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Comparison of Chronic Occupational Upper Extremity Versus Lumbar Disorders for Differential Disability-Related Outcomes and Predictor Variables
Objective: To systematically evaluate if an interdisciplinary functional restoration program (FRP), shown to be a viable treatment option for patients with chronic disabling occupational lumbar disorders, is as effective in treating chronic disabling occupational upper extremity disorders. Methods: Participants were 2484 consecutive patients with either arm or lumbar disorders admitted to an FRP. Analyses compared demographic, psychosocial, and work-related factors, and 1-year post-rehabilitation socioeconomic outcomes. Results: Socioeconomic outcomes showed that work-return and work-retention...
Back Injury Trajectories in Heavy Industries: Defining Outcomes for Epidemiological Research
Objective: To propose an incidence definition of back injury for epidemiologic studies using health care contacts. Methods: Medical services, hospitalizations, and workers' compensation data were linked for a longitudinal database of health care contacts among a cohort of heavy-industry workers for trajectory, group-based analysis. Results: During follow-up, 25.8% of workers had no health care contacts for back injury. Among workers with at least one contact, four trajectories were identified: one with a high probability of back injury during follow-up and three with episodic trajectories of...
Recovery Expectations Predict Recovery in Workers With Back Pain but Not Other Musculoskeletal Conditions
Study Design: Prospective cohort study. Objective: We examined whether recovery expectations predict future return-to-work in workers filing injury claims for a variety of musculoskeletal conditions. Summary of Background Data: Recovery expectations seem to influence recovery and return-to-work after back pain, but their role in other compensable conditions is uncertain. Methods: All workers' compensation claimants receiving time-loss benefits for a musculoskeletal condition and undergoing return-to-work assessment were enrolled. Claimants completed a work-related recovery expectations questionnaire...

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