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Évolution comparée de la douleur et du statut de travail à la suite d’un programme de réadaptation pour des travailleurs ayant des troubles musculo-squelettiques
Les troubles musculo-squelettiques (TMS) touchent chaque année plus de 45 000 travailleurs québécois dans tous les secteurs d’activité. Dans un modèle de représentation biopsychosocial des TMS, la question des croyances des principaux acteurs sociaux à propos de l’incapacité et la douleur est fondamentale pour le processus de réadaptation. Plusieurs intervenants de la santé, employeur ou assureur, croient que l’employé ne doit pas se présenter au travail avant d’être complètement...
Factors affecting RTW following acute low-back pain
Steenstra, Ivan et coll. (2012). Factors affecting RTW following acute low-back pain. Institute for Work & Health (IWH) Sommaire d'une recension des écrits sur les déterminants du retour au travail chez les personnes souffrant de lombalgies aigues. Although most workers with acute low-back pain (i.e. pain for up to six weeks) return to work following a relatively straightforward path, anywhere from one-fifth to one-third go on to suffer chronic low-back pain (i.e. pain for longer than three months). This results in potentially lengthy absences from work. This systematic review...
A Multidimensional Measure of Pain Interference: Reliability and Validity of the Pain Disability Assessment Scale
Koji, Yamashiro et al. (2011). A Multidimensional Measure of Pain Interference: Reliability and Validity of the Pain Disability Assessment Scale. Clinical Journal of Pain 27 (4): 338–343. Measuring outcomes across multiple domains is essential for an adequate understanding of chronic pain and the effects of pain treatment. Pain interference reflects the negative effects of pain on functioning, and is recognized as a critical outcome domain. The Pain Disability Assessment Scale (PDAS) contains items that assess the negative effects of pain on broad spectrum pain interference domains. The purpose...
Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK)
Gómez-Pérez, Lydia et López-Martínez, Alicia E. (2011). Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). Journal of Pain , 12 (4): 425-435. The Tampa Scale for Kinesiophobia (TSK) is one of the most frequently employed measures for assessing pain-related fear in pain patients. Although the TSK has been translated into different languages, a Spanish version of the TSK has not been available, up to now. Thus, the aim of this study was to validate the Spanish version of the TSK in 2 different pain samples: A heterogeneous chronic...
Self-reported pain and disability outcomes from an endogenous model of muscular back pain
Background Our purpose was to develop an induced musculoskeletal pain model of acute low back pain and examine the relationship among pain, disability and fear in this model. Methods: Delayed onset muscle soreness was induced in 52 healthy volunteers (23 women, 17 men; average age 22.4years; average BMI 24.3) using fatiguing trunk extension exercise. Measures of pain intensity, unpleasantness, and location, and disability, were tracked for one week after exercise. Results: Pain intensity ranged from 0 to 68 with 57.5% of participants reporting peak pain at 24 hours and 32.5% reporting this at 48...
The effectiveness of walking as an intervention for low back pain: a systematic review
As current low back pain (LBP) guidelines do not specifically advocate walking as an intervention, this review has explored for the effectiveness of walking in managing acute and chronic LBP. CINAHL, Medline, AMED, EMBASE, PubMed, Cochrane and Scopus databases, as well as a hand search of reference lists of retrieved articles, were searched. The search was restricted to studies in the English language. Studies were included when walking was identified as an intervention. Four studies met inclusion criteria, and were assessed with a quality checklist. Three lower ranked studies reported a reduction...
Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes
In an earlier study, Gatchel et al. (J Occup Rehabil 13:1–9, 2003) demonstrated that participants at high risk for developing chronic low back pain disability (CLBPD), who received a biopsychosocial early intervention treatment program, displayed significantly more symptom improvement, as well as cost savings, relative to participants receiving standard care. The purpose of the present study was to expand on these results by examining whether the addition of a work-transition component would further strengthen the effectiveness of this early intervention treatment. Methods Using an existing...
Best practices in the rehabilitation of acute musculoskeletal disorders in workers with injuries: An integrative review and analysis of evolving trends
Objective: Strategies for the restoration of function and job performance in workers with musculoskeletal disorders have changed considerably since industrial rehabilitation became a distinct specialization in the 1980s. A rich body of research concerning approaches to medical and rehabilitative management of these disorders exists, resulting in a large number of hybrid approaches worldwide. Methods: This integrative review examined the evidence base for best practices in the rehabilitation of acute musculoskeletal workplace injuries, and also mapped the evolution of approaches over the past thirty...
Interactive effects of catastrophizing and suppression on responses to acute pain: a test of an appraisal × emotion regulation model
We examined whether people who tend to catastrophize about pain and who also attempt to regulate negative thoughts and feelings through suppression may represent a distinct subgroup of individuals highly susceptible to pain and distress. Ninety-seven healthy normal participants underwent a 4-min ischemic pain task followed by a 2-min recovery period. Self-reported pain and distress was recorded during the task and every 20 s during recovery. Participants completed the Pain Catastrophizing Scale and the White Bear Suppression Inventory. Repeated measures multiple regression analysis (using General...

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