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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...
Sickness absence after carpal tunnel release
A systematic review of the literature Objectives: The aim of this systematic review was to provide an overview of time to return to work (RTW) after carpal tunnel release (CTR), including return to different occupations and working patterns. Methods: A systematic search from inception to 2016 was conducted using nine electronic databases, trial registries and grey literature repositories. Randomized controlled trials and observational studies reporting RTW times after CTR were included. Study risk of bias was assessed using Cochrane risk of bias assessment tools. Time to RTW was summarized using...
Travailleurs avec déchirure de la coiffe des rotateurs et asymptomatiques
Corrélation entre des paramètres morphoanthropométriques et d'imagerie diagnostique et la fonction de l'épaule L'objectif général du présent projet est de faire des analyses de corrélation entre différents paramètres d'imagerie diagnostique, morphologiques, posturaux et de pseudo-cinématique et la fonction de l'épaule chez deux groupes de travailleurs avec et sans rupture de la coiffe pour tenter d'établir les déterminants de la fonction de l'épaule. Source: http...
Manual therapy for tension-type headache related to quality of work life and work presenteeism
Secondary analysis of a randomized controlled trial OBJECTIVE: The objective of this research is to evaluate the efficacy of manual therapy for tension-type headache (TTH) in restoring workers quality of work life, and how work presenteeism affects this relation. DESIGN: This study is a secondary analysis of a factorial, randomized clinical trial on manual therapy interventions. Altogether, 80 patients (85% women) with TTH and without current symptoms of any other concomitant disease participated. INTERVENTIONS: An experienced therapist delivered the treatment: myofascial inhibitory technique ...
Entry into vocational rehabilitation program following work-related hand injury: potential candidates
OBJECTIVES: This case-control study aimed to investigate the predictors of return to work (RTW) following work-related major forearm, wrist or hand injury at the preparation stage of return to work. MATERIAL AND METHODS: A total of 80 clients were recruited and divided into 2 groups depending on their readiness of RTW. The groups were compared with each other with regard to their demographics, compensation status, hand injury severity, health perception, and time off work (TOW) using correlation coefficient. Predictors of RTW were measured by logistic regression analysis. RESULTS: There were no...
L’évaluation clinique, les traitements et le retour en emploi de travailleurs souffrant d’atteintes de la coiffe des rotateurs
Bilan des connaissances Les atteintes musculosquelettiques de l'épaule constituent une problématique importante au sein de la population générale, et particulièrement chez les travailleurs. Ce type d'atteintes affecte le statut fonctionnel de l'épaule et la qualité de vie des personnes et peut entrainer, chez les travailleurs, des problématiques d'absentéisme ou des pertes de productivité. Les travailleurs effectuant des tâches avec les bras au-dessus des épaules ou des tâches répétitives...
Développement d’un indice radiologique représentatif de la fonction de l’épaule chez des travailleurs souffrant de rupture de la coiffe des rotateurs
Les problèmes chroniques de douleur et de perte de fonction de l'épaule touchent jusqu'à 20 % des adultes (Pope, Croft et coll., 1997). La proportion serait encore plus élevée chez les adultes âgés de plus de 50 ans. Au Québec, la Commission de la santé et de la sécurité au travail du Québec (CSST) rapporte que, pour les années 2003 à 2006, les lésions à l'épaule représentaient 39% des 32 549 lésions inflammatoires dues à un travail répétitif...
Are work disability prevention interventions effective for the management of neck pain or upper extremity disorders?
A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Purpose We conducted a systematic review to critically appraise and synthesize literature on the effectiveness of work disability prevention (WDP) interventions in workers with neck pain, whiplash-associated disorders (WAD), or upper extremity disorders. Methods We searched electronic databases from 1990 to 2012. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria. Scientifically admissible studies were summarized...
Confirmatory Factor Analysis of the Work Limitations Questionnaire (WLQ-25) in Workers' Compensation Claimants with Chronic Upper-Limb Disorders
Purpose : To examine the factorial validity of the Work Limitations Questionnaire (WLQ-25) among workers' compensation claimants with chronic upper-limb disorders. Methods : Attendees of the WSIB Shoulder and Elbow Specialty clinic in Toronto, Ontario, Canada, completed a survey that includes the WLQ-25 [4 subscales: time-management (TM), physical demands (PD), mental-interpersonal (MI), and output demands (OD)]. Confirmatory factor analyses (n = 2262) were conducted to evaluate and compare alternative 4- and 5-factor WLQ-25 structures [MI subscale intact vs. separated into mental demands ...
