Occupational Therapy Work-Hardening Programs: A Demographic Study

Wyrick, Joane M.; Niemeyer, Linda Ogden; Ellexson, Melanie T.; Jacobs, Karen; Taylor, Sallie

doi:10.5014/ajot.45.2.109

Cited by 10 publications

(2 citation statements)

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“…Schedules that require practical training of maneuvers special for dentists with correct ergonomics basics, production and learning of correct habits and behaviors could reduce these disorders [51] , [62] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] . Differences in the prevalence of musculoskeletal disorders in the mentioned countries with the current study might be because of hardware facilities, university policy makings, and access to more favorable facilities and also the importance of mouth and tooth health for people and regular reference to dentist year round.…”

Section: Discussionmentioning

confidence: 99%

Work-Related Musculoskeletal Disorders in Iranian Dentists: A Systematic Review and Meta-analysis

ZakerJafari

YektaKooshali

2018

Safety and Health at Work

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BackgroundWork-related musculoskeletal disorders are the most important problems among professions particularly, dentists. This study was conducted to determine the prevalence of musculoskeletal disorders in various parts of the body in Iranian dentists by using systematic review and meta-analysis.MethodsThis systematic review and meta-analysis was based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and searching in national databases such as SID, Magiran, Irandoc, IranMedex, and Medlib, and international databases such as MedLine, Web of Sciences, Scopus, PubMed, ScienceDirect, Cochrane, Embase, Springer, Wiley Online Library, Ebsco, CEBM, and Google Scholar search engine which were published by January 1, 2017. Researched keywords were in Persian and their standard English equivalents were in accordance with their MeSH. The obtained documents were analyzed using Comprehensive Meta-analysis version 2.ResultsAccording to 23 studies through 2,531 Iranian dentists which took part in this study, prevalence of skeletal disorders in Iranian dentists has been 17.6% [confidence interval (CI) 95%:11.7–25.5] in knees, 33.2% (CI 95%:24.1–43.8) in shoulders, 33.4% (CI 95%: 26.8–40.8) in the thorax, 51.9% (CI 95%:46.7–57.2) in necks, 33.7% (CI 95%:28.2–39.6) in wrists/hands, 12.9% (CI 95%:7.7–20.6) in elbows, 37.3% (CI 95%: 31.5–43.5) in lower back, 11.9% (CI 95%:8.7–16.1) in thighs, 12.9% (CI 95%:3.8–36) in the foot, and 10.5% (CI 95%:7–15.4) in legs.ConclusionConsidering the high prevalence of musculoskeletal disorders in Iranian dentists, ergonomics should be included as a lesson in preclinic and also, reeducation courses for ergonomics basics should be executed for graduate dentists.

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Section: Discussionmentioning

confidence: 99%

Work-Related Musculoskeletal Disorders in Iranian Dentists: A Systematic Review and Meta-analysis

ZakerJafari

YektaKooshali

2018

Safety and Health at Work

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“…Standards of practice, program parameters, and service delivery methods may vary depending on providers, the individual programs and the various disciplines involved in the RTW process, which can be influenced by the needs of the worker and employer, disability management practices, insurance policies, and the practice of the work rehabilitation programs [ 22 , 25 ]. The standards of practice used for this study are the services offered at Millard Health in Alberta, Canada, the primary service provider for WCB Alberta.…”

Section: Interventionmentioning

confidence: 99%

Motivational Interviewing for Workers with Disabling Musculoskeletal Disorders: Results of a Cluster Randomized Control Trial

et al. 2017

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Purpose Although functional restoration programs appear effective in assisting injured workers to return-to-work (RTW) after a work related musculoskeletal (MSK) disorder, the addition of Motivational Interviewing (MI) to these programs may result in higher RTW. Methods We conducted a cluster randomized controlled trial with claimants attending an occupational rehabilitation facility from November 17, 2014 to June 30, 2015. Six clinicians provided MI in addition to the standard functional restoration program and formed an intervention group. Six clinicians continued to provide the standard functional restoration program based on graded activity, therapeutic exercise, and workplace accommodations. Independent t tests and chi square analysis were used to compare groups. Multivariable logistic regression was used to obtain the odds ratio of claimants’ confirmed RTW status at time of program discharge. Results 728 workers’ compensation claimants with MSK disorders were entered into 1 of 12 therapist clusters (MI group = 367, control group = 361). Claimants were predominantly employed (72.7%), males (63.2%), with moderate levels of pain and disability (mean pain VAS = 5.0/10 and mean Pain Disability Index = 48/70). Claimants were stratified based on job attachment status. The proportion of successful RTW at program discharge was 12.1% higher for unemployed workers in the intervention group (intervention group 21.6 vs. 9.5% in control, p = 0.03) and 3.0% higher for job attached workers compared to the control group (intervention group 97.1 vs. 94.1% in control, p = 0.10). Adherence to MI was mixed, but RTW was significantly higher among MI-adherent clinicians. The odds ratio for unemployed claimants was 2.64 (0.69–10.14) and 2.50 (0.68–9.14) for employed claimants after adjusting for age, sex, pain intensity, perceived disability, and therapist cluster. Conclusion MI in addition to routine functional restoration is more effective than routine functional restoration program alone in improving RTW among workers with disabling MSK disorders.

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