Dissertations / Theses on the topic 'Upper extremity disorders'

This thesis analyzes the relationship between upper extremity musculoskeletal disorders and longtime computer usage. Firstly<br>maastricht upper extremity questionnaire is applied to Financial Control and Information Technology Departments of Turk Telekom. Results are analyzed by using spss 16.0 tool by conduction of ordinal logistic regression analysis to determine the significance between work environment and postural information and upper extremity musculoskeletal complaints. Then<br>development of a new tool, namely PACU (postural analysis of computer users), takes place aiming to determine the factors of disorders, by mainly focusing on work-related neck and upper limb disorders, for long time computer users of Financial Control and Information Technology Departments of Turk Telekom. Results of the PACU are analyzed by using the methods of correlation, chi square goodness of fit test, factor analysis, and ordinal logistic regression.

Work-related musculoskeletal disorders (WMSDs) are a major source of lost productivity and revenue in the workplace and disability in workers. There is strong evidence for a relationship between physical risk factors, such as repetitive motions and excessive force, and the development of WMSDs; yet there are unexplained discrepancies in determining which workers are more at risk. Researchers hypothesize that non-physical factors in the workplace, or psychosocial factors, may contribute to the development of WMSDs. The following study examined the effects of two psychosocial factors, mental workload and time pressure, on perceived workload and physiological reactions of the lower arm and wrist during typing activity by measuring muscle activation patterns, wrist posture and movement, key strike forces, and subjective assessments of overall workload. The results indicate that increases in time pressure lead to increases in lower arm muscle activation, key strike forces, and wrist deviations. Key strike forces may increase with higher mental workload levels, but other effects of mental workload were not clear. Perceived overall workload (time load, mental effort load, and stress load) increased with mental workload and time pressure, and typing performance decreased. The evidence from this study suggests that these psychosocial factors (mental workload and time pressure) mediate physical risk factors to increase risk for WMSD development in the upper extremities. The results illustrate the need for those designing jobs and work tasks to consider both physical and psychosocial aspects of the working environment to prevent injuries in employees.<br>Master of Science

As principais desordens dos membros superiores e cervical (CANS - Complaints of arms, neck and shoulders) podem ser definidas como queixas musculoesqueléticas nas regiões de membro superior, ombro e pescoço não atribuídas a trauma agudo ou a desordens sistêmicas. Essas desordens são comuns entre trabalhadores usuários de computador. O Maastricht Upper Extremity Questionnaire (MUEQ) é uma das poucas ferramentas existentes na literatura para avaliação de risco ergonômico e psicossocial em trabalhadores, além da vantagem de ser específico para usuários de computador, porém não está validado no português-brasileiro. O objetivo deste trabalho foi realizar a adaptação transcultural para o português-brasileiro e validação do MUEQ em trabalhadores de escritório usuários de computador e verificar a prevalência das CANS na amostra recrutada. A tradução e adaptação transcultural seguiram as diretrizes do Consensus-based Standards for the selection of health status Measurement Instruments nos estágios: tradução, síntese, retrotradução, revisão pelo comitê de especialistas e pré-teste. Na etapa do teste da versão pré-final, foram aplicados 55 questionários em trabalhadores usuários de computador, que relataram dificuldades de compreensão abaixo do valor estipulado de 20%, não sendo necessária a reformulação da ferramenta. Para testar a confiabilidade, outros 50 sujeitos preencheram o questionário, em dois momentos, com nível de reprodutibilidade considerado excelente (ICC>0,75). A amostra para a análise da consistência interna e análise fatorial do questionário contou com 386 trabalhadores usuários de computador de mesa entre 18 e 60 anos. Para a consistência interna foram observados valores de de Cronbach maiores que 0,7 para todos os domínios. Na análise fatorial os domínios/subdomínios apresentaram valores de eigenvalue superiores a 1 e os valores de variância explicada acumulada dos fatores de cada domínio variou entre 40% e 60%. A prevalência das CANS nos últimos três meses por pelo menos uma semana foi de 73,32% (IC=0,69-0,77) na amostra total (n=283) e 82% (IC=0,76-0,87) das mulheres e 62% (IC=0,55-0,69) dos homens relataram alguma das CANS. Os domínios foram mantidos iguais à versão original do MUEQ. A queixa musculoesquelética mais observada foi a dor no pescoço (51%). A partir deste trabalho disponibilizou-se um instrumento abrangente e confiável para a avaliação ergonômica e psicossocial relacionado às queixas em cervical e membro superior em trabalhadores usuários de computador brasileiros e foi observada alta prevalência de CANS na população observada.