Models of Return to Work for Musculoskeletal Disorders

Schultz, Izabela Z.; Stowell, Anna W.; Feuerstein, Michael; Gatchel, Robert J.

doi:10.1007/s10926-007-9081-4

Cited by 34 publications

(81 citation statements)

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“…The rehabilitation process has to be understood in each national context and considering the different systems, including personal, workplace, health care and insurance systems (42). In Sweden, work-related interventions are initiated by the employer because they are responsible for providing workplace rehabilitation and making adjustments to the work environment according to the Work Environment Act.…”

Section: Work-related Interventionsmentioning

confidence: 99%

Evaluation of Self-Reported Work Ability and Usefulness of Interventions Among Sick-Listed Patients

et al. 2012

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Methods A prospective cohort study was performed including 810 newly sick-listed patients (MSD 62% and MD 38%). The baseline questionnaire included sociodemographic characteristics and measures of work ability. The 3-month follow-up questionnaire included measures of work ability, type of intervention received, and judgment of usefulness.Results Twenty-five percent received medical intervention modalities (MI) only, 45% received a combination of medical and rehabilitative intervention modalities (CRI) and 31% received workrelated interventions combined with medical or rehabilitative intervention modalities (WI).Behavioural treatments were more common for patients with MD compared with MSD and exercise therapy were more common for patients with MSD. The most prevalent workplace interventions were adjustment of work tasks or the work environment. Among patients with MD, WI was found to be useful and improved work ability significantly more compared with only MI or CRI. For patients with MSD, no significant differences in improved work ability were found between interventions.Conclusions Patients with MD who received a combination of work-related and clinical interventions reported best usefulness and best improvement in work ability. There was no difference in improvements in work ability between rehabilitation methods in the MSD group.There seems to be a gap between scientific evidence and praxis behaviour in the rehabilitation process. Unimodal rehabilitation was widely applied in the early rehabilitation process, a multimodal treatment approach was rare and only one-third received work-related interventions.It remains a challenge to understand who needs what type of intervention.

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Section: Work-related Interventionsmentioning

confidence: 99%

Evaluation of Self-Reported Work Ability and Usefulness of Interventions Among Sick-Listed Patients

et al. 2012

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“…National and organizational policies for return to work need to reflect on the purpose of early contact, and the practical implications this particular return-to-work intervention might have. Reflection on the social relational aspects of early contact and the implications the intervention has in practice seems limited in research, as existing models for return to work fail to capture subtleties in social dynamics [29].…”

mentioning

confidence: 99%

Exploring the meaning of early contact in return-to-work from workplace actors' perspective

Tjulin

MacEachen

Ekberg

2010

Disability and Rehabilitation

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Purpose The objective of this paper was to explore the meaning of early contact in return to work, and how social relational actions and conditions can facilitate or impede early contact among actors in the workplace.Method An exploratory qualitative method was used, consisting of individual open-ended interviews with 33 workplace actors at seven worksites across three public employers in Sweden. The workplace actors represented in these interviews included re-entering workers, supervisors, co-workers, and human resources managers. Organizational policies on return to work were collected from the three employers.Results The analysis indicated that early contact is a complex return-to-work measure with shifting incentives among workplace actors for making contact. For instance, the findings indicated obligation and responsibilities as incentives, incentives through social relations, and the need to acknowledge and balance the individual needs in relation to early contact. ConclusionThe findings strengthen the importance of early contact as a concept with a social relational context that comprises more than just an activity carried out (or not) by the employer, and suggest that early contact with a sick listed worker is not always the best approach for a return-to-work situation. This study provides a starting point for a more articulated conceptualization of early contact.

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“…Les modèles biomédicaux des années 1970 étaient centrés sur le dysfonctionnement du travailleur dans ses activités professionnelles et sur l'amplitude de ses limites (Schultz, Stowell, Feurstein et Gatchel, 2007). Les stratégies de réadaptation misaient sur la rencontre thérapeutique travailleur-médecin-physiothérapeute pour surmonter les limitations fonctionnelles du travailleur sans égard à la réalité interculturelle (Schultz et coll., 2007).…”

Section: éTat Des Connaissancesunclassified

Le retour au travail d’immigrants ayant subi une lésion professionnelle : les embûches de la rencontre interculturelle et la précarité du lien d’emploi

et al. 2017

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Cet article rapporte une partie des résultats d'une étude exploratoire sur le processus de réadaptation et de retour au travail en contexte de relations interculturelles. Cette étude avait deux objectifs : identifier les stratégies mises de l'avant par les différents acteurs pour faciliter le processus de réadaptation et de retour au travail des travailleurs immigrants et décrire les contraintes, les obstacles et les aides au processus selon la perspective des différents acteurs. Des entrevues semi-dirigées ont ainsi été menées auprès de 47 répondants : cliniciens, agents d'indemnisation et conseillers en réadaptation de la CNESST, employeurs et travailleurs immigrants victimes d'une lésion reconnue et indemnisée. Au-delà des barrières linguistiques et culturelles, deux facteurs nuisent au retour en emploi des travailleurs immigrants : d'une part, la précarité du lien d'emploi freine leurs efforts et mine leur volonté de consolider leur état de santé et, d'autre part, la menace ou la perte réelle du lien d'emploi amène une rupture symbolique dans leur processus d'intégration. Cette rupture est importante pour ceux qui sont surqualifiés pour leur poste, surtout si leur emploi est un passage obligé pour acquérir une expérience de travail au Canada et viser ensuite un emploi à la hauteur de leurs compétences. Le processus de réadaptation peut soit se transformer en un « parcours déshonorant », soit fournir une occasion d'améliorer sa situation sur un marché du travail discriminant. Adapter les programmes à la réalité de ces travailleurs immigrants est possible, mais pose un dilemme moral et éthique : comment motiver les travailleurs à se rétablir tout en explorant un autre créneau d'emploi si leur lien d'emploi risque d'être rompu, alors que les règles relatives au droit de retour au travail prévoient la réintégration de l'emploi prélésionnel ou tout autre poste jugé équivalent

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Models of Return to Work for Musculoskeletal Disorders

Cited by 34 publications

References 0 publications

Evaluation of Self-Reported Work Ability and Usefulness of Interventions Among Sick-Listed Patients

Evaluation of Self-Reported Work Ability and Usefulness of Interventions Among Sick-Listed Patients

Exploring the meaning of early contact in return-to-work from workplace actors' perspective

Le retour au travail d’immigrants ayant subi une lésion professionnelle : les embûches de la rencontre interculturelle et la précarité du lien d’emploi

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