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Dose–response relation between perceived physical exertion during healthcare work and risk of long-term sickness absence
Objective : An imbalance between physical work demands and physical capacity of the worker may be a risk factor for poor health. Perceived physical exertion provides information about the individual perception of the work demands relative to the capacity to perform the work. This study estimates the risk for long-term sickness absence (LTSA) from perceived physical exertion among healthcare workers. Methods : This prospective cohort study comprises 8592 Danish healthcare workers who responded to a baseline questionnaire in 2004–2005, and subsequently were followed for one year in the Danish...
Reasons of drop-out from rehabilitation in patients of Turkish and Moroccan origin with chronic low back pain in The Netherlands: A qualitative study
Objective: To explore which factors led to drop-out in patients of Turkish and Moroccan origin with chronic non-specific low back pain who participated in a rehabilitation programme. Subjects: Patients of Turkish or Moroccan origin with chronic non-specific low back pain (n = 23) from 2 rehabilitation centres and 4 rehabilitation departments of general hospitals in the Netherlands. Methods: In-depth semi-structured interviews were conducted with patients of Turkish and Moroccan origin (n = 23), rehabilitation physicians (n = 8) and rehabilitation therapists...
Can workers with chronic back pain shift from pain elimination to function restore at work?
Workers with chronic low back pain (LBP) mean a heavy human and social-economic burden. Their medical histories often include different treatments without attention to work-relatedness or communication with occupational health providers, leaving them passive and medicalized in (outpatient) health care. So we developed and implemented an innovative, patient-activating alternative: the multidisciplinary outpatient care (MOC) programme, including work(place) intervention and graded activity. It aims at function restore (instead of pain elimination), return to work (RTW) and coordinated communication...
Patient engagement in rehabilitation therapy: physical and occupational therapist impressions
The study is performed to examine the impressions of physical and occupational therapists on therapeutic engagement among their patients. Engagement in this context was defined as a patient's deliberate effort to work toward recovery by participating fully in their rehabilitation therapies. Using a survey approach, physical and occupational therapists ( N = 199) from across the United States were asked about issues they have encountered in their daily practise that have acted as either barriers or facilitators of patient engagement. Fear of pain, depressed mood and cognitive issues were rated...
Patients With Chronic Disabling Occupational Musculoskeletal Disorder Failing to Complete Functional Restoration: Analysis of Treatment-Resistant Personality Characteristics
To identify the risk factors for noncompletion of a functional restoration program for patients with chronic disabling occupational musculoskeletal disorders. Prospective cohort study. Consecutive patients undergoing functional restoration treatment in a regional rehabilitation referral center. A sample of 3052 consecutive patients, classified as either completers (n=2367) or noncompleters (n=685), who entered a functional restoration program. The measures used included medical evaluations, demographic data, Diagnostic and Statistical Manual of Mental Disorders psychiatric diagnoses, the Minnesota...

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