<br>Complaints of the Arm, Neck and Shoulder (CANS) have a multifactorial etiology, and, therefore, its assessment should take into consideration work-related ergonomic and psychosocial aspects. The Maastricht Upper Extremity Questionnaire (MUEQ) is among the few specific tools available to evaluate the nature and occurrence of CANS in computer office workers. The purpose of the present study was to perform the cross-cultural adaptation of the MUEQ to Brazilian Portuguese and verify the psychometric properties of the MUEQ-Br in Brazilian computer office workers and to assess the prevalence of CANS in a sample of Brazilian computer office workers. The translation and cultural adaptation followed the guidelines of the Consensus-based Standards for the selection of health status Measurement Instruments in six stages: translation, synthesis, back translation, review by the expert committee, pre-test and submission of documents to the committee. In the test of pre-final version, 55 questionnaires were administered to computer workers who reported difficulties in understanding below the stipulated 20%, without the need for redesign of the tool. The pre-final version test counted on the participation of 55 computer office workers. For reproducibility, it was considered a sample of 50 workers who answered the questionnaire twice with a one-week interval. A sample comprised by 386 (37.44 years, Confidence Interval (CI) 95%:36.50-38.38, 216 women and 170 men) workers from the University of São Paulo at Ribeirão Preto campus to validate the structure of the questionnaire, verify internal consistency and CANS prevalence. Intraclass Correlation Coefficient (ICC) was used for the statistical analysis of reproducibility, Cronbachs Alpha for Internal Consistency, and the Principal Component Analysis method for Exploratory Factor Analysis. The psychometric properties of the MUEQ were assessed using exploratory factor analysis, which revealed 14 factors. The calculation of internal consistency, reproducibility and cross validation provided evidence of reliability and lack of redundancy. It was verified ICC values greater than 0.75 and cronbachs alpha greater than 0.7. Factor analysis was conducted for every section of the questionnaire and 14 factors were found, two for each section accounting for approximately 40 to 60% of the variance. The prevalence rate of CANS indicated that 73% (IC=0,69-0,77) of the respondents reported at least one complaint in the arm, neck and/or shoulder in the total sample (n=283), 82% (IC=0,76-0,87) of the women and 62% IC=0,55-0,69) of the men. The highest prevalence rates were found for neck symptoms (51%). The MUEQ-Br demonstrated to be a valid tool for the assessment of risk factors related to pain in the upper extremity among Brazilian computer office workers.

The outputs that form the basis of this PhD submission include a web site that summarises a unique collection of over 200 Court Judgments in personal injury claims for work-related upper limb disorders heard in the UK, together with a number of more conventional publications. Individually, these outputs all address upper limb disorders associated with work although they each had slightly different objectives and the audiences for which they were produced significantly influenced the type of publication in which they appeared. Together, they help illustrate when, how and, to some extent, why upper limb disorders associated with keyboard use became the issue it did in the UK in the late 1980s and 1990s. While many might now regard keyboard or computer use as an innocuous task, in the late 1980s and 1990s upper limb disorders associated with keyboard use, particularly computer use, became the subject of litigation, legislation, industrial disputes and widespread publicity. The outputs on which this submission is based, together, suggest that following the importation of the concept of repetitive strain injuries (RSI) from Australia in the later 1980s, the activities of trades unions and journalists in the UK promoted work-relevant upper limb symptoms and disorders associated with keyboard use as work-induced injuries. Subsequently, a small number of successful, union-backed, personal injury claims, which involved contentious medical evidence and perhaps an element of iatrogenesis, were widely promoted as proof that computer use causes injury. Around the same time, the government chose to implement flawed Regulations relating to the design and use of computer workstations, which failed to distinguish between that which might give rise to discomfort, fatigue and frustration and that which might give rise to injury. The existence of these Regulations, which among other things require regular, individual risk assessments of computer users, unlike any other type of work, could be interpreted as further 'proof' that computer use causes injury. The approach to the prevention and management of musculoskeletal disorders advocated in current HSE guidance, including the risk assessment strategy, remain capable of generating distorted perceptions of the risks arising from keyboard and computer use.

