Recovering from Traumatic Occupational Hand Injury Following Surgery: A Biopsychosocial Perspective
Abstract
Purpose Significant differences occur in the return-to-work (RTW) period amongst workers with an acute traumatic occupational hand injury. This study aimed to develop and test a comprehensive multivariate conceptual biopsychosocial model to predict RTW outcome.Method Patients presenting with an occupational hand injury were interviewed 7-10 days after their injury (N = 192) and again at 4 weeks after their injury (n = 150). Potential determinants from biomedical, work-related, demographic and psychosocial categories were studied simultaneously.Results A small sub-set of workers with an acute traumatic hand injury experienced chronic disability beyond 12 weeks. Analyzing the relationship between predictor variables and work absence resulted in the identification of the most important determinants of recovery. During the acute stages of recovery, injury severity, pain, self-efficacy, and living alone were the most important determinants of delayed RTW outcome. At 4 weeks post-injury, locus of control, injury severity, negative affect and living alone were the most important predictors of delayed RTW.Conclusion A number of prognostic variables were identified that influenced RTW outcome, which offer new and unique contributions to the field. Injury severity was not the most important determinant of RTW outcome; neither were factors identified in previous hand injury research, such as attribution of blame, significant predictors. Factors not examined in previous research, such as negative affect, were more important determinants of delayed RTW.
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Most studies in hand therapy have focused on maximizing physical recovery and medical or occupational therapy procedures.
“Most studies conducted in hand therapy have focused on maximizing physical recovery and adjustments with regard to medical or occupational therapy procedures [12-15].”
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Buchanan, H., van Niekerk, L., & Grimmer, K. A. (2020) · Journal of Hand Therapy · doi:10.1016/j.jht.2020.10.007 · Cited by 13 · see citing works
Stewart, J. A., Aebischer, V., Egloff, N., Wegmann, B., von Känel, R., Vögelin, E., & Holtforth, M. G. (2018) · International Journal of Behavioral Medicine · doi:10.1007/s12529-018-9713-4 · Cited by 12 · see citing works
Life-changing or trivial: Electricians’ views about electrical accidents
Thomée, S., & Jakobsson, K. (2018) · Work · doi:10.3233/wor-182765 · Cited by 12 · see citing works
Bousfield, K., Cheon, J.-Y., Harley, S., Lampiris-Tremba, A., Loseby, J. M., Bianchi, N., Barnes, A., & Escorpizo, R. S. (2021) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-021-09997-0 · Cited by 10 · see citing works
Gerg, M. J., Hazak, K., Carrie, B. R., Melendez, N., & Jewell, V. (2022) · Work · doi:10.3233/wor-211059 · Cited by 5 · see citing works
Silva, A. R., & Sime, M. M. (2019) · Cadernos Brasileiros de Terapia Ocupacional · doi:10.4322/2526-8910.ctoar1601 · Cited by 5 · see citing works
Kingston, G., Williams, G., Judd, J. A., & Gray, M. A. (2016) · International Journal of Therapy and Rehabilitation · doi:10.12968/ijtr.2016.23.9.406 · Cited by 4 · see citing works
Gray, A. M., & Young, C. (2021) · Hand · doi:10.1177/15589447211006848 · Cited by 4 · see citing works
The Psychological Impact of Hand Injuries Among Foreign Workers in Singapore
Dhanaraj, I. D., Rajaratnam, V., Jaafar, H., & Morgan, K. (2024) · Cureus · doi:10.7759/cureus.60772 · Cited by 2 · see citing works
Lindahl, M., Teljigović, S., & Nielsen, N. O. (2022) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2022.2048932 · Cited by 2 · see citing works
Epidemiology of traumatic hand injuries
Azm, A. A. A. E., Hawary, Y. E., Turki, A. M., & Mostafa, W. A. (2024) · International Journal of Surgery Science · doi:10.33545/surgery.2024.v8.i3a.1086 · Cited by 1 · see citing works
Lynch, D. J., Afzali, A., Liu, J., Seckel, T., & Mahmood, Z. (2025) · Journal of Orthopaedic Reports · doi:10.1016/j.jorep.2025.100678 · Cited by 1 · see citing works
Hand Crush Injuries: Comprehensive Review and Case Reports
Gonzales-Portillo, D., Reyes, M., Smith, R., Maselli, J., & Schwartz, G. (2025) · SN Comprehensive Clinical Medicine · doi:10.1007/s42399-025-02127-4 · Cited by 1 · see citing works
Minnucci, S., Fochi, F., Lerose, E., Scalise, V., Serio, S. D., & Brindisino, F. (2025) · Journal of Hand Therapy · doi:10.1016/j.jht.2025.10.005 · Cited by 1 · see citing works
Risk and resilience factors of persons exposed to accidents
Herta, D. C., Brindas, P., TRIFU, R. N., & Cozman, D. (2015) · Medicine and Pharmacy Reports · doi:10.15386/cjmed-547 · Cited by 1 · see citing works
Industrial Rehabilitation Services
Keegan, D. M., Koenigsberg, E. S., Miles, F. E., & Kahlert, R. (2015) · Elsevier eBooks · doi:10.1016/b978-1-4557-5647-6.00058-7 · Cited by 1 · see citing works
Glendon, A. I., & Clarke, S. (2015) · CRC Press eBooks · doi:10.1201/b19401-13
Self-citationValidation of the Polish version of the Hand Function Scoring system
Belka, M., Koziej, M., Banach, J., Banach, M. D., & Trybus, M. (2024) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/185977
- Authors
- Roesler, M. L., Glendon, A. I., & O’Callaghan, F. V.
- Affiliations
- Griffith University (AU)
- Corresponding author
- Glendon, Aleck Ian
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2013-02-12
- Volume
- 23
- Issue
- 4
- Pages
- 536-546
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W1989490404
- Cited by
- 30
- References
- 100
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 4 · 2013: 1
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- occupational hand injury, return to work, biopsychosocial model, predictors of recovery, chronic disability, injury severity, pain, self-efficacy, locus of control, negative affect, living alone, absenteeism, prognosis
- MeSH terms
- Adolescent, Adult, Affect, Female, Hand Injuries, Humans, Male, Middle Aged, Models, Psychological, Pain, Single Person, Time Factors, Trauma Severity Indices, Self Efficacy, Young Adult, Occupational Injuries, Return to Work
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