Functional capacity evaluations for the prevention of occupational re-injuries in injured workers

Mahmud, Norashikin; Schönstein, Eva; Schaafsma, Frederieke; Lehtola, Marika M.; Fassier, Jean‐Baptiste; Verbeek, Jos; Reneman, Michiel F.

doi:10.1002/14651858.cd007290.pub2

Cited by 14 publications

(4 citation statements)

References 25 publications

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“…In addition, these same physicians change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when performance-based outcomes are provided versus traditional information obtained from anamnesis and the medical file (Wind et al 2009b). Despite these supportive findings for the use of performance-based measures in the assessment for work participation in patients with MSDs, a recent Cochrane review concluded that there is no evidence available for or against the effectiveness of performance-based measures compared with no assessment as intervention for preventing occupational re-injuries in workers with MSDs (Mahmud et al 2010). The predictive validity of these measures for work participation, however, was not studied.…”

Section: Introductionmentioning

confidence: 99%

Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

Kuijer

Gouttebarge

Brouwer

et al. 2011

Int Arch Occup Environ Health

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ObjectiveAssessments of whether patients with musculoskeletal disorders (MSDs) can participate in work mainly consist of case history, physical examinations, and self-reports. Performance-based measures might add value in these assessments. This study answers the question: how well do performance-based measures predict work participation in patients with MSDs?MethodsA systematic literature search was performed to obtain longitudinal studies that used reliable performance-based measures to predict work participation in patients with MSDs. The following five sources of information were used to retrieve relevant studies: PubMed, Embase, AMA Guide to the Evaluation of Functional Ability, references of the included papers, and the expertise and personal file of the authors. A quality assessment specific for prognostic studies and an evidence synthesis were performed.ResultsOf the 1,230 retrieved studies, eighteen fulfilled the inclusion criteria. The studies included 4,113 patients, and the median follow-up period was 12 months. Twelve studies took possible confounders into account. Five studies were of good quality and thirteen of moderate quality. Two good-quality and all thirteen moderate-quality studies (83%) reported that performance-based measures were predictive of work participation. Two good-quality studies (11%) reported both an association and no association between performance-based measures and work participation. One good-quality study (6%) found no effect. A performance-based lifting test was used in fourteen studies and appeared to be predictive of work participation in thirteen studies.ConclusionsStrong evidence exists that a number of performance-based measures are predictive of work participation in patients with MSDs, especially lifting tests. Overall, the explained variance was modest.

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Section: Introductionmentioning

confidence: 99%

Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

Kuijer

Gouttebarge

Brouwer

et al. 2011

Int Arch Occup Environ Health

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“…Mahmud, et al señalan la importancia de incluir en el modelo de rehabilitación el paradigma de tratamiento y el paradigma de prevención basado en un modelo biopsicosocial, el cual busca evitar la evolución de la condición de salud hacia la discapacidad prolongada del trabajador, considerando y haciendo efectivas las modificaciones en los lugares de trabajo 13,14 .…”

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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“…The current state of WHS programs and the use of FCEs in employment examinations have recently been reviewed [20,21]. The authors observed no evidence for an association between the length of FCEs and injury relapse.…”

Section: Discussionmentioning

confidence: 99%

“…Occupational health examinations, i.e. the screening part of a WHS, including a functional capacity evaluation (FCE) have also been reviewed [20,21]. Conflicting evidence was observed for the effectiveness of occupational health examinations including FCE on the prevalence of musculoskeletal injuries [20].…”

Section: Introductionmentioning

confidence: 99%

Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

et al. 2012

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BackgroundSustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers’ health promotion program on its effectiveness, cost-benefit, and process of the intervention.MethodsThe study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability). The main goals of the POSE program are 1) providing employee’s insight into their current employability and health status, 2) offering opportunities to improve employability and decrease health risks and 3) improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers’ perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed.DiscussionThis study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit from healthier employees, reduced sick leave (costs) and higher productivity. The study can expose key elements for a successful implementation and execution of the POSE program and may serve as an example to other companies inside and outside the industry.Trial registrationThe trial is registered at the Dutch Trial Register (http://www.trialregister.nl): NTR3445

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Functional capacity evaluations for the prevention of occupational re-injuries in injured workers

Abstract: There is no evidence for or against the effectiveness of FCE compared to no intervention. A short version of FCE showed similar effectiveness to a long version in preventing re-injury. More RCTs are needed.

Cited by 14 publications

References 25 publications

Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

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

Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

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