When implementing a managed healthcare intervention among a working population, evidence-based healthcare is critical. In the current study, the change of work posture of sewing-machine operators from seated to stand-up (the intervention) was managed within a physiotherapy and ergonomics programme (programme) in Johnson Controls Automotive S.A. (Pty) Ltd (company) without local evidence to guide the postural transition. The management of the intervention, implemented over a period of 4.5 years, presented the opportunity for a retrospective longitudinal study. The study determined the impact of the change in work posture on the incidence of work-related musculoskeletal disorders (WRMSDs) from June 2004 to January 2009 (period). The role of the physiotherapist in the programme was to deliver manual therapy to all sewing-machine operators with WRMSDs, and to provide a clinical - ergonomics service, as a member of a multidisciplinary team, to the company. The population of sewing-machine operators (n=123) was described in terms of personal factors (e.g. age, medical history, musculoskeletal history, and body mass index (BMI)), ergonomic risk factors (e.g. work posture, force and duration) and overall incidence of WRMSDs. The associations of risk factors (personal and ergonomic) with WRMSDs, and work posture with WRMSDs among sewing-machine operators were statistically determined. The majority of the population (97.6%) was female, with mean age 42.3± 8 years. At baseline, 17.9% were hypertensive, 3.3% had arthritis, 6.5% were diabetic, and the mean BMI was 29.7 kg/m² (22% of BMIs was normal). The largest proportion of the sewing-machine operators were sewing cloth and leather (79.7%) (compared to sewing cloth and vinyl), and the remainder performed forceful precision stitching (20.3%), including headrest covers, airbags and top stitching on the final product. Job rotation took place between forceful precision stitching and straight stitching (for 36.6% of the sewing-machine operators).p> The intervention was implemented within the study period. At baseline 100% of sewing machine operators were sewing in the seated work posture. Early in the study, 17.9% of them changed their work posture from seated to stand-up, 30.1% changed to the stand-up work posture in January 2007, and 34.9% a year later. The last 17.1% remained seated till the last year of the study period. From July 2008, 100% of the sewing-machine operators were sewing in the stand-up work posture. The results indicated two strong associations of risk factors and a change in work posture with WRMSDs. Obesity (specifically morbid obesity) was a personal risk factor for upper limb disorders and working in the stand-up work posture was protective for spinal disorders, compared to working in the seated work posture. Furthermore, the results indicated a high incidence of disorders (specifically of the spinal area and upper limb) during the first three months of the programme, as well as an increased incidence of lower leg disorders for the first and consecutive month of the change in work posture from seated to standing up. Lower limb disorders were specifically associated with obesity. The increase of lower limb disorders during the postural adaptation phase was temporary, and was addressed within the programme with proper shoe wear, silicone innersoles, supportive stockings and exercises. The combination proved to be effective in preventing and/or managing lower limb disorders. The outcome of the current study provided evidence on the incidence of WRMSDs, and associations between risk factors and work posture, and WRMSDs among sewing machine operators managed within the programme.<br>Dissertation (MPhysT)--University of Pretoria, 2013.<br>Physiotherapy<br>unrestricted

