Natural course of rotator cuff syndrome in a French working population

Bodin, Julie; Ha, Catherine; Petit, Audrey; Descatha, Alexis; Thomas, Thierry; Goldberg, Marcel; Leclerc, Annette

doi:10.1002/ajim.22315

Cited by 5 publications

(9 citation statements)

References 27 publications

(65 reference statements)

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“…Conversely, strong social support was linked to a shorter sick leave duration, still in the single‐factor model. Nevertheless, unlike for Bodin et al, 6 low decision latitude was not a significantly pejorative work characteristic in our study.…”

Section: Discussioncontrasting

confidence: 92%

“…Other works have reported longer sick leave durations, 7 up to 9.8 months, as well as shorter periods of 5 months 13,46 . According to the authors, the short duration reported by Bodin et al 6 could be explained by the low severity of cases in the population studied.…”

Section: Discussionmentioning

confidence: 67%

“…Depending on pain intensity, the type of lesion and treatment (medical or surgical), and how compatible the shoulder functional status is with job requirements, the duration of sick leave following a shoulder MSD can vary greatly, from 34 days 6 to 9.8 months 7 . Following rotator cuff repair, Collin et al 8 and Creton 9 have shown that in respectively 20% and 37% of cases, patients are unable to return to work (RTW) 6 months after their surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Professionally, as regards physical constraints, several studies have shown that physically demanding manual or physical labor, 8,18,30,31 excessive repetitive stress on the shoulder and/or postures with one's hands above the shoulders, 5,6,31,32 and a lack of task rotation are all factors that cause chronic symptoms. As regards psychological and social aspects, a few studies have shown that high psychological demands, 11 poor social support, 11 low decision latitude, 6 poor control over work, 11 and monotonous tasks 32 are also factors for chronic disorders. Moreover, Razmjou et al 33 have shown that psychosocial risk factors are associated with higher pain, increased disability, more severe anxiety, deeper depression, and an undesirable professional status among workers with a shoulder or elbow MSD.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Pichene-Houard

Paysant

Claudon

et al. 2021

American J Industrial Med

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Background Return to work (RTW) after surgery for a work‐related rotator cuff disorder (WRRCD) is often difficult. The study's purpose was to identify preoperative factors predicting RTW. Methods Ninety‐two workers with a WRRCD were identified by four surgeons. Before surgery, the workers completed a series of standardized questionnaires related to working conditions, health, and health beliefs. They were followed up prospectively for 20 months. Statistical analysis was based on single and multiple‐factor Cox models of the duration of absence from the time of surgery until RTW. Results The median age at inclusion was 49 years (27–62), with 52 women included (57%). Sixty‐one subjects (66%) were employed in highly physically demanding jobs. Forty‐two (46%) stayed at work until their surgery, whereas preoperative sick leave exceeded 100 days in 20 subjects (21%). Twenty months after surgery, 14 were still not back at work. For the other participants, the mean duration until RTW was 225 days (SD 156). In the fully adjusted model, variables that were significantly predictive of the duration until RTW were: work physical demand levels, preoperative sick leave, the number of body parts causing pain or discomfort in the last 12 months, self‐assessed 2‐year workability, and the Readiness for RTW (RRTW) Scale. Conclusions Several physical, psychological, and work‐related factors, easily recorded, can be identified preoperatively. They may be predictive of delayed return, loss of employment, or employability as a result of shoulder surgery.

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Section: Discussioncontrasting

confidence: 92%

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Pichene-Houard

Paysant

Claudon

et al. 2021

American J Industrial Med

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“…In the working population, 30% report daily shoulder pain during the previous year [2]. The pain can persist for months or even years in about a third of cases [3,4]. Lasting aches, intense pain and severe functional limitations are noted as factors of poor prognosis regarding recovery and repercussion [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with limitations in daily life and at work in a population with shoulder pain

Godeau

Fadel

Descatha

2022

BMC Musculoskelet Disord

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Background Shoulder pain, which is a widespread condition, can lead to participation restrictions in daily and professional life. However, there are few studies focusing on the differences between daily life limitations and work limitations. This study aims at identifying the factors associated with limitations in personal and professional life in a population of working age suffering from shoulder pain. Methods A sample of working age job seekers and workers with shoulder pain was drawn from the last general population cross-sectional French study on disability. Limitations were categorized depending on whether they related to daily life and/or work. The variables assessed were age, sex, state of health, activity restrictions, need for accommodation, and aggravating living conditions or aggravating working conditions. Separate Quasi-Poisson regressions were performed for each type of limitation. Results The sample consisted of 795 individuals of which 33.7% had no limitation, 21.7% were limited in daily life, 6.0% at work, and 38.6% in both. Factors significantly associated with daily life limitations and work limitations and their computed Prevalence Ratios (PR) were the need for accommodation (PR = 2.16), activity restrictions (PR = 2.28), perceived poor health (PR = 2.42) and low income (PR = 1.64). Aggravating living conditions and aggravating working conditions were associated with daily life limitations (PR of 1.69 and 0.63 respectively). Conclusions The present study identifies factors associated with disability in a population with shoulder pain. Further research should be carried out in order to study health-related periods of cessation of work.

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Predictive factors of return‐to‐work trajectory after work‐related rotator cuff syndrome: A prospective study of 96 workers

Pichene-Houard

Sirveaux

Clerc‐Urmès

et al. 2023

American J Industrial Med

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Objective: Sustained return to work after surgery for work-related rotator cuff syndrome (WRRCS) remains quite difficult. The main purpose of the present study was to identify predictive factors of a return-to-work (RTW) trajectory.Methods: A total of 96 workers with WRRCS were identified by 4 surgeons. They were followed prospectively before and after the surgery, until 1 year after RTW, or for 20 months after surgery when they did not. Participants completed a series of standardized questionnaires related to working conditions, health, and beliefs, and performed functional tests at the inclusion time. During the follow-up period, they were regularly asked about their working conditions (present or not at work), activity (normal or lightened physical duties) and schedules (full-or part-time job). Statistical analysis was based on single-and multiple-factor models of prediction of the workers' trajectory.Results: Three trajectories of RTW were distinguished, considering RTW and absenteeism that occurred during the follow-up: stable, unstable, and non-RTW. The median age of the sample was 49.5 [45.0-54.0], with 67.7% of workers employed in highly physically demanding jobs. In the multiple factor model, three factors were highly predictive of the trajectory: perceived health before surgery, having had a repaired ruptured-rotator-cuff tendinopathy, and the level of physical demand of the job. Conclusion:Three easy-to-collect predictive factors of RTW trajectory have been identified. They may be useful for healthcare professionals and care givers to identify vulnerable workers' risk of occupational dropout after arthroscopic surgery for rotator cuff tendinopathy.

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Natural course of rotator cuff syndrome in a French working population

Abstract: This descriptive study showed that a high percentage of workers recovered and several personal and work-related factors were associated with persistent RCS. Larger prospective studies are needed to confirm these results.

Cited by 5 publications

References 27 publications

Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Factors associated with limitations in daily life and at work in a population with shoulder pain

Predictive factors of return‐to‐work trajectory after work‐related rotator cuff syndrome: A prospective study of 96 workers

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