Prognostic occupational factors for persistent low back pain in primary care

Melloh, Markus; Chapple, Cathy; Käser, A.; Salathé, Cornelia Rolli; Barz, Thomas; Röder, Christoph; Theis, Jean‐Claude

doi:10.1007/s00420-012-0761-9

Cited by 29 publications

(28 citation statements)

References 25 publications

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“…It is also important to understand the nature (e.g., supportive, solicitous, adversarial), of other important social interactions, such as relationships at work; lack of social support at work and dissatisfaction with co-workers; and interactions with the disability compensation system are among the most potent predictors of work disability related to pain. 91;163;164 For example, Li and colleagues studied workplace support among arthritis patients; those who reported low workplace support were much more likely to develop depressive symptoms and work-related disability 18 months later. 139 Moreover, differing social and occupational structures across countries appear to contribute to cross-national differences in rates of return to work and occupational disability in the context of painful work injury.…”

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

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The recently-proposed ACTTION-APS Pain Taxonomy provides an evidence-based, multidimensional, chronic pain classification system. Psychosocial factors play a crucial role within several dimensions of the Taxonomy. In this paper, we discuss the evaluation of psychosocial factors that influence the diagnosis and trajectory of chronic pain disorders. We review studies in individuals with a variety of persistent pain conditions, and describe evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes. We consider both “general” psychosocial variables such as negative affect, childhood trauma, and social support, as well as “pain-specific” psychosocial variables that include pain-related catastrophizing, self-efficacy for managing pain, and pain-related coping. Collectively, the complexity and profound variability in chronic pain highlights the need to better understand the multidimensional array of interacting forces that determine the trajectory of chronic pain conditions.

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Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

View full text Add to dashboard Cite

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“…Por otra parte estudios realizados previamente se centran únicamente en factores de riesgos ocupacionales o en estilos de vida 58,59 asociados al DME, pero no consideran modelos para el estudio de las condiciones de salud crónicas 60 .…”

Section: Discussionunclassified

Modelos de rehabilitación para la intervención del desorden músculo-esquelético en trabajadores

Trillos

2016

revsal

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Revisión de tema Modelos de rehabilitación para la intervención del desorden músculo-esquelético en trabajadoresRehabilitation models for intervention of work-related musculoskeletal disorders RESUMENIntroducción: Los modelos en salud promueven el desarrollo de intervenciones para solucionar diferentes problemáticas poblacionales. Objetivo: El objetivo de este artículo es establecer un diagnóstico de los modelos existentes para la rehabilitación del desorden músculo esquelético (DME) en la población trabajadora, a través de una revisión documental y de la literatura científica disponible. Metodología: Se realizó una revisión sistemática de la literatura en las bases de datos Ovid SP, EBSCO HOST, PROQUEST, MEDLINE, Science Direct, PubMed, y otros motores de búsqueda, siguiendo las etapas de identificación, tamización, elegibilidad e inclusión consignadas en la guía PRISMA. Resultados: Se seleccionaron 72 artículos, de los cuales 60 documentos fueron tenidos en cuenta para el análisis bibliométrico; se identificaron y abordaron doce modelos teóricos del proceso salud enfermedad, los cuales mostraron un enfoque en rehabilitación clínica. Discusión y conclusiones: Se concluyó que los modelos de rehabilitación encontrados contienen diversos elementos que los hacen complementarios y que no generan conflicto entre ellos, por el contrario de acuerdo a las disciplinas que lo definen y la interdisciplinariedad que puedan tener, los hacen aún más sólidos en sus premisas para la rehabilitación de los (DME) en trabajadores. Adicionalmente se observa como los enfoques de los modelos de rehabilitación más recientes están dirigidos a fomentar las condiciones protectoras del trabajador con el fin de prevenir alteraciones en su condición de salud.Palabras clave: Musculo esquelético, medicina física y rehabilitación, modelos en salud, trabajadores (DeCS). INTRODUCCIÓNLos modelos en salud han sido diseñados con el fin de promover el desarrollo de intervenciones para solucionar problemas dentro del proceso de salud enfermedad en la población. Así mismo son considerados una herramienta organizada, diseñada para categorizar ideas y enfoques que le dan sentido a fenómenos complejos 1 en este caso en la salud del individuo y sus colectivos.A lo largo del tiempo se han identificado modelos que datan de la edad media y que consideraban al individuo como un ser netamente pasivo receptivo frente a su salud hasta enfoques como el propuesto por el modelo Forense 2 en donde se tenía en cuenta las interacciones, conocimientos y motivaciones del ser humano o el modelo ecológico en el que se rescataba la influencia de los patrones culturales, las tendencias políticas, los sistemas económicos y las creencias frente a la condición de discapacidad 3 .Con el paso del tiempo diferentes tendencias se han generado frente al tema de salud-enfermedad derivadas de los avances tecnológicos y la creciente atomización del proceso social, dada por la creación de múltiples especialidades en las diferentes disciplinas 2 . Lo que ha llevado a que se haya perdid...

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“…However, when a patient has persistent pain and is disabled from work, therapists need to explore the specific influence of workplace and social context on the patient’s disability 90. Hence, some elements of the first category are related to the patient’s subjective beliefs about work, as the patient’s attitude toward his/her job is a strong predictor of disability and pain 94–96. Considering that certain elements are to some extent modifiable, when negative perceptions about work are identified throughout the interview, these will need to be addressed and part of one’s treatment strategy.…”

Section: Domains and Their Operational Definitionsmentioning

confidence: 99%

Rehabilitation management of low back pain – it’s time to pull it all together!

Tousignant-Laflamme

Martel

Joshi

et al. 2017

JPR

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In the past, rehabilitation research initiatives for low back pain (LBP) have targeted outcome enhancement through personalized treatment approaches, namely through classification systems (CS). Although the use of CS has enhanced outcomes, common management practices have not changed, the prevalence of LBP is still high, and only selected patients meet the CS profile, namely those with a nociceptive context. Similarly, although practice guidelines propose some level of organization and occasionally a timeline of care provision, each mainly provides best practice for isolated treatment approaches. Moreover, there is no theoretical framework that has been proposed that guides the rehabilitation management process of mechanical LBP. In this commentary, we propose a model constituted of five domains (nociceptive drivers, nervous system dysfunction drivers, comorbidities drivers, cognitive–emotional drivers, and contextual drivers) grounded as mechanisms driving pain and/or disability in LBP. Each domain is linked to the International Classification of Functioning, Disability and Health, where once a patient is deemed suitable for rehabilitation, the clinician assesses elements of each domain in order to identify where the relative treatment efforts should be focused. This theoretical model is designed to provide a more comprehensive management overview, by appreciating the relative contribution of each domain driving pain and disability. Considering that the multiple domains driving pain and disability, and their interaction, requires a model that is comprehensive enough to identify and address each related issue, we consider that the proposed model has several positive implications for rehabilitation of this painful and highly prevalent musculoskeletal disorder.

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Prognostic occupational factors for persistent low back pain in primary care

Cited by 29 publications

References 25 publications

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Modelos de rehabilitación para la intervención del desorden músculo-esquelético en trabajadores

Rehabilitation management of low back pain – it’s time to pull it all together!

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Prognostic occupational factors for persistent low back pain in primary care

Cited by 29 publications

References 25 publications

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Modelos de rehabilitación para la intervención del desorden músculo-esquelético en trabajadores

Rehabilitation management of low back pain &ndash; it&rsquo;s time to pull it all together!

Contact Info

Product

Resources

About

Rehabilitation management of low back pain – it’s time to pull it all together!