Els fisioterapeutes (FTs) tenen el risc de patir trastorns musculoesquelètics d'origen laboral en coll i extremitats superiors (TMOLCES). El propòsit d'aquest estudi transversal va ser determinar la prevalença de TMOLCES en els FTs de Catalunya, investigar les associacions entre TMOLCES i àrees anatòmiques, i aspectes demogràfics i laborals dels FTs, le seves respostes i els factor de risc laboral percebuts com a causes de TMOLCES. Es va trobar una prevalença de vida de TMOLCES de 87,3%; de 12 mesos, de 81,9%, i la puntual, de 65,94%. El 57,4% dels menors de 30 anys es van lesionar en els 3 primers anys d'exercici professional. Els TMOLCES més freqüents van ser a l'espatlla, el canell i la mà. La prevalença de TMOLCES esntre els FTs a Catalunya és més alta que la trobada en altres països. El gènere, les àrees d'especialitat i les tècniques utilitzades estan correlacionats amb aquesta alta prevalença.<br>Los fisioterapeutas (FTs) están en riesgo de sufrir trastornos musculoesqueléticos de origen laboral en cuello y extremidades superiores (TMOLCES). El propósito de este estudio transversal fue determinar la prevalencia de TMOLCES en los FTs de Cataluña, investigar las asociaciones entre TMOLCES y áreas anatómicas, y aspectos demogràficos y laborales de los FTs, sus respuestas y los factores de riesgo que perciben como causas de TMOLCES. Se encontró una prevalencia de vida de TMOLCES de 87,3%; de 12 meses, de 81,9%, y la puntual, de 65,94%. El 57,4% de los menores de 30 años se lesionaron en los 3 primeros años de ejercicio profesional. Los TMOLCES más frecuentes fueron en el hombro, muñeca y mano. La prevalencia de TMOLCES entre los FTs de Cataluña fue más alta que la reportada en otros países. El género, las áreas de especialidad y las técnicas utilizadas están correlacionados con esta alta prevalencia.<br>Physiotherapists (PTs) are at risk for work-related neck and upper limb musculoskeletal disorders (WRULDS). The purpose of this cross-sectional study was to determine the prevalence of WRULDS in the PTs of Catalonia, to investigate the associations between WRULDS and the anatomic areas, and the demographic and labor aspects of the PTs, their responses and compensation strategies as well as the occupational risk factors perceived as causes of WRULDS. A life prevalence of WRULDS of 87,3% was found, the prevalence of 12 months was 81,9% and the point prevalence was 65,94%. 57,4% of PTs under 30 had been injured in the first 3 years of professional practice. The most frequent WRULDS were in the shoulder, wrist and hand. The prevalence of WRULDS among PTs in Catalonia is higher than the prevalence reported in other countries. Our data suggest that gender, areas of speciality and techniques used are correlated with this high prevalence.

Made available in DSpace on 2014-12-17T15:16:15Z (GMT). No. of bitstreams: 1 AlineBGSF_DISSERT.pdf: 1069901 bytes, checksum: 15cae64ff2a14276647cac947605028a (MD5) Previous issue date: 2011-12-19<br>The Cerebral Vascular Accident (CVA) is the leading cause of motor disability in adults and elderly and that is why it still needs effective interventions that contribute to motor recovery. Objective: This study was aimed to evaluate the performance of stroke patients in chronic stage using a virtual reality game. Method: 20 patients (10 with injury to the left and 10 to the right side), right-handed, average age 50.6 ? 9.2 years, and 20 healthy subjects with average age of 50.9 ? 8.8, also right-handed participated. The patients had a motor (Fugl-Meyer) and muscle tone assessment (Ashworth). All participants made a kinematic evaluation of the drinking water activity and then underwent training with the table tennis game on XBOX 360 Kinect?, 2 sets of 10 attempts for 45 seconds, 15 minutes rest between sets, giving a total of 30 minutes session. After training the subjects underwent another kinematic evaluation. The patients trained with the right and left hemiparect upper limb and the healthy ones with the right and left upper limb. Data were analyzed by ANOVA, t Student test and Pearson correlation. Results: There was significant difference in the number of hits between the patients and healthy groups, in which patients had a lower performance in all the attempts (p = 0.008), this performance was related to a higher level of spasticity (r = - 0.44, p = 0.04) and greater motor impairment (r = 0.59, p = 0.001). After training, patients with left hemiparesis had improved shoulder and elbow angles during the activity of drinking water, approaching the pattern of motion of the left arm of healthy subjects (p < 0.05), especially when returning the glass to the table, and patients with right hemiparesis did not obtain improved pattern of movement (p > 0.05). Conclusion: The stroke patients improved their performance over the game attempts, however, only patients with left hemiparesis were able to increase the angle of the shoulder and elbow during the functional activity execution, better responding to virtual reality game, which should be taken into consideration in motor rehabilitation<br>O Acidente Vascular Cerebral (AVC), por ser uma das principais causas de incapacidade motora em adultos e idosos necessita de interven??es eficazes que contribuam para a recupera??o motora. Objetivo: Este estudo teve como objetivo avaliar o desempenho no uso de um jogo de realidade virtual em pacientes no est?gio cr?nico do AVC. M?todo: Participaram 20 pacientes (10 com les?o ? esquerda e 10 ? direita), destros, com idade m?dia de 50,6 ? 