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Open Access 01-12-2010

Cluster Analysis of Symptoms Among Patients with Upper Extremity Musculoskeletal Disorders

Authors: Judith E. Gold, George Piligian, Joseph J. Glutting, Alexandra Hanlon, Monique H. W. Frings-Dresen, Judith K. Sluiter

Published in: Journal of Occupational Rehabilitation | Issue 4/2010

Abstract

Introduction Some musculoskeletal disorders of the upper extremity are not readily classified. The study objective was to determine if there were symptom patterns in self-identified repetitive strain injury (RSI) patients. Methods Members (n = 700) of the Dutch RSI Patients Association filled out a detailed symptom questionnaire. Factor analysis followed by cluster analysis grouped correlated symptoms. Results Eight clusters, based largely on symptom severity and quality were formulated. All but one cluster showed diffuse symptoms; the exception was characterized by bilateral symptoms of stiffness and aching pain in the shoulder/neck. Conclusions Case definitions which localize upper extremity musculoskeletal disorders to a specific anatomical area may be incomplete. Future clustering studies should rely on both signs and symptoms. Data could be collected from health care providers prospectively to determine the possible prognostic value of the identified clusters with respect to natural history, chronicity, and return to work.

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Title: Cluster Analysis of Symptoms Among Patients with Upper Extremity Musculoskeletal Disorders
Authors: Judith E. Gold
George Piligian
Joseph J. Glutting
Alexandra Hanlon
Monique H. W. Frings-Dresen
Judith K. Sluiter
Publication date: 01-12-2010
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 4/2010
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-010-9240-x

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Cluster Analysis of Symptoms Among Patients with Upper Extremity Musculoskeletal Disorders

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