validity of the dictionary of occupational titles for assessing upper extremity work demands有效性评估上肢字典职业头衔的工作要求.pdfVIP

Validity of the Dictionary of Occupational Titles for Assessing Upper Extremity Work Demands 1 1 1,2 1 Lonneke Opsteegh *, Remko Soer , Heleen A. Reinders-Messelink , Michiel F. Reneman , Corry K. van der Sluis1 1 Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands, 2 Center for Rehabilitation ‘Revalidatie Friesland’, Beetsterzwaag, The Netherlands Abstract Objectives: The Dictionary of Occupational Titles (DOT) is used in vocational rehabilitation to guide decisions about the ability of a person with activity limitations to perform activities at work. The DOT has categorized physical work demands in five categories. The validity of this categorization is unknown. Aim of this study was to investigate whether the DOT could be used validly to guide decisions for patients with injuries to the upper extremities. Four hypotheses were tested. Methods: A database including 701 healthy workers was used. All subjects filled out the Dutch Musculoskeletal Questionnaire, from which an Upper Extremity Work Demands score (UEWD) was derived. First, relation between the DOT- categories and UEWD-score was analysed using Spearman correlations. Second, variance of the UEWD-score in occupational groups was tested by visually inspecting boxplots and assessing kurtosis of the distribution. Third, it was investigated whether occupations classified in one DOT-category, could significantly differ on UEWD-scores. Fourth, it was investigated whether occupations in different DOT-categories could have similar UEWD-scores using Mann Whitney U-tests (MWU). Results: Relation between the