9,2 anos; e 20 saud?veis com idade m?dia de 50,9 ? 8,8 anos, tamb?m destros. Os pacientes fizeram uma avalia??o motora (Fugl-Meyer) e do t?nus muscular (Ashworth). Todos os participantes fizeram uma avalia??o cinem?tica da atividade de beber ?gua e em seguida realizaram o treino com jogo de t?nis de mesa do XBOX 360 Kinect?, em 2 s?ries de 10 tentativas de 45 s, com 15 min de descanso entre elas, totalizando 30 minutos de sess?o. Ap?s o treino, os indiv?duos foram submetidos ? outra avalia??o cinem?tica. Os pacientes treinaram com o membro superior hemipar?tico direito e esquerdo e os saud?veis com o membro superior direito e esquerdo. Os dados foram analisados pela ANOVA, pelo teste t`Student e de correla??o de Pearson. Resultados: Houve diferen?a significativa no n?mero de acertos entre o grupo de pacientes e saud?veis, no qual os pacientes apresentaram um desempenho inferior em todas as tentativas realizadas (p=0,008), estando esse desempenho relacionado a um maior n?vel de espasticidade (r= -0,44; p=0,04) e a um maior comprometimento motor (r= 0,59; p=0,001). Ap?s o treino, os pacientes com hemiparesia esquerda tiveram melhora na angula??o de ombro e cotovelo durante a atividade de beber ?gua, se aproximando do padr?o de movimento do membro superior esquerdo dos saud?veis (p<0,05), principalmente no momento de retornar o copo a mesa; j? os pacientes com hemiparesia direita n?o obtiveram melhora do padr?o de movimento em rela??o aos saud?veis (p>0,05). Conclus?o: Os pacientes com AVC melhoraram o desempenho ao longo das tentativas do jogo, no entanto, somente pacientes com hemiparesia esquerda conseguiram aumentar a angula??o do ombro e cotovelo durante a execu??o de atividade funcional, respondendo melhor ao jogo de realidade virtual, o que deve ser levado em considera??o na reabilita??o motora

Work conditions within the public health care sector are physically and psychosocially demanding. This means that balancing work with recovery is essential for employees in order to avoid ill health and stay healthy. This thesis is based on four studies. Study I investigated the prevalence of upper extremity disorders (UED) in female dental personnel. Results showed that 81% reported UED. Consequently, interventions aimed at reducing these risks were called for. Study II investigated the health-related effects of two work-place interventions, physical exercise (PE) and reduced working hours (RWH). Health-improvements were more consistent in the PE group, suggesting that PE may be an appropriate intervention to reduce health-risks. However, there were no effects on recovery from work or fatigue, which may result from other factors, such as overcommitment (OC), that prolong or sustain stress-related activity. Study III showed that high OC was associated with poorer next-day recovery and increased fatigue. Also, OC was a more important predictor of lack of recovery and fatigue than were psychosocial work characteristics. This highlights the importance of considering perseverative cognitions in relation to recovery from work and fatigue, and has implications for interventions targeting work-related ill health. Study IV related lack of recovery and fatigue to cumulative biological risk, allostatic load (AL), and to individual biomarkers. Women with a profile characterized by fatigue, sleep difficulties and lack of short-term recovery had a 2.9 increased risk of AL. This was not shown in analyses of individual biomarkers. In sum, this thesis shows that recovery from work is an important factor in relation to women’s work-related health. Fatigue and recovery should be considered interrelated but distinct concepts and recovery should be assessed as an early risk factor for stress-related disease with early risk being investigated using AL rather than individual biomarkers.

