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Interventions ergonomiques pour prévenir les troubles musculo-squelettiques des membres supérieurs et du cou liés au travail chez les employés de bureau
Les troubles musculo‐squelettiques (TMS) des membres supérieurs et du cou liés au travail sont l'un des troubles professionnels les plus courants au monde. Des études ont montré que le pourcentage d'employés de bureau souffrant de TMS varie de 20 à 60 pour cent. Les coûts directs et indirects des TMS des membres supérieurs liés au travail sont élevés en Europe, en Australie et aux États‐Unis. Bien que les interventions ergonomiques soient susceptibles de réduire le risque que les employés de...
Effets psychologiques et biomécaniques immédiats de deux catégories de ceintures lombaires chez des travailleurs en santé et des travailleurs avec maux de dos
Bien que les ceintures lombaires (CL) soient inefficaces pour prévenir un premier épisode de lombalgie, l'avancement des connaissances soutient leur utilisation chez les travailleurs souffrant déjà de ce mal. Dans la perspective où un retour au travail tardif risque de nuire à la condition de santé des travailleurs, l'option du port de la CL peut potentiellement être avantageuse, car elle pourrait permettre, lors du retour progressif au travail, d'apporter un soutien psychologique afin de rassurer le patient. Cela pourrait donc...
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Déterminants cliniques et neuromécaniques du développement de l'incapacité lombaire chez les travailleurs
Au-delà de la simple lésion, les blessures, dysfonctions et pathologies musculosquelettiques entraînent aussi, sur le plan individuel, des conséquences psychologiques importantes. Sur le plan sociétal, la gestion de ce type d'affections entraîne d'importants coûts socio-économiques. La société occidentale qui a vu, au cours des dernières décennies, une augmentation de la disponibilité des services et de l'accessibilité aux soins de santé, a aussi parallèlement connu une explosion...
Return to work after vocational rehabilitation for sick-listed workers with long-term back, neck and shoulder problems
A follow-up study of factors involved BACKGROUND: Absence from work due to musculoskeletal disorders is a significant problem from a number of perspectives, and there is a great need to identify factors that facilitate return to work (RTW). OBJECTIVE: To identify factors related to RTW after vocational rehabilitation for sick-listed workers with long-term back, neck and/or shoulder problems, and to compare the results with those from a previous literature review based on studies from 1980 to 2000. METHODS: A literature review based on studies published 2001–2014 in PubMed, CINAHL, EMBASE...
Développement préliminaire d’une règle de prédiction clinique pour dépister les patients ayant une lombalgie non aiguë répondant favorablement à un programme d’exercice de stabilisation lombaire
Les exercices physiques permettent de réduire la douleur et les incapacités chez les gens souffrant d'une lombalgie non aiguë (> 3-4 semaines), mais ces effets sont relativement limités. Pour rehausser l'efficacité de ce type d'intervention, nous devons déterminer pour quels patients chaque modalité d'exercice est la plus efficace (arrimage patient/intervention) et pour quelles raisons (mécanismes sous-jacents). Dans la présente recherche, nous nous intéressons aux exercices de stabilisation lombaire, une modalité...
Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain
Systematic Review Background: The Quebec Back Pain Disability Scale (QBPDS) has been translated into different languages, and several studies on its measurement properties have been done. Purpose: The purpose of this review was to critically appraise and compare the measurement properties, when possible, of all language versions of the QBPDS by systematically reviewing the methodological quality and results of the available studies. Method: Bibliographic databases (PubMed, Embase, CINAHL, and PsycINFO) were searched for articles with the key words “Quebec,” “back,” “pain...
Web-Based Interventions for Chronic Back Pain: A Systematic Review
Background: Chronic low back pain is one of the most common presenting complaints to a physician's office. Treatment is often challenging and recovery depends on various factors, often resulting in significant investments of time and resources. Objective: The aim of this review is to determine which Web-based interventions aimed at chronic low back pain are of benefit to patients. Methods: Randomized controlled trials (RCTs) studying Web-based interventions directed at adults with chronic low back pain were included. Retrospective studies, narrative reviews, nonrandomized trials, and observational...
Lag Times in Reporting Injuries, Receiving Medical Care, and Missing Work
Associations With the Length of Work Disability in Occupational Back Injuries Objective: The aim of this study is to examine the associations between lag times following occupational low back injury and the length of work disability. Methods: In a retrospective cohort study using workers' compensation claims, random effects Tobit models were used to explore how disability length relates to three lag times: the number of days from the date of injury to reporting the injury, the number of days from the date of injury to medical care, and the number of days from the date of injury to initiating...
Chronic low back pain among French healthcare workers and prognostic factors of return to work (RTW)
A non-randomized controlled trial Background: Many factors influence the return to work of workers with chronic low back pain (CLBP). They have been said to vary according to socio-professional group. This study first aimed to compare prognostic factors influencing the return to work of CLBP healthcare workers (HCWs) and other workers (non-HCWs) after rehabilitation coupled with an occupational intervention. The second objective was to improve the evolution of indicators such as clinical examination, psychosocial impact and pain impact. Methods: Between 2007 and 2012, a cohort of 217 CLBP workers...
Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France
Objectives: Return-to-work interventions associated with the workplace environment are often more effective than conventional care. The Sherbrooke model is an integrated intervention that has proved successful in preventing work disability due to low-back pain. Implementation, however, runs up against many obstacles, and failure has been reported in many countries. The present study sought to identify barriers to and facilitators of the implementation of the Sherbrooke model within the French health system. Methods: A multiple case study with nested levels of analysis was performed in two regions...
How can a brief intervention contribute to coping with back pain?
A focus group study about participants' expériences Background: Our aim was to explore how individuals who had participated in a brief back and neck pain intervention perceived connections between the intervention and their subsequent coping. Methods: Three focus group discussions were conducted with a sample of ten employees aged 20–67 years, who had participated in a brief intervention for back and neck pain, perceived the intervention as helpful and had returned or remained at work subsequent to the intervention. Participants were invited to share stories of how the intervention...
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Low back pain (LBP) is responsible for considerable personal suffering worldwide. Those with persistent disabling symptoms also contribute to substantial costs to society via healthcare expenditure and reduced work productivity. While there are many treatment options, none are universally endorsed. The idea that chronic LBP is a condition best understood with reference to an interaction of physical, psychological and social influences, the 'biopsychosocial model', has received increasing acceptance. This has led to the development of multidisciplinary biopsychosocial rehabilitation (MBR...
Outcomes of the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers on the incidence of low back injuries and workers' compensation costs
OBJECTIVE: To determine the incidence of low back injuries and associated workers' compensation costs before and after the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers who present for their comprehensive Department of Transportation (DOT) physical examination. METHODS: Trained physical therapists administered questionnaires and performed functional testing of commercial truck drivers scheduled for their DOT examination. The results were communicated to providers performing DOT examinations. Incidence rates of low back injury and associated workers'...

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