Effects of Cervical Radiculopathy on Upper Limb Function in Nurses Working in ICU

Abstract

Background: Cervical radiculopathy, a condition characterized by nerve root compression in the cervical spine, commonly affects individuals in physically demanding professions. ICU nurses, due to prolonged shifts and repetitive upper limb activity, are particularly vulnerable, yet limited research has focused on its specific impact on upper limb function in this high-risk population. Objective: This study aimed to assess the extent of upper limb dysfunction caused by cervical radiculopathy among female ICU nurses, using validated disability measures to quantify clinical impairment and explore age-related trends. Methods: A cross-sectional observational study was conducted among ICU nurses in private hospitals across Lahore (n = 108). Participants were selected using non-probability purposive sampling, meeting criteria of female gender, age 25–45 years, minimum six-hour shifts, and positive Spurling’s test. Exclusion criteria included pregnancy, cervical trauma, or surgical history. Data were collected using the Quick DASH questionnaire, and statistical analysis was performed using SPSS v25. Ethical approval was obtained in accordance with the Declaration of Helsinki, and informed consent was secured. Results: Among 108 nurses, 99.1% reported some degree of upper limb disability, with a mean Quick DASH score of 34.01 ± 19.76. Mild, moderate, and severe disability were observed in 54.6%, 30.6%, and 13.9% of participants, respectively. Functional limitations and pain were more severe in older nurses, suggesting age-related vulnerability. Conclusion: Cervical radiculopathy significantly impairs upper limb function in ICU nurses, impacting occupational performance and quality of life. Early ergonomic interventions and routine screening are crucial to mitigate disability and preserve workforce health.