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Douleur chronique (RSS)
Background : The care of injured workers with chronic pain remains an important public health issue given its increasing prevalence. The consequences often include loss of self-esteem and stress in family relationships. Aims: To report our interdisciplinary approach to the care of chronic pain disorder (CPD) and describe the predictors associated with a successful return to work (RTW). Methods : Relevant covariates, including demographic data, time from injury, and functional scores were recorded for clients injured at work in Ontario, Canada. Our primary outcome, RTW, was assessed at 3 months...
Verkerk, Karin (2012). Prognostic Factors for Recovery in Chronic Nonspecific Low Back Pain: A Systematic Review . Physical Therapy (sous presse, version électronique) Background Few data are available on predictors for a favorable outcome in patients with chronic non-specific low back pain (CNLBP). Purpose To assess prognostic factors for pain intensity, disability, return to work, quality of life, or global perceived effect in patients with CNLBP at short-term (≤ 6 months) and long-term (> 6 months) follow-up. Data Sources Relevant studies evaluating the prognosis of CNLBP were searched...
What's unique about workers? Purpose: Pain caused by a work injury is a complex phenomenon comprising multiple factors, e.g. age, gender, prior health status, occupation, job demands, and severity of injury. Little research has focused on injured workers with chronic pain. This study investigates injured workers' pain coping. Methods: A descriptive cross-sectional study design was used to measure coping strategies of injured workers in a work rehabilitation program. Differences in coping strategies by demographics, injury-related variables, pain, disability, and depression were measured...
Pedersen, J. et coll. (2012). Transitions between sickness absence, work, unemployment, and disability in Denmark 2004-2008. Scandinavian Journal of Work, Environment, and Health (sous presse). OBJECTIVES: Studies of labor market outcomes like sickness absence are usually restricted to a single outcome. This paper investigates the use of multi-state models for studying multiple transitions between sick-listing, work, unemployment, and disability pension by analyzing longitudinal register data. Every person sick-listed in Denmark during 2004 was followed until the spring of 2008. METHODS: A multi...
Caporaso, F. et coll. How well do observed functional limitations explain the variance in Roland Morris scores in patients with chronic non-specific low back pain undergoing physiotherapy? European Spine Journal . Self-rated activity limitations in patients with non-specific chronic low back pain (cLBP) do not correlate well with performance in traditional tests of impairment (e.g. back strength, ROM, etc.). Tests using more “functional activities” have therefore been recommended as alternative “objective” outcome measures. We examined the relationship between a battery...
Muijzer, Anne et coll. (2012, sous presse). Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study. BMC Public Health , 12. (version provisoire en libre accès) Background: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP). Methods...
Voici une série d'articles portant sur les processus neurosensoriels de la douleur en hommage au pionnier de la recherche dans ce domaine, le Docteur Ronald Melzack, professeur émérite au Département de psychologie de l'Université McGill et à qui nous devons le McGill Pain Questionnaire . Des collaborateurs des cinq continants ont participé à ce numéro spécial. http://www.neuropain.ch/sites/default/files/e-news/e-news_91.pdf
Chapman, J. R. et coll. (2011). Evaluating Common Outcomes for Measuring Treatment Success for Chronic Low Back Pain. Spine , 36 (21 Suppl): S54-S68. STUDY DESIGN.: Systematic review. OBJECTIVE.: To identify, describe, and evaluate common outcome measures in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA.: The treatment of CLBP has been associated with multiple clinical challenges. Further complicating this is the myriad of outcome scores used to assess treatment of CLBP. These scores have been used to examine different domains of patient satisfaction and quality of life...
Kusters, Dymphy et coll. (2011). Motor performance in chronic low back pain: is there an influence of pain-related cognitions? A pilot study. BMC Musculoskeletal Disorders 2011, 12:211. (article en libre accès) Backgroundf: Chronic low back pain (CLBP) is often accompanied by an abnormal motor performance. However, it has not been clarified yet whether these deviations also occur during motor tasks not involving the back and whether the performance is influenced by pain and pain-related cognitions. Therefore, the aim of the present study is to get insight in the contribution of both pain...
Young, Richard A. et coll. (2011). Factors Influencing Work Interference in Patients With Chronic Low Back Pain: A Residency Research Network of Texas (RRNeT) Study. The Journal of the American Board of Family Medicine, 24 (5): 503-510. (article en libre accès) Introduction: Chronic low back pain (CLBP) is a disabling and expensive condition commonly seen in family physicians' offices. A complete understanding of factors contributing to patients' return to work remains elusive. Objective: To describe patients with CLBP seen in family physicians' offices and to explore factors...
Le rapport de recherche : Présence et évolution des facteurs de maintien du trouble de l’anxiété généralisée chez des travailleurs en réadaptation pour une douleur persistante d’origine musculo-squelettique porte sur cette problématique : La prévalence du trouble d’anxiété généralisée (TAG) est plus élevée chez les personnes ayant une lombalgie, comparativement à la population en générale. En présence d’un TAG, l’intolérance...
Sjöström, Rita et al. (2011). Barriers to and possibilities of returning to work after a multidisciplinary rehabilitation programme. A qualitative interview study. Work 39(3): 243-250. Objective: The aim of this qualitative study was to explore experiences of sick-listed persons of not returning to work during a six-year period after participation in an extensive multidisciplinary rehabilitation programme. Participants: The study comprised ten participants with musculoskeletal disorders, mainly neck and back pain. Methods: Semi-structured interviews were conducted and analysed by manifest...
Monsivais, Diane B. (2011). Promoting Culturally Competent Chronic Pain Management Using the Clinically Relevant Continuum Model. Nursing Clinics of North America , 46(2): 163-169. This article reviews the culture of biomedicine and current practices in pain management education, which often merge to create a hostile environment for effective chronic pain care. Areas of cultural tensions in chronic pain frequently involve the struggle to achieve credibility regarding one's complaints of pain (or being believed that the pain is real) and complying with pain medication protocols. The clinically...
Alexopoulos, Evangelos C. et al. (2011). Knee and low back complaints in professional hospital nurses: Occurrence, chronicity, care seeking and absenteeism. Work 38 (4): 329-335. Objective: To investigate the relationships between physical, psychosocial, and individual characteristics and occurrence, chronicity, care seeking and absenteeism due to musculoskeletal complaints of the lower back and knee. Methods and Participants: This was a cross-sectional study among 350 nursing personnel in six hospitals in South-West Greece. Data related to physical and psychosocial workload, need for recovery...
McGorry, R.W. et al. (2011). Correlations between pain and function in a longitudinal low back pain cohort. Disability & Rehabilitation , 33 (11): 945-952. Purpose . Most studies of low back pain (LBP) and functional limitation have been cross-sectional, and show only modest correlations between pain and function. Though functional limitation may be superior for predicting disability outcomes, there is a need to understand better the gap between pain and function. This study analysed changes in intra-individual correlations between pain and function over time. Method . Seventeen...
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