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Physical capacity, occupational physical demands, and relative physical strain of older employees in construction and healthcare
Purpose To assess age-related differences in physical capacity, occupational physical demands, and relative physical strain at a group level, and the balance between capacity and demands at an individual level, for construction and healthcare workers. Methods Shoulder strength, back strength, and aerobic capacity were assessed among construction ( n  = 62) and healthcare workers ( n  = 64). During a full working day, accelerometers estimated upper-arm elevation, trunk flexion, and occupational physical activity as indicators of occupational physical demands. Simultaneously...
Étude des qualités psychométriques de l’Outil d’identification de la situation de handicap au travail (OISHT) utilisé auprès de travailleurs ayant un trouble musculosquelettique ou un trouble mental courant
L'outil d'identification de la situation de handicap au travail (OISHT) consiste en une entrevue structurée qui a été développée pour aider les cliniciens à identifier de façon systématique les facteurs liés à l'incapacité au travail. L'OISHT est un des rares outils disponibles en réadaptation pour la clientèle en phase chronique d'incapacité au travail. Il tient compte de l'influence de différents systèmes (personnel, santé, travail, indemnisation) et a...
Screening manual and office workers for risk of long-term sickness absence
Cut-off points for the Work Ability Index Objectives : The aim of this study was to investigate the Work Ability Index (WAI) as a tool to screen for risk of different durations of long-term sickness absence (LTSA) among manual and office workers. Methods : The prospective study comprised a cohort of 3049 (1710 manual and 1339 office) workers participating in occupational health surveys between 2010–2012. The survey date was set as baseline and incident LTSA episodes of different duration (>14, >28, >42, >60, and >90 days) were retrieved from an occupational health register...
How should methods for return to work be evaluated?
"Measures to decrease early retirement are underway in many countries to increase the working population and lower costs. Sick leave is the normal pathway to early retirement and methods to enable persons on sick leave to return to work (RTW) earlier and at a higher rate are in focus. Using the term “RTW”, a search in PubMed resulted in about 300 papers, of which more than half have been published after 2008 and 20% during the last year alone. RTW has been the focus of many papers recently submitted to and published in the Scandinavian Journal of Work, Environment and Health. In...
Une première en ergothérapie : un guide pour évaluer les capacités reliées au travail
Présenté dans la dernière édition du magazine Prévention au travail, ce guide contient recommandations élaborées en vue d’aider l’ergothérapeute et le client à choisir les stratégies les plus appropriées pour procéder à une ÉCT. Pour bon nombre de travailleurs qui présentent une déficience physique et sont engagés dans un processus de réadaptation, l’évaluation de leurs capacités reliées au travail (ÉCT) constitue une pratique...
Using the Work Limitations Questionnaire in Patients With A Chronic Condition in the Netherlands
Objective : To examine the intelligibility and psychometric properties of the modified Dutch language version of the Work Limitations Questionnaire (WLQ) (WLQ-mdlv). Methods : Employed patients with a physical chronic condition completed the WLQ-mdlv, the Work Ability Index, and the 36-item short form health survey. Intelligibility, internal consistency, test–retest reliability, and external construct validity of the WLQ-mdlv were assessed. Results : In 125 patients, the WLQ-mdlv showed improved intelligibility for a Dutch population. With Cronbach α coefficients more than .80, squared...
The 'Ability' Paradigm in Vocational Rehabilitation
Challenges in an Ontario Injured Worker Retraining Program Introduction : In recent years, a focus on workers' ability, rather than impairment, has guided disability management services. However, a challenge with the notion of 'ability' is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers' compensation vocational retraining program for injured workers in Ontario. Methods : In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly...
Prognostic value of self-reported work ability and performance-based lifting tests for sustainable return to work among construction workers
Objective : This study aims to evaluate whether performance-based tests have additional prognostic value over self-reported work ability for sustainable return to work (RTW) in physically demanding work. Methods : A one-year prospective cohort study was performed among 72 construction workers on sick leave for six weeks due to musculoskeletal disorders. The Work Ability Index (WAI) question regarding “current work ability” was used. Three dynamic lifting tests were used from a Functional Capacity Evaluation (FCE). Sustainable RTW was the number of days on sick leave until the first...
