2016-10-01 12:00 - Messages

Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care

A systematic review
For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care.

Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11(1), 126.
https://dx.doi.org/10.1186%2Fs13012-016-0482-7

Troubles musculosquelettiques: quelle reconnaissance en maladies professionnelles?

Étude sur dix pays européens
EUROGIP publie les résultats d'une étude sur la reconnaissance des troubles musculosquelettiques (TMS) en maladies professionnelles en Allemagne, Autriche, Belgique, Danemark, Espagne, Finlande, France, Italie, Suède et Suisse.
L'étude s'articule autour :
d'un panorama exhaustif des TMS susceptibles d'être reconnus en MP et des facteurs qui entrent en ligne de compte dans cette reconnaissance,
de 4 cas pratiques représentatifs de TMS fréquents chez les travailleurs - le syndrome du canal carpien, la tendinopathie de la coiffe des rotateurs, la lombalgie et l'épicondylite - qui permettent d'illustrer les pratiques en vigueur,
de statistiques comparées de sinistralité pour apprécier le volume de TMS pris en charge par chacun des pays et leur évolution entre 2007 et 2014.

Source: http://www.eurogip.fr/fr/produits-information/publications-d-eurogip/4423-tms-quelle-reconnaissance-en-maladies-professionnelles-en-europe-2

Envoyé: 2016-10-27 15:18 par Maryse Gagnon | avec aucun commentaire
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What workplace programs help prevent upper extremity musculoskeletal disorders?

Upper extremity musculoskeletal disorders (MSDs) include painful conditions and injuries of the muscles, tendons, joints and nerves that affect the neck, shoulders, elbows, wrists and hands. In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries.
While there is general agreement that work hazards (such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support) can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards. This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety (OHS) interventions that effectively prevent and manage upper extremity MSDs.

Source: http://www.iwh.on.ca/sbe/what-workplace-programs-help-prevent-upper-extremity-musculoskeletal-disorders

Musculoskeletal injury as "part of the job"

Health and safety in hand-intensive healthcare occupations Preventing work-related upper limb disorders
The main focus of previous research on musculoskeletal injuries in healthcare workers has been on back injuries, in particular to nurses. Less attention has been given to work-related upper limb disorders (WRULDs) specifically for those who are performing hand-intensive tasks as part of their work; that include precision hand and wrist movements, repetitive hand motions and sustained awkward postures. Professional healthcare workers such as physiotherapists, physical therapists, sports therapists and manual/manipulative therapists are exposed to risk factors for upper limb disorders on a daily basis, despite the irony that they treat patients and clients with musculoskeletal disorders, and also have specialist knowledge of body mechanics and injury prevention strategies. However physiotherapists and physical therapists are just typical occupations from a range of other health care occupations with hand-intensive work characteristics such as podiatrists, sonographers, dentists and many more.

Source: http://www.iosh.co.uk/handson

Feasibility and acceptability of reducing workplace sitting time

A qualitative study with Australian office workers
Office workers spend a large proportion of their working hours sitting. This may contribute to an increased risk of chronic disease and premature mortality. While there is growing interest in workplace interventions targeting prolonged sitting, few qualitative studies have explored workers' perceptions of reducing occupational sitting outside of an intervention context. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context.

Source: Hadgraft, N. T., Brakenridge, C. L., LaMontagne, A. D., Fjeldsoe, B. S., Lynch, B. M., Dunstan, D. W., ... & Lawler, S. P. (2016). BMC Public Health, 16(1), 933.
http://dx.doi.org/10.1186/s12889-016-3611-y

How Does Definition of Minimum Break Length Affect Objective Measures of Sitting Outcomes Among Office Workers?

BACKGROUND: Harmful health effects associated with sedentary behaviour may be attenuated by breaking up long periods of sitting by standing or walking. However, studies assess interruptions in sitting time differently, making comparisons between studies difficult. It has not previously been described how the definition of minimum break duration affects sitting outcomes. Therefore, the aim was to address how definitions of break length affect total sitting time, number of sit-to-stand transitions, prolonged sitting periods and time accumulated in prolonged sitting periods among office workers. METHODS: Data were collected from 317 office workers. Thigh position was assessed with an ActiGraph GT3x+ fixed on the right thigh. Data were exported with varying bout length of breaks. Afterwards, sitting outcomes were calculated for the respective break lengths. RESULTS: Absolute numbers of sit-to-stand transitions decreased, and number of prolonged sitting periods and total time accumulated in prolonged sitting periods increased, with increasing minimum break length. Total sitting time was not influenced by varying break length. CONCLUSIONS: The definition of minimum break length influenced the sitting outcomes with the exception of total sitting time. A standard definition of break length is needed for comparison and interpretation of studies in the evolving research field of sedentary behaviour.

Source: Kloster S, Danquah IH, Holtermann A, et al. (2016). Journal of Physical Activity & Health.
http://dx.doi.org/10.1123/jpah.2015-0658

Les départs précoces des pâtissiers salariés de l'artisanat

Comprendre pour agir en prévention
Le départ précoce de la plupart des pâtissiers salariés de l'artisanat, survenant bien avant l'âge légal de la retraite, constitue à la fois un paradoxe et un défi de prévention en santé au travail. Le présent article fondé sur une analyse pluridisciplinaire décrit l'activité et les altérations de santé caractéristiques de ce métier, ses contraintes et la tension entre deux configurations différentes d'exercice. Des marges de progrès et des actions possibles de prévention à adapter aux particularités de l'entreprise sont décrites.

Source: PICHENE-HOUARD A., LAPOIRE-CHASSET M., MARTEL L., GAUDART C., VOLKOFF S., CLAUDON L. Références en santé au travail, septembre 2016, no 147, p. 51-68.
http://www.rst-sante-travail.fr/rst/pages-article/ArticleRST.html?ref=RST.TF 240

Long-term effectiveness of an educational and physical intervention for preventing low-back pain recurrence

A randomized controlled trial
This paper notes that a careful case definition of workers with previous history of low-back pain (LBP) is needed to better characterize sub-groups based on their  recurrences profile. Workers with highly recurrent LBP may require a stepped secondary prevention in order to prevent recurrences and sick leave. The value of a workplace component reducing physical and psychosocial risks in secondary prevention of LBP must be explored.

Source: Chaléat-Valayer E, Denis A, Abelin-Genevois K, Zelmar A, Siani-Trebern F, Touzet S, Bergeret A, Colin C, Fassier J-B. Scand J Work Environ Health, 2016.
http://dx.doi.org/10.5271/sjweh.3597

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