Wrist and hand pain in orthopaedic physical therapists: A mixed-methods study

AbstractBackgroundOrthopaedic physical therapists (PTs) who perform manual therapy are at high risk for wrist and hand pain. Studies that examine the magnitude, scope and causes of wrist and hand pain are needed so that prevention programs can be developed.ObjectivesThe objective of this study was t...

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Bibliographic Details
Published in:Musculoskeletal science & practice 2019-10, Vol.43, p.26-36
Main Authors: Campo, Marc, Hyland, Matthew, Sueki, Derrick, Pappas, Evangelos
Format: Article
Language:English
Subjects:
Adult
Arthralgia - epidemiology
Arthralgia - etiology
Female
Focus Groups
Hand
Humans
Male
Musculoskeletal Manipulations - adverse effects
Occupational Diseases - epidemiology
Occupational Diseases - etiology
Pain Measurement
Physical Medicine and Rehabilitation
Physical Therapists
Prevalence
Risk Factors
Surveys and Questionnaires
Wrist
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Summary:AbstractBackgroundOrthopaedic physical therapists (PTs) who perform manual therapy are at high risk for wrist and hand pain. Studies that examine the magnitude, scope and causes of wrist and hand pain are needed so that prevention programs can be developed.ObjectivesThe objective of this study was to determine the magnitude, scope, and impact of wrist and hand pain in orthopaedic PTs and to identify potential strategies for prevention.DesignThis was a sequential, mixed methods study including quantitative and qualitative components.MethodsThe quantitative phase consisted of an online survey sent to members of the Academy of Orthopaedic Physical Therapy. The qualitative phase consisted of focus groups with Orthopaedic PTs who had wrist and hand pain.ResultsThe survey included 962 PTs and the focus groups included 10 PTs. The one-year prevalence of wrist and hand pain was 75%. Increasing age, decreasing experience, female gender, performing more manual therapy and working more than 40 h per week were associated with an increased risk of moderate to severe wrist and hand pain. Soft-tissue mobilization was the most frequently cited causative factor. The most commonly mentioned strategy for prevention was altering body mechanics and technique. Focus group participants highlighted the importance of managing expectations for manual therapy by patients.ConclusionsFormal injury prevention programs for PT students and PTs are urgently needed. These programs should focus on improving body mechanics and technique, attention to workload, careful selection of manual techniques, and managing expectations for manual therapy.
ISSN:2468-7812
2468-7812
DOI:10.1016/j.msksp.2019.05.009