碩士<br>長榮大學<br>職業安全與衛生學系碩士在職專班<br>105<br>Work-related musculoskeletal disorders (WMSDs) is a musculoskeletal injury caused by improper working activities. Previous studies have shown that health care industry is a high risk group of work-related musculoskeletal disorders, therefore this study aimed at hospital staff to explore the prevalence of WMSDs in upper limbs and related risk factors as a reference for injury prevention. In this study, we used the Nordic Musculoskeletal Questionnaire (NMQ) to assess the problem of upper limb musculoskeletal injuries and collect potential risk factors such as job factors, personal factors, psychosocial factors and working conditions. A total of 700 questionnaires were distributed to the hospital workers and 675 (96.4%) returned. The results showed that the prevalence of upper limb musculoskeletal discomforts was 82.8% among these hospital staff. The prevalence was 72% in the shoulder, 62.7% in the necks, 32.4% in the wrists, 29.2% in the hands and 22.5% in the elbows. The extent of discomforts, to the degree of severe or extremely serious, was as the followings: wrists (26.1%), hands (25.2%), elbows (18.8%), shoulders (3.1%) and necks (2.6%). Stepwise analysis showed gender, age, BMI, education, sleep, self-conscious quality of life, work experience, workload, job types, the use of heavy manual tools, upper arm lifting, weight pushing, inappropriate height of working desk/chair and the psychological workload were important risk predictors for upper limb musculoskeletal discomforts, especially height of working desk/chair were at the same time associated with the discomforts of necks, wrists, hands and elbows. Although the hospital staff in this study reported higher prevalence of discomforts over necks and shoulders areas, yet from the perspectives of severity, prevalence over wrists and hands was even higher than that of necks and shoulders. We suggest the hospital should set priorities to find these staff with wrist and hand discomforts and assist them aggressively. In addition, we found that improper height of working desk/chair was at the same time related to necks, wrists, hands and elbows. It indicated that these workplaces are somewhat lack of concept in ergonomic design. Hospital management or the occupational safety and health departments should face this problem and re-examine current ergonomic prevention programs in accordance with the Occupational Safety and Health Act.

The occurrence of work related musculoskeletal disorders (WRMD) has been a focus of much research and the prevalence of upper extremity disorders (UED) has also been explored. Most of the studies addressing WRMD among hairstylists considered the biomechanical demands of the industry, with a few studies acknowledging the psychosocial risk factors as precipitators of the upper extremity pain. This qualitative study contributes to an understanding of the biopsychosocial factors linked to the experience of pain, and how the process of adjustment to pain impacted the performance of roles at work and home of female hairstylists. The PEO model (Law et al., 1996) was used to describe the impact of pain on roles and the adjustment process in the management of roles, and facilitated an understanding of the occupational performance issues face by the stylists experiencing upper extremity pain.

碩士<br>國防大學<br>運籌管理學系<br>102<br>This thesis probes into the worsening problems of work-related musculoskeletal disorders (WRMSDs) happening to labors in Taiwan and abroad. The WRMSDs cases of all occupational injuries in Taiwan and in the countries of Europe, America and Japan in average are more than 30%. The WRMSDs of upper limbs endanger the health of the labors themselves, reduce productivity, impact the economy and the society, and thus increase the overall healthcare expenditure. Five factors causing upper limbs WRMSDs are habitual poor postures, excessive forces, high repetitive movements, shock and vibration, and high/low temperatures, etc. This thesis focuses on patients with upper limbs WRMSDs who had been diagnosed and treated by physicians. Through measuring the changes of grip strength values, this thesis evaluates the effects of rehabilitation treatments. This thesis took six patients with upper limbs WRMSDs in a physiotherapy clinic of northern area of Taiwan as the objects of experimental studies, and applied twelve grip strength experiments on them. The results showed that WRMSDs patients, after performing the rehabilitation clinical operations by rehabilitation therapist, the interactions between gender and the numbers of rehabilitation times have significant impacts on MVC. The results also showed that after finishing all the twelve rehabilitation treatments, MVC grip strength values of male test takers are gradually risen (43.7% increased) while that of female test takers remain the same. Generally, the overall effects of rehabilitation treatments for male test takers are better than female test takers. One possible cause is that most of the female test takers engage in clerical works. This thesis recommends physiotherapy clinics to consider different effects of rehabilitation treatments between male and female patients with WRMSDs, to adjust the appropriate treatments for male and female patients according to these differences, and to supplement MVC evaluations as the indicators while in the process of rehabilitation treatments. In doing so, the clinics provide effective treatments to the patients, mitigate the psychological and physical burden of patients, and reduce medical expenses and thus save the overall health care resources.

