2013-01-01 12:00 - Messages

Health-related effects of early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial

Objective Previously we reported that early part-time sick leave enhances return to work (RTW) among employees with musculoskeletal disorders (MSD). This paper assesses the health-related effects of this intervention. Methods Patients aged 18–60 years who were unable to perform their regular work due to MSD were randomized to part- or full-time sick leave groups. In the former, workload was reduced by halving working time. Using validated questionnaires, we assessed pain intensity and interference with work and sleep, region-specific disability due to MSD, self-rated general health, health-related quality of life (measured via EuroQol), productivity loss, depression, and sleep disturbance at baseline, 1, 3, 8, 12, and 52 weeks. We analyzed the repeated measures data (171–356 observations) with the generalized estimating equation approach.  Results The intervention (part-time sick leave) and control (full-time sick leave) groups did not differ with regard to pain intensity, pain interference with work and sleep, region-specific disability, productivity loss, depression, or sleep disturbance. The intervention group reported better self-rated general health (adjusted P=0.07) and health-related quality of life (adjusted P=0.02) than the control group. In subgroup analyses, the intervention was more effective among the patients whose current problem began occurring <6 weeks before baseline and those with ≤30% productivity loss at baseline.  Conclusions Our findings showed that part-time sick leave did not exacerbate pain-related symptoms and functional disability, but improved self-rated general health and health-related quality of life in the early stage of work disability due to MSD.

Shiri R, Kausto J, Martimo K-P, Kaila-Kangas L, Takala E-P, Viikari-Juntura E. Health-related effects of early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial. Scand J Work Environ Health 2013;39(1):37-45,. http://dx.doi.org/10.5271/sjweh.3301




Vibration and mechanical shock exposure strongly associated with prevalence of neck pain

The objective of this study was to determine whether whole-body vibration (WBV) and mechanical shock exposure from quad bike use are associated with the prevalence of neck and low back pain (LBP) in New Zealand farmers and rural workers. Physical exposures (mechanical shocks), employee status, and low levels of workplace satisfaction are all significantly associated with the 12-month prevalence of LBP in this rural workforce that regularly uses quad bikes. Both vibration and mechanical shock exposure were strongly associated with 12-month prevalence of neck pain. The 7-day prevalence of neck pain showed a non-significant association with mechanical shock and vibration.

Source: Stephan Milosavljevic, Nasser Bagheri1, Radivoj M. Vasiljev, David I. Mcbride and Borje Rehn. Does Daily Exposure to Whole-Body Vibration and Mechanical Shock Relate to the Prevalence of Low Back and Neck Pain in a Rural Workforce? The Annals of Occupational Hygiene (2012), Vol. 56, Issue 1, p. 10-17. http://annhyg.oxfordjournals.org/content/56/1/10.abstract

La restauration traditionnelle

Prévention des risques professionls

Ce document, conçu par un groupe de travail constitué de professionnels de la restauration commerciale, de préventeurs et de médecins du travail. Il traite des différents risques professionnels dans les cuisines des établissements de restauration, sous forme de fiches de bonnes pratiques de santé et de sécurité au travail. Ces fiches sont destinées à aider le restaurateur dans son analyse et son évaluation des risques pour la santé des opérateurs et dans la mise en œuvre de solutions de prévention.

Source : http://www.inrs.fr/accueil/produits/mediatheque/doc/publications.html?refINRS=ED%20880

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