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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...
Adjusting Rehabilitation Costs and Benefits for Health Capital: The Case of Low Back Occupational Injuries
Introduction Case-mix adjustments for treatment/rehabilitation costs and benefits of non-traumatic injuries, such as occupational back pain, are much more difficult than adjustments for traumatic injuries. We present a new method for adjusting for severity differences in the costs and benefits of treating occupational low back injuries. Methods Using initial post-injury differences in the health capital of prospective sample of 1,831 occupational related back pain patients, we combine survey data with workers' compensation claim files and medical billing information to adjust the costs and...
Job characteristics and work organization factors associated with patient-handling injury among nursing personnel
The aim of this cross-sectional study was to explore the association of worker characteristics and work organization factors with prevalence of patient-handling injury among nursing personnel in an acute-care inpatient setting. Self-administered questionnaires (n = 585) captured worker characteristics and patient-handling injuries within the previous 6 months. Karasek's Job Content Questionnaire measured work organization factors, including job strain (high psychological demand, low decision latitude). We created a novel measure (job strain_{PHYSICAL}) reflecting high physical demand and low...

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