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Indicators of long-term return to work after severe traumatic brain injury: A cohort study / V. Wang in Annals of physical and rehabilitation medicine, Vol. 62 n° 1 (January 2019)
[article] Indicators of long-term return to work after severe traumatic brain injury: A cohort study [texte imprimé] / V. Wang, Auteur ; E. Fort, Auteur ; Maude Beaudoin-Gobert, Auteur . - 2019 . - p. 28-34.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 1 (January 2019) . - p. 28-34
Catégories : SANTÉ PHYSIQUE
Traumatisme crânien
TRAVAIL
Travail
THÉRAPEUTIQUE
RééducationTags : Return to work Traumatic brain injury Occupational outcome Job stability Vocational rehabilitation Résumé : Background: Return to work (RTW) is a major objective in the rehabilitation of individuals with severe traumatic brain injury (TBI). Implications for long-term occupational integration (beyond 5 years) have rarely been studied.
Objective: The objective was to assess long-term RTW and the associated factors after severe TBI.
Material and methods: Retrospective analysis of a cohort of individuals 16 to 60 years old admitted to hospital after severe TBI from 2005 to 2009 and followed prospectively. Medical and occupational data were collected from medical files and by systematic telephone interview to assess outcome at a minimum of 6 years post-trauma. Factors associated with RTW were investigated by multivariable regression analysis, estimating prevalence ratios (PRs) and 95% confidence intervals (CIs). A proportional hazards model was used to study RTW delay, estimating hazard ratios (HRs).
Results: Among the 91 individuals included (mean [SD] age 28.5 [11.3] years; 79% male), 63.7% returned to work after a mean of about 20 months, and 57.1% were still working at the time of the survey. Factors significantly associated with RTW on multivariable analysis were higher educational level (adjusted PR, 1.53; 95% CI, 1.15 to 2.03), absence of motor disability (adjusted PR, 1.82; 1.12 to 2.95) and behavioural disorder (adjusted PR, 1.26; 1.01 to 1.60), as well as disabled worker status (adjusted PR, 1.26; 1.01 to 1.60) (likelihood of the multivariate analysis model 53.1). Delayed RTW was associated with health insurance payments (adjusted HR, 0.40; 95% CI, 0.22 to 0.71), motor disability (adjusted HR, 0.34; 0.15 to 0.76), low educational level (adjusted HR, 2.20; 1.06 to 4.56) and moderate disability on the Extended Glasgow Outcome Scale (adjusted HR, 0.49; 0.27 to 0.91) (likelihood of the multivariate analysis model 335.5).
Conclusion: Individuals with the most severe TBI are able to RTW and remain in work. This study highlights the multiple determinants involved in RTW and the role of socioenvironmental factors.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16632 [article]Interest of the Ergo-Kit® for the clinical practice of the occupational physician. A study of 149 patients recruited in a rehabilitation program / Jacques Caron in Annals of physical and rehabilitation medicine, Vol. 58 n° 5 (October 2015)
[article] Interest of the Ergo-Kit® for the clinical practice of the occupational physician. A study of 149 patients recruited in a rehabilitation program [texte imprimé] / Jacques Caron, Auteur ; Yoann Ronzi, Auteur ; Julie Bodin, Auteur . - 2015 . - p. 289-297.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 5 (October 2015) . - p. 289-297
Catégories : PROFESSION SANITAIRE & SOCIALE
Masseur kinésithérapeute
INFORMATION & COMMUNICATION
ÉtudeTags : Functional capacity evaluation Ergo-Kit Physical workload Work demands Return to work Résumé : Objective: Functional capacity evaluation is commonly used to assess the abilities of patients to perform some tasks. Ergo-Kit® is a validated tool assessing both functional capacities of patients and workplace demands. The objective of this study was to evaluate the relevance of the Ergo-Kit® data for occupational physicians during the return-to-work process.
Methods: A retrospective and monocenter study was conducted on all patients included in a rehabilitation program and assessed with the Ergo-Kit® tool between 2005 and 2014. Workplace demands and patients’ functional capacities were evaluated and confronted. Self-beliefs and perceived disability were also assessed and compared to the functional capacity evaluation.
Results: One hundred and forty-nine working-age patients (85 men, 64 women; 39±12 years) suffering from musculoskeletal disorders or other diseases were included. Main causes of mismatch between workplace demands and functional capacities were manual handling of loads, postures with arms away from the body and repetitive motions at work; sitting posture was correlated with a lesser physical workload; and Oswestry score was correlated with functional capacities evaluated by the Ergo-Kit®.
Conclusion: Ergo-Kit® is a relevant tool to assess the multidimensional aspects of workplace demands and functional capacities. It could be very helpful for occupational physicians to manage return-to-work.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12901 [article]