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Return to Work in Employees on Sick Leave due to Neck or Shoulder Pain
A Randomized Clinical Trial Comparing Multidisciplinary and Brief Intervention with One-Year Register-Based Follow-Up Purpose: The aim of this study was to evaluate the effect of a multidisciplinary intervention (MDI) compared to a brief intervention (BI) with respect to return to work (RTW), pain and disability in workers on sick leave because of neck or shoulder pain. Methods: 168 study participants with sickness absence for 4–16 weeks due to neck or shoulder pain were enrolled in a hospital-based clinical study and randomized to either MDI or BI. The primary outcome was RTW obtained by...
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...
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...
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...
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...
Measuring shoulder injury function: Common scales and checklists
The increasing shift towards patient-centred healthcare has lead to an emergence of patient-reported outcome instruments to quantify functional outcomes in orthopaedic patients. Unfortunately, selecting an instrument for use in a shoulder trauma population is often problematic because most shoulder instruments were initially designed for use with chronic shoulder pathology patients. To ensure an instrument is valid, reliable, and sensitive to clinical changes, it is important to obtain psychometric evidence of its use in the target population. Four commonly used shoulder outcome instruments are...
Shoulder functional assessments in persons with chronic neck/shoulder pain and healthy subjects...
Titre complet: Shoulder functional assessments in persons with chronic neck/shoulder pain and healthy subjects: Reliability and effects of movement repetition Objective: Obtaining reliable functional capacity measures from injured workers is an essential part of the return to work (RTW) process. The present study compares shoulder functional outcomes between healthy individuals and others with neck/shoulder pain, assesses reliability and examines the influence of repetitive movements on shoulder function. Methods: Subjects performed trials of flexion and abduction active range of motion (ROM),...
Identifying predictors of early non-recovery in a compensation setting: The Whiplash Outcome Study
People with Whiplash Associated Disorder (WAD) often experience pain and disability for extended periods of time. A large proportion of these people will seek treatment through a compensation process. Rarely is data related to people's health collected within the compensation process making it difficult to identify those that are at risk of delayed recovery and appropriately direct interventions. Study objective: To compare people with WAD who have recovered with those that have not, within 3 months of injury and identify potential predictors of poorer health and non-recovery to inform claim...
The impact of the Belgian workers’ compensation system on return to work after rotator cuff surgery
We retrospectively assessed time off work after rotator cuff repair, in relation with the compensation system and the shoulder loading demand at work. The Belgian insurance system distinghuises three main financial compensation systems for time off work. Patients with a work-related accident receive the highest compensation. A second group includes employees suffering a private accident or a chronic rotator cuff tear. Self-employed workers receive the lowest compensation. Work-demand on the shoulder was graded level I to IV according to the Iannotti classification. From a series of 201 young patients...
Predictors of Shoulder Pain and Disability Index (SPADI) and work status after 1 year in patients with subacromial shoulder pain
Background. Shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. The objectives were to identify predictors for pain and disability (SPADI) and work status in patients with subacromial shoulder pain. Methods. Secondary analyses of data from a randomized clinical controlled trial were performed. Outcome measures were the absolute values of the combined Shoulder Pain and Disability Index (SPADI) and work status 1 year after treatment with supervised exercises (SE) or radial extracorporeal shockwave therapy (rESWT). Predictors of outcome were...
Manipulative therapy in addition to usual medical care accelerates recovery of shoulder complaints at higher costs: economic outcomes of a randomized trial
Background Shoulder complaints are common in primary care and have an unfavourable long term prognosis. Our objective was to evaluate the clinical effectiveness of manipulative therapy of the cervicothoracic spine and the adjacent ribs in addition to usual medical care (UMC) by the general practitioner in the treatment of shoulder complaints. Methods This economic evaluation was conducted alongside a randomized trial in primary care. Included were 150 patients with shoulder complaints and a dysfunction of the cervicothoracic spine and adjacent ribs. Patients were treated with UMC (NSAID's,...

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