Return to work after a serious hand injury
Objectives: This paper explores factors important for return to work (RTW) in people who have sustained a serious hand injury. Participants: Forty people aged 19-64, with a severe or major hand injury were recruited consecutively during 2005-2007. Methods: A self-administered and study specific questionnaire, including demographic data and standardised questionnaires for function, disability, daily occupations, health, quality of life, sense of coherence and several open questions was sent out by mail twelve months after injury. Open questions regarding RTW were also included. Results: The results...
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...
Trajectories and predictors of return to work after traumatic limb injury
A 2-year follow-up study Objectives: This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods: A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on...
A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers
Andersen, Lars Louis et al. (2011). A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occuputional and Environmental Medicine , 68 : 590-592. Source: http://oem.bmj.com/content/68/8/590.abstract Objective To estimate the impact of pain in different body regions on future long-term sickness absence (LTSA) among blue- and white-collar workers. Method Prospective cohort study in a representative sample of 5603 employees (the Danish Work Environment Cohort Study) interviewed in 2000, and followed in 2001–2002 in a national...
Responsiveness of the QuickDASH and SF-12 in Workers with Neck or Upper Extremity Musculoskeletal Disorders: One-Year Follow-Up
Fan, Z. Joyce et al. (2011). Responsiveness of the QuickDASH and SF-12 in Workers with Neck or Upper Extremity Musculoskeletal Disorders: One-Year Follow-Up. Journal of Occupational Rehabilitation , 21(2): 234-243. (Accès limité) Introduction Questionnaires that measure functional status such as the Disability of the Arm, Shoulder and Hand (QuickDASH) and the Medical Outcomes Study 12-item Short-Form Health Survey (SF-12) can quantify the impact of health on performance. Little is known about whether these questionnaires can be used as a tool for measuring disabilities among workers...
The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders
Objective: To assess the influence of work- and treatment-related factors on clinical status and functional disability in patients with non-specific work-related upper limb disorders (WRULD). Participants: 182 computer workers with non-specific WRULD, 18–50 years old, not having specific WRULD nor incomplete medical records. Methods: Retrospective cohort study among computer workers with non-specific WRULD; average follow-up 4 years. Medical records at time of diagnosis and during treatment period and a follow-up questionnaire were used. Setting: Outpatient department of Rehabilitation Medicine...
Correlation of Return to Work Outcomes and Hand Impairment Measures Among Workers with Traumatic Hand Injury
Introduction Hand impairment is a common and serious occupational injury among workers because it can affect the outcome to return to work (RTW) and even cause permanent dysfunction. The hand measures can directly describe the primary hand function and limitation. This study investigated the correlation of RTW and the overall hand impairment measures in the workers with traumatic hand injury. Methods Ninety-six subjects with occupational hand injury were recruited in this study to answer the RTW questionnaire and received the hand evaluation and motion analysis for their affected hands. RTW outcomes...
Prevalence of arm, shoulder and neck symptoms, risk factors and sick leave in computer workers
Titre complet: Effectiveness of a questionnaire based intervention programme on the prevalence of arm, shoulder and neck symptoms, risk factors and sick leave in computer workers: A cluster randomised controlled trial in an occupational setting Arm, shoulder and neck symptoms are very prevalent among computer workers. In an attempt to reduce these symptoms, a large occupational health service in the Netherlands developed a preventive programme on exposure to risk factors, prevalence of arm, shoulder and neck symptoms, and sick leave in computer workers. The purpose of this study was to assess the...
Salariés opérés du canal carpien : suivi professionnel pendant 3 ans
Cette étude, débutée en 2004, a permis de suivre pendant 3 ans, sur les plans médical et professionnel, 99 salariés (80 femmes et 19 hommes) opérés d'un syndrome du canal carpien avec seulement 3 salariés perdus de vue. Les salariés sont répartis en trois grandes catégories : "emplois de bureau", "service et commerce" et "ateliers ou usines". À l'issue de la première visite médicale du travail, 54 femmes et 12 hommes ont été déclarés...
