Work Disability and Costs Caused by Recurrence of Low Back Pain: Longer and More Costly Than in First Episodes

Wasiak, Radoslaw; Kim, Jae‐Young; Pransky, Glenn

doi:10.1097/01.brs.0000194774.85971.df

Cited by 128 publications

(88 citation statements)

References 41 publications

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“…Regarding WRLBP recurrence, it was recurrent for two-thirds of the P.Ts in the current study, the same result was reported by the American and Canadian P.Ts (11,14) , their general population had reported a recurrence of 33.9% nearly a half of the P.Ts population (24) . The high recurrence percentage can be attributed to the continuous exposure to the causative factor of workloads without effective change.…”

Section: Discussionsupporting

confidence: 77%

Prevalence of Low Back Pain Among Physical Therapists in Cairo-Egypt

Mohamed¹,

Kandil²,

Mohammed³

et al. 2017

International Journal of Therapies and Rehabilitation Research

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Section: Discussionsupporting

confidence: 77%

Prevalence of Low Back Pain Among Physical Therapists in Cairo-Egypt

Mohamed¹,

Kandil²,

Mohammed³

et al. 2017

International Journal of Therapies and Rehabilitation Research

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“…This is not surprising since biomechanical studies have demonstrated how low backloads during common patient handling tasks frequently exceed recommended safe limits for maximal acceptable compressive forces on the back (10,11). The problem is further aggravated because, when first initiated, a history of back pain or injury is associated with recurrent back injury (12)(13)(14), which is often more severe and costly than the initial episode (12,14).…”

mentioning

confidence: 93%

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

Andersen¹,

Burdorf²,

Fallentin³

et al. 2013

Scand J Work Environ Health

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“…For those working in occupations with high physical job demands, the prevalence of low back pain can exceed 60 percent (17). While some workers with back pain may recover with minimal interruption to employment, others experience prolonged periods of disability or recurring episodes (18) which have a negative impact on their employment status and financial stability (19). Since reintegrating workers with LBP is a common, and ongoing challenge faced by supervisors, and supervisors may accommodate different health conditions in unique ways, this study specifically explores how supervisors experience and make decisions about accommodating workers with LBP.…”

Section: Introductionmentioning

confidence: 99%

A Model of Supervisor Decision-Making in the Accommodation of Workers with Low Back Pain

et al. 2016

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PURPOSE-To explore supervisors' perspectives and decision-making processes in the accommodation of back injured workers.METHODS-Twenty-three semi-structured, in-depth interviews were conducted with supervisors from eleven Canadian organizations about their role in providing job accommodations. Supervisors were identified through an on-line survey and interviews were recorded, transcribed and entered into NVivo software. The initial analyses identified common units of meaning, which were used to develop a coding guide. Interviews were coded, and a model of supervisor decisionmaking was developed based on the themes, categories and connecting ideas identified in the data. RESULTS-The decision-making model includes a process element that is described as iterative "trial and error" decision-making. Medical restrictions are compared to job demands, employee abilities and available alternatives. A feasible modification is identified through brainstorming and then implemented by the supervisor. Resources used for brainstorming include information, supervisor experience and autonomy, and organizational supports. The model also incorporates the experience of accommodation as a job demand that causes strain for the supervisor. CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript accommodation decision complexity, which in turn affects the quality of the accommodation option selected. If the employee is unable to complete the tasks or is reinjured during the accommodation, the decision cycle repeats. More frequent iteration through the trial and error process reduces the likelihood of return to work success.CONCLUSIONS-A series of propositions is developed to illustrate the relationships among categories in the model. The model and propositions show: a) the iterative, problem solving nature of the RTW process; b) decision resources necessary for accommodation planning, and c) the impact accommodation demands may have on supervisors and RTW quality.

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Work Disability and Costs Caused by Recurrence of Low Back Pain: Longer and More Costly Than in First Episodes

Abstract: Recurrences contributed disproportionately to the total burden of work-related nonspecific LBI, through both additional care seeking and work disability. Results imply that those who have recurrences may be an especially important target for secondary prevention efforts.

Cited by 128 publications

References 41 publications

Prevalence of Low Back Pain Among Physical Therapists in Cairo-Egypt

Prevalence of Low Back Pain Among Physical Therapists in Cairo-Egypt

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

A Model of Supervisor Decision-Making in the Accommodation of Workers with Low Back Pain

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