blackmore 1992
  • Blackmore SM, Bruening-Reilly L. Chapter 17: Returning the hand-injured patient to work. In: Stanley BG, Tribuzi SM editor(s). Concepts in Hand Rehabilitation. Philadelphia: F.A. Davis Company, 1992:504.
BLS 2010
  • Bureau of Labor Statistics. Bureau of Labor Statistics news: nonfatal occupational injuries and illnesses requiring days away from work, 2010. Bureau of Labor Statistics, United States Department of Labor, (accessed 26 April 2012).
BSRM 2000
  • The British Society of Rehabilitation Medicine. Vocational rehabilitation: the way forward; a working party report. London: The British Society of Rehabilitation Medicine, 2000.
Burke 1994
  • Burke SA, Harms-Constas CK, Aden PS. Return to work/work retention outcomes of a functional restoration program: a multi-center, prospective study with a comparison group. Spine 1994;19(17):1880-5.
Bültmann 2007
  • Bültmann U, Franche R-L, Hogg-Johnson S, Côté P, Lee H, Severin C, et al. Health status, work limitations, and return-to-work trajectories in injured workers with musculoskeletal disorders. Quality of Life Research 2007;16(7):1167-78.
Campbell 2001
Chamberlain 2009
  • Chamberlain MA, Moser VF, Ekholm KS, O'Connor RJ, Herceg M, Ekholm J. Vocational rehabilitation: an educational review. Journal of Rehabilitation Medicine 2009;41(11):856-69.
Cheng 2007
  • Cheng AS, Hung LK. Randomized controlled trial of workplace-based rehabilitation for work-related rotator cuff disorder. Journal of Occupational Rehabilitation 2007;17(3):487-503.
Chinn 2000
Cho 2000
  • Cho BK, Rosenfeldt F, Turina MI, Karp RB, Ferguson TB, Bodnar E, et al. Joint statement on redundant (duplicate) publication by the editors of the undersigned cardiothoracic journals. Annals of Thoracic Surgery 2000;69(2):663.
CLA 2011
  • Council of Labor Affairs. Yearly Bulletin 2011. Taipei: CLA, Executive Yuan, Taiwan ROC,, (accessed on 4 May 2012).
Clay 2010
  • Clay FJ, Newstead SV, D'Elia A, McClure RJ. First return to work following injury: does it reflect a composite or a homogeneous outcome?. Occupational and Environmental Medicine 2010;67(11):730-6.
Cooper 2007
  • Cooper C. Chapter 42: Hand impairments. In: Radomski MV, Latham CAT editor(s). Occupational Therapy for Physical Dysfunction. 5th Edition. Philadelphia, PA: Lippincott Williams & Wilkins, 2007:1132.
de Boer 2011
Disler 2001
Ebel 2004
  • Ebel BE, Mack C, Diehr P, Rivara FP. Lost working days, productivity, and restraint use among occupants of motor vehicles that crashed in the United States. Injury Prevention 2004;10(5):314-9.
Elders 2004
Franche 2005
  • Franche RL, Baril R, Shaw W, Nicholas M, Loisel P. Workplace-based return-to-work interventions: optimizing the role of stakeholders in implementation and research. Journal of Occupational Rehabilitation 2005;15(4):525-42.
Frank 1996
  • Frank JW, Brooker A-S, DeMaio SE, Kerr MS, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain: Part II: What do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins. Spine 1996;21(24):2918-29.
Gobelet 2006
  • Gobelet C, Franchignoni F. Vocational Rehabilitation, pages:3-16. New York, LLC: Springer-Verlag, 2006.
GRADEpro [Computer program]
  • Brozek J, Oxman A, Schünemann H. GRADEpro. Version 3.6. GRADE working group, 2007.
Haahr 2005
  • Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, et al. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Annals of the Rheumatic Diseases 2005;64(5):760-4.
Handoll 2006
  • Handoll HH, Madhok R, Howe TE. Rehabilitation for distal radial fractures in adults. Cochrane Database of Systematic Reviews 2006, Issue 3. [DOI: 10.1002/14651858.CD003324.pub2]
Higgins 2003
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from
HSE 2012
  • Health and Safety Executive. Health and safety statistics 2010/11: Site of injury- Injuries to employees by site and severity of injury. (accessed on 26 April 2012).
Håland 2002
  • Håland Haldorsen EM, Grasdal AL, Skouen JS, Risa AE, Kronholm K, Ursin H. Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain. Pain 2002;95(1-2):49-63.
Khan 2009
King 1992
  • King WK. Chapter 16: Traumatic injuries of the hand: crush injuries and amputations. In: Stanley BG, Tribuzi SM editor(s). Concepts in Hand Rehabilitation. Philadelphia: F.A. Davis Company, 1992:472.
Kuoppala 2008
Li 2006
  • Li EJ, Li-Tsang CW, Lam CS, Hui KY, Chan CC. The effect of a "training on work readiness" program for workers with musculoskeletal injuries: a randomized control trial (RCT) study. Journal of Occupational Rehabilitation 2006;16(4):529-41.
Loisel 2003
  • Loisel P, Durand M-J, Diallo B, Vachon B, Charpentier N, Labelle J. From evidence to community practice in work rehabilitation: the Quebec experience. The Clinical Journal of Pain 2003;19(2):105-13.
Lubbert 2008
  • Lubbert PH, van der Rijt RH, Hoorntje LE, van der Werken C. Low-intensity pulsed ultrasound (LIPUS) in fresh clavicle fractures: a multi-centre double blind randomised controlled trial. Injury 2008;39(12):1444-52.
MacKenzie 1998
  • MacKenzie EJ, Morris JA, Jurkovich GJ, Yasui Y, Cushing BM, Burgess AR, et al. Return to work following injury: the role of economic, social, and job-related factors. American Journal of Public Health 1998;88(11):1630-7.
MacKenzie 2006
  • MacKenzie EJ, Bosse MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, et al. Early predictors of long-term work disability after major limb trauma. The Journal of Trauma 2006;61(3):688-94.
Nair 2008
  • Nair A, Turner-Stokes L, Tyerman A. Vocational rehabilitation for acquired brain injury in adults (Protocol). Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD006021. DOI: 10.1002/14651858.CD006021.pub2.. John Wiley & Sons, Ltd, 2008.
Post 2006
Pransky 2005
RevMan 2012 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2012.
Schaafsma 2010
Seland 2006
Soberg 2010
  • Soberg HL, Roise O, Bautz-Holter E, Finset A. Returning to work after severe multiple injuries: multidimensional functioning and the trajectory from injury to work at 5 years. The Journal of Trauma 2011;71(2):425-34.
van Oostrom 2009
van Tulder 2003
  • van Tulder M, Furlan A, Bombardier C, Bouter L, the Editorial Board of the Cochrane Collaboration Back Review Group. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine 2003;28(12):1290-9.
WHO 2001
  • World Health Organization. International classification of functioning, disability and health: ICF. Geneva: WHO, 2001.