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Évaluation de la capacité fonctionnelle (RSS)
"Measures to decrease early retirement are underway in many countries to increase the working population and lower costs. Sick leave is the normal pathway to early retirement and methods to enable persons on sick leave to return to work (RTW) earlier and at a higher rate are in focus. Using the term “RTW”, a search in PubMed resulted in about 300 papers, of which more than half have been published after 2008 and 20% during the last year alone. RTW has been the focus of many papers recently submitted to and published in the Scandinavian Journal of Work, Environment and Health. In...
Présenté dans la dernière édition du magazine Prévention au travail, ce guide contient recommandations élaborées en vue d’aider l’ergothérapeute et le client à choisir les stratégies les plus appropriées pour procéder à une ÉCT. Pour bon nombre de travailleurs qui présentent une déficience physique et sont engagés dans un processus de réadaptation, l’évaluation de leurs capacités reliées au travail (ÉCT) constitue une pratique...
Objective : To examine the intelligibility and psychometric properties of the modified Dutch language version of the Work Limitations Questionnaire (WLQ) (WLQ-mdlv). Methods : Employed patients with a physical chronic condition completed the WLQ-mdlv, the Work Ability Index, and the 36-item short form health survey. Intelligibility, internal consistency, test–retest reliability, and external construct validity of the WLQ-mdlv were assessed. Results : In 125 patients, the WLQ-mdlv showed improved intelligibility for a Dutch population. With Cronbach α coefficients more than .80, squared...
Challenges in an Ontario Injured Worker Retraining Program Introduction : In recent years, a focus on workers' ability, rather than impairment, has guided disability management services. However, a challenge with the notion of 'ability' is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers' compensation vocational retraining program for injured workers in Ontario. Methods : In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly...
Objective : This study aims to evaluate whether performance-based tests have additional prognostic value over self-reported work ability for sustainable return to work (RTW) in physically demanding work. Methods : A one-year prospective cohort study was performed among 72 construction workers on sick leave for six weeks due to musculoskeletal disorders. The Work Ability Index (WAI) question regarding “current work ability” was used. Three dynamic lifting tests were used from a Functional Capacity Evaluation (FCE). Sustainable RTW was the number of days on sick leave until the first...
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...
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...
Hall, Trevor et coll. (2011). Examining functional content in widely used Health-Related Quality of Life scales. Rehabilitation Psychology , 56 (2): 94-99. Purpose: Assess extent to which generic Quality of Life (QOL) and Health-Related Quality of Life (HRQOL) scales include function in assessment of health, and identify health assessment items that are free of functional content. Methods: An expert panel on measurement of health and disability reached consensus on definitions of health, disability, and function. They assessed all items of all generic (non-condition-specific) scales in the 2006...
L'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) vient de publier un guide de pratique à l'intention des ergothérapeutes. Mis à la disposition des cliniciens, ce guide fournit les données scientifiques nécessaires pour éclairer leur décision en matière d'évaluation des capacités reliées au travail des personnes présentant une déficience physique. La pratique professionnelle est très variable, ce qui suscite un questionnement sur...
Wååhlin-Norgren, Charlotte et al. (2011). Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?. Disability & Rehabilitation , 33(13-14): 1147-1156. (accès limité) Purpose . The aim of this study is to determine differences in self-reported work ability, work conditions, health and function between ICD-10 groups with musculoskeletal disorders (MSD), mental disorders (MDs) and MSD ++ MD and to determine which variables are associated with sick leave. Method . A cross-sectional study of 210...
Tengland, Per-Anders (2011). The Concept of Work Ability. Journal of Occupational Rehabilitation , 21(2): 275-285. Introduction The concept of “work ability” is central for many sciences, especially for those related to working life and to rehabilitation. It is one of the important concepts in legislation regulating sickness insurance. How the concept is defined therefore has important normative implications. The concept is, however, often not sufficiently well defined. Aim and Method The objective of this paper is to clarify, through conceptual analysis, what the concept can and should...
Soklaridis, S. et coll. (2011). « Pouvez-vous retourner travailler? ». Expérience qu’ont les médecins de famille de l’évaluation de la capacité de retour au travail. Canadian Family Physician 57 (2): 202-209. Objectif: Examiner les défis rencontrés par des MF universitaires lorsqu’ils évaluent la capacité de retour au travail de leurs patients; faire un compte rendu détaillé de leur expérience et de leur opinion sur la gestion de l’incapacité au travail; préciser quelles...
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...
Mallen, Christian D. et al. (2011). Sickness certification for mental health problems: an analysis of a general practice consultation database . Primary Health Care Research & Development, 12 (2): 179-182. Background Although mental illness remains the leading cause of both sickness absence and incapacity benefit in most high-income countries, little is known about how frequently patients with mental ill-health receive sickness certificates and what conditions are most commonly certified for. This study aims to use general practice consultation data to determine the rate of sickness certification...
Titre complet: Shoulder functional assessments in persons with chronic neck/shoulder pain and healthy subjects: Reliability and effects of movement repetition Objective: Obtaining reliable functional capacity measures from injured workers is an essential part of the return to work (RTW) process. The present study compares shoulder functional outcomes between healthy individuals and others with neck/shoulder pain, assesses reliability and examines the influence of repetitive movements on shoulder function. Methods: Subjects performed trials of flexion and abduction active range of motion (ROM),...
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