Evaluating the Effectiveness of a Patient-Oriented Hand                     Rehabilitation Programme

Harth, Angela; Germann, G.; Jester, Andrea

doi:10.1177/1753193408091602

Cited by 37 publications

(14 citation statements)

References 8 publications

(5 reference statements)

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“…Additionally, communication and collaboration between HCPs and patients in establishing a common goal and action plan is crucial (HARTH; GERMANN;JESTER, 2008). The congruence between the two stakeholders impacts treatment and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Magalhães¹,

Chan²,

Chapman³

et al. 2017

Cad. Bras. Ter. Ocup.

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Abstract:Introduction: Chronic pain is a persistent disease that causes personal and social economic problems when individuals are unable to return to work. Objective: This meta-synthesis investigated the perspectives of health professionals on the best mechanisms (triggering change) and approaches to support people with chronic pain on return to work. Method: Peer-reviewed articles published until October 2017 were searched in databases such as PsycINFO, EMBASE, CINAHL and Pubmed. The search was based on three concepts: "chronic pain", "return to work" and "therapist". Six articles were analyzed. Meta-ethnography was used to synthesize data extracted from qualitative studies. Results: Five second-order interpretations were revealed: social interactions contribute to rehabilitation and can interrupt the return to work; inadequate coordination and excessive bureaucracy complicates the return to work; communication between worker and other stakeholders is critical for return to work; health professionals are not clear about their roles; the congruence between health professionals and the workers'perspectives and goals on return to work impacts the treatment and its outcomes. A posterior analysis produced two third-order syntheses: 1. the need for assertive communication to lay the groundwork for best practices; and 2. inadequate coordination in the current system complicates return to work in cases of chronic pain. Conclusion: Stakeholders and health professionals need to understand their roles and responsibilities to consistently set goals and action plans for return to work. Keywords: Chronic Pain, Return to Work, Health Personnel.Retorno bem-sucedido ao trabalho para indivíduos com dor crônica, segundo os profissionais de saúde: uma metassíntese Resumo: Introdução: Dor crônica é doença persistente que causa problemas econômicos, pessoais e sociais, quando indivíduos não conseguem voltar ao trabalho. Objetivo: Esta metassíntese investigou as perspectivas dos profissionais de saúde acerca dos melhores mecanismos (desencadeantes da mudança) e abordagens para apoiar trabalhadores com dor crônica, no retorno ao trabalho. Método: Artigos revisados por pares foram pesquisados em bases de dados, como PsycINFO, EMBASE, CINAHL e Pubmed, publicados até outubro de 2017. As buscas empregaram três conceitos: "dor crônica", "retorno ao trabalho" e "terapeuta". Foram analisados seis artigos. Metaetnografia foi utilizada para sintetizar os dados extraídos de estudos qualitativos. Resultados: Foram reveladas cinco interpretações de segunda ordem: 1. as interações sociais contribuem para a reabilitação e podem interromper o retorno ao trabalho; 2. a coordenação inadequada e a burocracia excessiva complicam o retorno Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

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Section: Discussionmentioning

confidence: 99%

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Magalhães¹,

Chan²,

Chapman³

et al. 2017

Cad. Bras. Ter. Ocup.

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“…90 Similarly, a patient-oriented hand therapy programme was shown to produce better scores on selfreported outcome, less pain and higher patient satisfaction than a standard hand programme. 91 Figure 1 illustrates an integrated rehabilitation model for patients following DRF. It incorporates a prognosisbased approach, where high-risk individuals would receive a biopsychosocial approach to rehabilitation and low-risk patients would receive advice and a home programme.…”

Section: Treatment Implicationsmentioning

confidence: 99%

The implications of chronic pain models for rehabilitation of distal radius fracture

2010

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Distal radius fracture (DRF) is the most common fracture and usually occurs as a result of a fall. Most patients recover following DRF with minimal residual pain or disability; however, a small subset of patients continue to experience pain and disability even one year after the injury. Currently, there are no practice guidelines for early identification and treatment of patients who are potentially at greater risk of developing these adverse outcomes. As a result, hand therapy management of patients following DRF does not incorporate screening of these at-risk patients. The objective of this paper is to apply constructs from learned helplessness and cognitive-behavioural models of chronic pain in assessing the psychosocial risk profile of patients following DRF. We have also integrated key findings derived from studies addressing personal and life-style factors in assessing this risk profile. This framework is proposed as a basis to categorize patients as higher or lower psychosocial risk for developing chronic pain and disability following DRF. We outline a model depicting the RACE approach (Reducing pain, Activating, Cognitive reshaping, Empowering) towards the management of patients following DRF. The model suggests that patients with minimal psychosocial risk factors are managed based on their injury profile and those with higher psychosocial risk are treated with the risk-based RACE approach. Using a biopsychosocial RACE approach to prognosis and treatment, hand therapy intervention can be customized for patients recovering from DRF. In future, researchers can conduct clinical trials to compare the RACE-based treatment approach to routine hand therapy in mitigating the risk of chronic pain and disability in patients with elevated risk profile for adverse outcomes following DRF.

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“…Dies erwies sich nicht nur in Bezug auf die Leistung und Leistungsfähigkeit der Patienten, sondern auch in Bezug auf Teilhabe und Kosteneffektivität als wirksam [4,7]. Auch das Risiko der Arbeitslosigkeit kann durch die MBO-Rehabilitation signifikant reduziert werden [11].…”

Section: Wissenschaftliche Basis Klassifikationssystemeunclassified

“…4 8 Ausschnitt aus dem Leistungsspektrum der MBO-Rehabilitation an der BG-Unfallklinik Ludwigshafen Interessenkonflikt. Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.…”

Section: Individuelle Betreuungunclassified

Medizinisch-beruflich orientierte Rehabilitation

Köhler

2012

Trauma Berufskrankh

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Evaluating the Effectiveness of a Patient-Oriented Hand Rehabilitation Programme

Cited by 37 publications

References 8 publications

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

The implications of chronic pain models for rehabilitation of distal radius fracture

Medizinisch-beruflich orientierte Rehabilitation

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