How well do observed functional limitations explain the variance in Roland Morris scores in patients with chronic non-specific low back pain undergoing physiotherapy?
Caporaso, F. et coll. How well do observed functional limitations explain the variance in Roland Morris scores in patients with chronic non-specific low back pain undergoing physiotherapy? European Spine Journal . Self-rated activity limitations in patients with non-specific chronic low back pain (cLBP) do not correlate well with performance in traditional tests of impairment (e.g. back strength, ROM, etc.). Tests using more “functional activities” have therefore been recommended as alternative “objective” outcome measures. We examined the relationship between a battery...
Evaluating Common Outcomes for Measuring Treatment Success for Chronic Low Back Pain
Chapman, J. R. et coll. (2011). Evaluating Common Outcomes for Measuring Treatment Success for Chronic Low Back Pain. Spine , 36 (21 Suppl): S54-S68. STUDY DESIGN.: Systematic review. OBJECTIVE.: To identify, describe, and evaluate common outcome measures in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA.: The treatment of CLBP has been associated with multiple clinical challenges. Further complicating this is the myriad of outcome scores used to assess treatment of CLBP. These scores have been used to examine different domains of patient satisfaction and quality of life...
Examining functional content in widely used Health-Related Quality of Life scales
Hall, Trevor et coll. (2011). Examining functional content in widely used Health-Related Quality of Life scales. Rehabilitation Psychology , 56 (2): 94-99. Purpose: Assess extent to which generic Quality of Life (QOL) and Health-Related Quality of Life (HRQOL) scales include function in assessment of health, and identify health assessment items that are free of functional content. Methods: An expert panel on measurement of health and disability reached consensus on definitions of health, disability, and function. They assessed all items of all generic (non-condition-specific) scales in the 2006...
Publication d’un guide de pratique pour les ergothérapeutes
L'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) vient de publier un guide de pratique à l'intention des ergothérapeutes. Mis à la disposition des cliniciens, ce guide fournit les données scientifiques nécessaires pour éclairer leur décision en matière d'évaluation des capacités reliées au travail des personnes présentant une déficience physique. La pratique professionnelle est très variable, ce qui suscite un questionnement sur...
Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?
Wååhlin-Norgren, Charlotte et al. (2011). Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?. Disability & Rehabilitation , 33(13-14): 1147-1156. (accès limité) Purpose . The aim of this study is to determine differences in self-reported work ability, work conditions, health and function between ICD-10 groups with musculoskeletal disorders (MSD), mental disorders (MDs) and MSD ++ MD and to determine which variables are associated with sick leave. Method .  A cross-sectional study of 210...
The Concept of Work Ability
Tengland, Per-Anders (2011). The Concept of Work Ability. Journal of Occupational Rehabilitation , 21(2): 275-285. Introduction The concept of “work ability” is central for many sciences, especially for those related to working life and to rehabilitation. It is one of the important concepts in legislation regulating sickness insurance. How the concept is defined therefore has important normative implications. The concept is, however, often not sufficiently well defined. Aim and Method The objective of this paper is to clarify, through conceptual analysis, what the concept can and should...
« Pouvez-vous retourner travailler? ». Expérience qu’ont les médecins de famille de l’évaluation de la capacité de retour au travail
Soklaridis, S. et coll. (2011). « Pouvez-vous retourner travailler? ». Expérience qu’ont les médecins de famille de l’évaluation de la capacité de retour au travail. Canadian Family Physician 57 (2): 202-209. Objectif: Examiner les défis rencontrés par des MF universitaires lorsqu’ils évaluent la capacité de retour au travail de leurs patients; faire un compte rendu détaillé de leur expérience et de leur opinion sur la gestion de l’incapacité au travail; préciser quelles...
