Work participation of patients with musculoskeletal disorders: is this addressed in physical therapy practice?

Oswald, Wiebke; Hutting, Nathan; Engels, Josephine; Staal, J. Bart; Sanden, M.W.G. Nijhuis-van der; Heerkens, Yvonne

doi:10.1186/s12995-017-0174-5

Cited by 18 publications

(10 citation statements)

References 19 publications

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“…The integration of work-related factors in clinical practice has previously been investigated in Dutch and Canadian physiotherapists [15, 16]. Like the Scandinavian chiropractors, the physiotherapists, to a large extent, integrate work-related factors in their clinical SAM decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…However, in these settings, there also appeared to be system-related and organisational barriers such as, lack of communication with other healthcare providers, inability to upgrade their knowledge and competencies on SAM, and the lack of suitable reimbursement for services. These barriers were perceived to hamper the providers in integrating work-related factors in their clinical practice [15, 16].…”

Section: Discussionmentioning

confidence: 99%

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Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors

et al. 2019

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BackgroundMusculoskeletal pain is a major cause of work disability. Many patients with musculoskeletal pain seek care from health care providers other than their general practitioners, including a range of musculoskeletal practitioners. Therefore, these musculoskeletal practitioners may play a key role by engaging in sickness absence management and work disability prevention. This study aimed to determine the prevalence of musculoskeletal practitioners’ practice behaviours, and their perceptions and beliefs about sickness absence management by using Scandinavian chiropractors as an example, as well as to examine the association between these characteristics and two different practice behaviours.MethodsAs part of a mixed-methods study, we surveyed members of the national chiropractic associations in Denmark, Norway, and Sweden in 2016. Descriptive statistics were used to describe prevalence. Multilevel logistic regression with backwards stepping was used to estimate odds ratios with 95% confidence intervals between each of the two practice behaviours and the characteristics.ResultsOut of the 802 respondents (response rate 56%), 372 were Danish, 349 Norwegian, and 81 Swedish. In Denmark and Norway, 38.7 and 37.8% always/often considered if sick leave was appropriate for their patient compared to 21.0% in Sweden (p = 0.007); and 86.5% of the Norwegian chiropractors always/often recommended to return-to-work versus 64.5 and 66.7% in Denmark and Sweden respectively (p < 0.001). In the final models, factors associated with the two practice behaviours were age, level of clinical experience, working as a teacher, the tendency to be updated on current legislations and policies using social services, contact with general practitioners, relevance of engagement in SAM, consideration of workplace factors, SAM as part of the clinical tool box, patient out-of-pocket fee, and recommending fast return-to-work.ConclusionsWhilst not always engaged in sickness absence management with regards to musculoskeletal pain, chiropractors favour a ‘return-to-work’ rather than a ‘stay-at-home’ approach. Several practice behaviours and perceptions and beliefs are associated with these outcomes; however, system or organisational barriers are linked to clinician non-engagement.Electronic supplementary materialThe online version of this article (10.1186/s12998-018-0230-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors

et al. 2019

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“…The intervention content is based on earlier published research of the authors [17,18] and qualitative research conducted within the development process of this study. This qualitative research consisted of focus groups with generalist physical therapists, occupational therapists and exercise therapists (total participants = 16); focus groups with physical therapists, occupational therapists and exercise therapists specialised in occupational health, and with other relevant healthcare providers involved in occupational health (total participants = 22); and focus groups with patients from the target population of the intervention (total participants = 18).…”

Section: Interventions Developmentmentioning

confidence: 99%

“…Although most health professionals, including physical therapists, acknowledge the importance of their patients' work, occupation and the ability to work, these topics are often not addressed within regular Dutch healthcare [14][15][16][17][18]. Recent qualitative research in the Netherlands found that although a patient's work is considered important, physical therapists take work participation insufficiently into account as a determining factor in the treatment of patients with MSDs.…”

Section: Introductionmentioning

confidence: 99%

“…Only 14.8% of the respondents indicated that they communicate with or consult a physical therapist specialised in occupational health. Only 12.7% of the participants who do not have a specialised physical therapist within their practice sometimes/regularly refer patients to a specialised physical therapist [17]. The participating physical therapists stated that if they communicate with or consult other occupational health professionals, they mainly have contact with occupational health/insurance physicians (72.5%) and occupational therapists (31.7%).…”

Section: Introductionmentioning

confidence: 99%

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The effects of integrating work-related factors and improving cooperation in musculoskeletal physical therapy practice: protocol for the ‘WORK TO BE DONE’ cluster randomised controlled trial

Hutting

Oswald

Sanden³

et al. 2020

BMC Musculoskelet Disord

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Background: Musculoskeletal disorders (MSDs) are the primary cause of disability worldwide and a major societal burden. Recent qualitative research found that although a patient's work is considered important, physical therapists take work participation insufficiently into account as a determining factor in the treatment of patients with MSDs. Therefore, the aim of this study is to improve the effectiveness of physical therapy (in primary healthcare) with respect to the work participation of employees with MSDs by increasing the knowledge and skills of generalist physical therapists and by improving the collaboration between generalist physical therapists and physical therapists specialised in occupational health. Methods/design: This trial is a two-arm non-blinded cluster randomised controlled trial. Working patients with MSDs visiting a physical therapy practice are the target group. The control group will receive normal physical therapy treatment. The intervention group will receive treatment from a physical therapist with more knowledge about workrelated factors and skills in terms of integrating work participation into the patients' care. Data are gathered at baseline (T0), at four months (T1) and eight months (T2) follow-up. Most outcomes will be assessed with validated patientreported questionnaires. Primary outcomes are the limitations in specific work-related activities and pain during work. Secondary outcomes include limitations in general work-related activities, general pain, quality of life, presenteeism, sick leave (absenteeism), estimated risk for future work disability, work-related psychosocial risk factors, job performance, and work ability. Based on a sample size calculation we need to include 221 patients in each arm (442 in total). During data analysis, each outcome variable will be analysed independently at T1 and at T2 as a dependent variable using the study group as an independent variable. In addition to the quantitative evaluation, a process evaluation will be performed by interviewing physical therapists as well as patients.

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Interventions to Promote Work‐Focused Care by Healthcare Providers for Individuals with Musculoskeletal Conditions a Scoping Review

et al. 2021

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Work participation of patients with musculoskeletal disorders: is this addressed in physical therapy practice?

Cited by 18 publications

References 19 publications

Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors

Managing sickness absence of patients with musculoskeletal pain – a cross-sectional survey of Scandinavian chiropractors

The effects of integrating work-related factors and improving cooperation in musculoskeletal physical therapy practice: protocol for the ‘WORK TO BE DONE’ cluster randomised controlled trial

Interventions to Promote Work‐Focused Care by Healthcare Providers for Individuals with Musculoskeletal Conditions a Scoping Review

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