Follow-up of neck and shoulder pain among sewing machine operators: The Los Angeles garment study
BACKGROUND: The aim of the present study is to explore factors affecting or modifying self-reported neck/shoulder pain in sewing machine operators. METHODS: We investigated self-report neck/shoulder pain in 247 workers who participated in a 4-month prospective intervention study for musculoskeletal disorders. All participants were immigrants. We examine the influence of individual and work-related factors on changes in neck/shoulder pain during follow-up employing linear mixed models with time-spline functions. RESULTS: We observed a dramatic decline (72%) in self-reported pain intensity in the...
Cluster Analysis of Symptoms Among Patients with Upper Extremity Musculoskeletal Disorders
Introduction Some musculoskeletal disorders of the upper extremity are not readily classified. The study objective was to determine if there were symptom patterns in self-identified repetitive strain injury (RSI) patients. Methods Members ( n = 700) of the Dutch RSI Patients Association filled out a detailed symptom questionnaire. Factor analysis followed by cluster analysis grouped correlated symptoms. Results Eight clusters, based largely on symptom severity and quality were formulated. All but one cluster showed diffuse symptoms; the exception was characterized by bilateral symptoms of stiffness...
Correlates of Upper Extremity Disability in Medical Transcriptionists
Objective To investigate the association between disability and personal/lifestyle, medical, and psychosocial risk factors for upper extremity musculoskeletal symptoms and disorders (UEMSDs) in medical transcriptionists. Methods A web-based survey involving the Disabilities of the Arm, Shoulder and Hand (DASH), Perceived Stress Scale (PSS) and Overall Job Satisfaction (OJS) questionnaires of all medical transcriptionists working at a large healthcare facility. Results Responses were received from 80% (251 of 314) possible participants. Mean DASH, PSS, and OJS scores for those working at their current...
High nerve injury pain predicts upper extremity disability
When people suffer nerve injuries of the shoulder, arm and hand, their degree of recovery is usually based on tests measuring their functioning. These tests measure how they feel and move (their sensory and motor functions). Patients' own accounts of how well they are doing are not usually assessed. This study aimed to learn more about self-reports of health and well-being among patients with upper extremity nerve injuries, and to find out if these reports predicted greater disability. http://www.iwh.on.ca/highlights/high-nerve-injury-pain-predicts-upper-extremity-disability
Does participation in interdisciplinary work rehabilitation programme influence return to work obstacles and predictive factors?
Musculoskeletal disorders evolve into long-term work disabilities in ∼10% of work-injury cases. From a prevention perspective, screening for predictive factors and obstacles associated with long-term work disability appear to offer a promising avenue for work rehabilitation. However, knowledge of the factors at play during the chronic phase remains limited. This study aims to explore the presence of a relationship between the predictive factors and obstacles identified at the time of admission to an interdisciplinary work rehabilitation programme and return to work upon completion of the programme...
Prognostic Factors for Intervention Effect on Neck/Shoulder Symptom Intensity and Disability among Female Computer Workers
It has been suggested that treatments may be more effective when they are matched to patient characteristics. This study aimed at investigating potential prognostic factors for clinically relevant improvement in symptom intensity and symptom-related disability among employees with symptoms in the neck/shoulder area, receiving either ergonomics counseling or such counseling in combination with myofeedback training. A randomized controlled study was performed among female computer users aged 45 or older ( n = 36). A clinical examination and a questionnaire survey were performed before inclusion in...
Determinants of Return to Work in Patients with Hand Disorders and Hand Injuries
Return to work (RTW) in patients with hand disorders and hand injuries is determined by several determinants not directly related to the physical situation. Besides biomedical determinants, work-related and psychosocial determinants may influence RTW as well. This study is conducted to investigate the influence of these potential determinants on RTW in patients with hand disorders and hand injuries. Methods Included 91 patients who were operatively treated for a hand disorder or a hand injury, and who were employed prior to surgery. Patients answered several questionnaires on the aforementioned...

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