Correlations between pain and function in a longitudinal low back pain cohort
McGorry, R.W. et al. (2011). Correlations between pain and function in a longitudinal low back pain cohort. Disability & Rehabilitation , 33 (11): 945-952. Purpose .   Most studies of low back pain (LBP) and functional limitation have been cross-sectional, and show only modest correlations between pain and function. Though functional limitation may be superior for predicting disability outcomes, there is a need to understand better the gap between pain and function. This study analysed changes in intra-individual correlations between pain and function over time. Method .   Seventeen...
Sickness certification for mental health problems: an analysis of a general practice consultation database
Mallen, Christian D. et al. (2011). Sickness certification for mental health problems: an analysis of a general practice consultation database . Primary Health Care Research & Development, 12 (2): 179-182. Background Although mental illness remains the leading cause of both sickness absence and incapacity benefit in most high-income countries, little is known about how frequently patients with mental ill-health receive sickness certificates and what conditions are most commonly certified for. This study aims to use general practice consultation data to determine the rate of sickness certification...
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),...
Sources of variation in work disability assessment
The assessment of work disability due to health problems is a difficult task because there is no straightforward relationship between disease and disability. As a result, there is wide inter-rater variability between physicians in assessing work disability. The aim of this paper is to discuss the sources of the inter-rater variability and to describe possibilities for its reduction. A model is presented in which the process of disability assessment, the instruments used and the role of the assessor is addressed. On the basis of this model, the causes of inter-rater variability and suggestions for...
Validity and Determinants of Clinicians’ Return to Work Judgments for Individuals Following Whiplash Injury
Rehabilitation clinicians routinely make judgments about the capacity of individuals to return to work following whiplash injury, which can have serious implications for individuals' continued access to salary indemnity benefits. The present study examined the validity and determinants of these judgments. During a standardized rehabilitation intervention, data regarding demographic factors, crash characteristics, pain severity, range of motion, pain-related psychological functioning, as well as change in the latter three factors over the course of treatment were collected for 104 whiplash-injured...
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...
Work Restrictions: Documenting a patient's return to work
Patients frequently ask NPs to write work restrictions, even if it is not in their best interest. This article helps providers construct valid work restrictions and addresses specific tasks and issues to keep the patient and coworkers safe when returning to work. Source: http://journals.lww.com/tnpj/Abstract/2010/11000/Work_Restrictions__Documenting_a_patient_s_return.13.aspx
How to assess physical work-ability with Functional Capacity Evaluation methods in a more specific and efficient way?
Objective: The objective of this paper is to propose a three-step procedure that can be used in the selection of functional tests from any full Functional Capacity Evaluation (FCE) method in order to assess efficiently physical work-ability in workers with musculoskeletal complaints (MSC) and related functional limitations. Methods: Recently, some authors have considered the selection of functional tests specific to particular jobs from within a full FCE method. In the present study, based on existing literature and on their own expertise on FCE methods, the authors develop in an analogous manner...
Test–retest reliability of the manual handling component of the WorkHab functional capacity evaluation in healthy adults
The WorkHab Functional Capacity Evaluation (FCE) is one of many FCEs currently available and is widely used in the Australian workplace injury management and occupational rehabilitation arena. This study investigated the test–retest reliability of manual handling tasks within the WorkHab FCE in healthy adults. Method .A convenience sample of 25 healthy subjects, consisting of 19 women and 6 men with a mean age of 29 years (SD: 12.0) participated in this study. Two FCE sessions were held a week apart and subjects completed a floor to bench, bench to shoulder and bench to bench lift. Analysis...
Work ability – experiences and perceptions among physicians
Purpose .To describe experiences and perceptions of work ability and how it can be assessed among Swedish physicians. Method .We interviewed eight men and six women in the fields of general practice, occupational health, rehabilitation and orthopaedic surgery. Qualitative content analysis was applied to the data. Results .The approach striving to support the patient in mutual confidence was what primarily affected how work ability was understood and how it could be assessed. Two main categories, with sub categories were settled: familiar but vague, with subcategories conflicting expectations and...
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