Outpatient rehabilitation of workers with musculoskeletal disorders using structured workplace description

Weiler, Stephan; Foeh, Kay Peter; Mark, Anke van; Touissant, Rene; Sonntag, Nina; Gaessler, Annette; Schulze, Johannes; Kessel, Richard

doi:10.1007/s00420-008-0346-9

Cited by 9 publications

(13 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All interventions were compared to care as usual or a control treatment or to the results of similar studies. In one study, a comparison was made between the number of sickness absence days before and after the intervention in a single group of employees (pre/post test, no control) [15]. This study reduced annual sick leave days for 2 years.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

2012

View full text Add to dashboard Cite

Introduction In many Western countries, a vast amount of interventions exist that aim to facilitate return to work (RTW) after sickness absence. These interventions are usually focused on specific target populations such as employees with low back pain, stress-related complaints or adjustment disorders. The aim of the present study is to detect and identify characteristics of RTW interventions that generally facilitate return to work (i.e. in multiple target populations and across interventions). This type of knowledge is highly relevant to policy makers and health practitioners who want to deliver evidence based care that supports the employee’s health and participation in labour. Methods We performed a keyword search (systematic literature review) in seven databases (period: 1994–2010). In total, 23 articles were included and assessed for their methodological quality. The characteristics of the interventions were evaluated as well. Results Early interventions, initiated in the first 6 weeks of the RTW process were scarce. These were effective to support RTW though. Multidisciplinary interventions appeared effective to support RTW in multiple target groups (e.g. back pain and adjustment disorders). Time contingent interventions in which activities followed a pre-defined schedule were effective in all physical complaints studied in this review. Activating interventions such as gradual RTW were effective in physical complaints. They have not been studied for people with psychological complaints. Conclusions Early- and multidisciplinary intervention and time-contingent-, activating interventions appear most effective to support RTW.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Multidisciplinary interventions appeared to support RTW in physical complaints [14, 15, 17–21]. Two high quality studies showed that interventions that included contact with the employer/workplace improved RTW at 12 months follow up in employees with musculoskeletal complaints [19, 20].…”

Section: Resultsmentioning

confidence: 99%

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

2012

View full text Add to dashboard Cite

show abstract

“…One study 50 reported a decrease in sick leave that did not reach statistical significance and two studies 49 51 reported a statistically significant reduction of sick leave following the multilevel intervention. One study,15 reported a decrease in the amount of sick leave taken following the intervention.…”

Section: Resultsmentioning

confidence: 98%

Persistent musculoskeletal pain and productive employment; a systematic review of interventions

et al. 2016

View full text Add to dashboard Cite

A systematic analysis of the literature was undertaken to determine which characteristics of workplace interventions are most effective in assisting people with persistent musculoskeletal pain (PMP) to remain productively employed. Databases of Medline, PsychINFO, CINAHL and Embase were searched using MeSH and other relevant terms. Studies that reported on interventions at, or involving, the workplace were included. Interventions were considered as either focused on the individual or multilevel. Outcome measures assessed included: job loss, productivity, sick leave, pain and cost benefit. A quality assessment was undertaken using GRADE criteria with development of impact statements to synthesise the results. Eighteen relevant articles (14 studies) were identified for inclusion in the review. No high-level evidence for workplace interventions to assist people with PMP were identified. Low numbers of participants and limited studies resulted in downgrading of evidence. However, individually focused interventions will probably reduce job loss and sick leave, but are unlikely to reduce pain. Multilevel focused interventions will probably result in decreased sick leave and provide some cost benefit. The evidence on productivity was limited and of poor quality. Further research is required because sustainable employment for individuals with PMP is important and understanding what works is necessary to ensure effective workplace interventions are developed.

show abstract

“…These authors 25 investigated this issue more in depth and suggested that this trend could be associated with factors such as the presence of asymmetry in the mental space representation, vestibular disorder associated with sensory-motor asymmetries or asymmetries in the dopaminergic system. Despite not being the main scope of the present paper and the limitations inherent to general screening studies, it is important to mention that the asymmetry found confirms prior studies that the static gait without vision input is a directional tendency and that we need further studies in order to better understand its mechanisms 25 . The associations seen between dynamic balance changes and smoking, drinking, hypertension and negative emotional states, even considering that epidemiological studies on this topic are extremely insipient, seems to have a consistent biological support.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, dynamic balance tests, such as the Unterberger, have been associated with advanced technological equipment which allow for a more accurate monitoring and a greater objective interpretation. This is the case in the study 25 which quantified the lateral deviation based on the Unterberger-Fukuda test and determined the possible factors which could be potentially associated to these deviations assessing 25 young adults in experimental conditions. Thus, complementary investigations with this technological support could be led with the aim of confirming the associations between dynamic balance, smoking and negative emotional state.…”

Section: Discussionmentioning

confidence: 99%

Equilíbrio dinâmico, estilo de vida e estados emocionais em adultos jovens

Cruz¹,

Barreto²,

Fronza³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

View full text Add to dashboard Cite

A one hypothesis to explain some vestibular peripheral disorders is their association with life style. Thus, studies with young adults are relevant.Aim: to analyze the prevalence of dynamic balance alterations in young adults and their possible association with life style variables, health and negative emotional states (since they can impact the outcome). Materials and Methods:we carried out a non-probabilistic cross-sectional, clinical-retrospective study with young adults (18-32 years of age) from a university with 751 individuals, with a mean age of 22.45± 3.32 years. Life style, health and negative emotional states (NES) variables -depression, stress and anxiety, were collected by means of an interview. The Unterberger test was used in order to check for indications of dynamic balance alterations. Individuals with altered dynamic balance (ADB) were compared to those without these alterations (controls).Results: From our sample, 642 (83.6%) had less than 45º of deviation, while 109 (14.2%) had greater than 45º deviation and were the considered with ADB. The ADB group had a greater prevalence of smoking, alcohol abuse/dependence, high blood pressure and NES.Conclusion: the study highlights the occurrence of ADB which needs to be corroborated in future studies. Braz J Otorhinolaryngol. 2010;76(3):392-8. ORIGINAL ARTICLE BJORL

show abstract

Outpatient rehabilitation of workers with musculoskeletal disorders using structured workplace description

Abstract: Our results support evidence that information exchange for workplace description and rehabilitation therapist may help to reduce sick leave days and achieve very high rtw-ratio. However it is important to observe the effects of this shared information for longer intervals.

Cited by 9 publications

References 40 publications

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

Persistent musculoskeletal pain and productive employment; a systematic review of interventions

Equilíbrio dinâmico, estilo de vida e estados emocionais em adultos jovens

Contact Info

Product

Resources

About