Les troubles musculo-squelettiques du membre supérieur (TMS-MS) peuvent avoir un impact négatif sur l'autonomie d’une personne. À ce jour, il n’existe pas d’outils en français évaluant les limitations d'activités et les restrictions de participation, disposant de bonnes propriétés métrologiques et d'applicabilité dans un contexte clinique marqué par des contraintes de temps. L’Upper Limb Functional Index (ULFI), qui présente de bonnes qualités métrologiques et applicabilité clinique adéquate, s'avère un outil intéressant pour les ergothérapeutes de par son approche centrée sur la personne. Toutefois, il n'était disponible qu'en anglais et en espagnol. La présente recherche, constituée de deux études, visait à adapter l’ULFI à la population canadienne française et à évaluer ses propriétés métrologiques et son applicabilité clinique. La première étude a examiné sa cohérence interne, sa validité convergente et son applicabilité clinique auprès de 50 patients bilingues atteints de TMS-MS. La seconde étude visait à analyser sa fidélité test-retest et sa sensibilité au changement auprès de 60 patients francophones. Les résultats ont révélé que l'ULFI-CF possède des propriétés métrologiques solides : une cohérence interne élevée (α de Cronbach = 0,93), une excellente fidélité test-retest (CCI = 0,87-0,95), une excellente validité convergente (r = 0,70-0,85) et une sensibilité au changement de bonne à excellente (tailles d'effet = 0,49-0,88 et r = 0,64 pour la section 1). L'ULFI-CF démontre également une bonne applicabilité clinique. En conclusion, l’ULFI-CF s’avère un outil pertinent pour les cliniciens œuvrant auprès d’une clientèle canadienne française souffrant d'un TMS-MS dans un contexte clinique marqué par des contraintes de temps.<br>Upper limb musculoskeletal disorders (UL-MSD) can negatively impact on patients' autonomy. There are no existing outcome measures available in French to assess activity limitations and participation restrictions caused by UL-MSD that have sound metrological properties and are applicable in a clinical context where clinicians have limited assessment time for each patient. The Upper Limb Functional Index (ULFI), having good metrological qualities and clinical applicability, is a relevant tool for clinicians since it promotes a patient-centered approach. However, the tool was only available in English and Spanish until now. This research project included two studies and aimed at adapting the ULFI to the French Canadian population and to assess the metrological properties of the adapted version (ULFI-FC) and its clinical applicability. The first study examined its internal consistency, convergent validity and clinical applicability among 50 bilingual patients with UL-MSD. The second study aimed to analyse its test-retest reliability and responsiveness among 60 French-speaking patients. The findings revealed that the ULFI-FC possesses sound metrological properties: a high internal consistency (Cronbach α = 0.93 for Part 1), an excellent test-retest reliability (ICC = 0.87-0.95), an excellent convergent validity (r = 0.70-0.85), and good to excellent responsiveness (effect size = 0.49-0.88; and r = 0.64 for Part 1), as well as good clinical applicability in a context where assessment time devoted to each patient is limited. In conclusion, the ULFI-CF is a relevant and attractive tool assessing activity limitations and participation restrictions for clinicians working with French Canadian UL-MSD patients in a busy clinical setting.