Assessment of Fitness for Return to Work: Difference between revisions
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Musculoskeletal pain is very common with prevalence rates of around 30% per year (ranging from 14-47%) and incidence rates of 8.3% per year.<ref name=":0">Sleijser-Koehorst MLS, Bijker L, Cuijpers P, Scholten-Peeters GGM, Coppieters MW. Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain-A modified Delphi study. ''Pain''. 2019;160(3):600-606.</ref> It tends to affect an individual at least once in his or her lifetime.<ref name=":1">Gouttebarge V, Wind H, Kuijer PP, Sluiter JK, Frings-Dresen MH. How to assess physical work-ability with Functional Capacity Evaluation methods in a more specific and efficient way?. ''Work''. 2010;37(1):111-115. </ref> It is a major cause of disability, resulting in absence from work or functional limitations at work, as well as a general reduction in ability to undertake normal activities.<ref name=":0" /><ref name=":1" /> | Musculoskeletal pain is very common with prevalence rates of around 30% per year (ranging from 14-47%) and incidence rates of 8.3% per year.<ref name=":0">Sleijser-Koehorst MLS, Bijker L, Cuijpers P, Scholten-Peeters GGM, Coppieters MW. Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain-A modified Delphi study. ''Pain''. 2019;160(3):600-606.</ref> It tends to affect an individual at least once in his or her lifetime.<ref name=":1">Gouttebarge V, Wind H, Kuijer PP, Sluiter JK, Frings-Dresen MH. How to assess physical work-ability with Functional Capacity Evaluation methods in a more specific and efficient way?. ''Work''. 2010;37(1):111-115. </ref> It is a major cause of disability, resulting in absence from work or functional limitations at work, as well as a general reduction in ability to undertake normal activities.<ref name=":0" /><ref name=":1" /> | ||
At present, there is a trend towards increasing disability from musculoskeletal conditions. However, while disability increases, prevalence rates for these conditions are static. There are also ever increasing treatment options and reduction in workloads because of greater regulation | At present, there is a trend towards increasing disability from musculoskeletal conditions. However, while disability increases, prevalence rates for these conditions are static. There are also ever increasing treatment options and reduction in workloads because of greater regulation.<ref name=":2">Albert C. Assessment of Fitness to Return to Work Course. Physioplus. 2020. </ref> | ||
It is thought that this increase in disability may, therefore, be due to factors such as: | It is thought that this increase in disability may, therefore, be due to factors such as:<ref name=":2" /> | ||
* Obesity | |||
* Ageing populations | |||
* Sedentary behaviour | |||
== Impact of Musculoskeletal Conditions on Work == | |||
The impact of a musculoskeletal condition on a worker is variable and affected by a number of factors. Patients who have chronic musculoskeletal conditions are more likely to be absent from work (i.e. 40% can work full time) than people with other medical conditions such as diabetes, heart and lung conditions (i.e. 50% can work full time).<ref name=":2" /> It is thought that this difference in working rates for individuals with musculoskeletal conditions may be related to the fact that people are more likely to connect their health condition to work than individuals with other health conditions.<ref name=":2" /> | |||
However, each individual’s unique response to his / her pain will influence his / her prognosis. Depression, anxiety, psychosocial factors (including how well an individual deals with pain, fear of movement, pain catastrophisation, low self-efficacy and passive pain coping mechanisms) are important areas to consider when assessing these patients’ fitness to return to work.<ref name=":0" /> If an individual fears that work will worsen his / her condition, it may have an impact on his / her ability to return to work.<ref name=":2" /> | |||
De Vries and colleagues report that, in general, patients who have chronic nonspecific musculoskeletal pain and who remain at work report poor to moderate work ability and performance.<ref name=":3">de Vries HJ, Reneman MF, Groothoff JW, Geertzen JH, Brouwer S. Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. ''J Occup Rehabil''. 2013;23(1):1-10. </ref> However, they found that a subgroup of workers are able to remain at work and achieve high performance and ability. These individuals tend to have high levels of pain self-efficacy. Thus, it appears that personal and work-related factors affect work ability and performance rather than pain alone.<ref name=":3" /> | |||
== References == | |||
<references /> | |||
Revision as of 01:19, 15 August 2020
Current Musculoskeletal Trends[edit | edit source]
Musculoskeletal pain is very common with prevalence rates of around 30% per year (ranging from 14-47%) and incidence rates of 8.3% per year.[1] It tends to affect an individual at least once in his or her lifetime.[2] It is a major cause of disability, resulting in absence from work or functional limitations at work, as well as a general reduction in ability to undertake normal activities.[1][2]
At present, there is a trend towards increasing disability from musculoskeletal conditions. However, while disability increases, prevalence rates for these conditions are static. There are also ever increasing treatment options and reduction in workloads because of greater regulation.[3]
It is thought that this increase in disability may, therefore, be due to factors such as:[3]
- Obesity
- Ageing populations
- Sedentary behaviour
Impact of Musculoskeletal Conditions on Work[edit | edit source]
The impact of a musculoskeletal condition on a worker is variable and affected by a number of factors. Patients who have chronic musculoskeletal conditions are more likely to be absent from work (i.e. 40% can work full time) than people with other medical conditions such as diabetes, heart and lung conditions (i.e. 50% can work full time).[3] It is thought that this difference in working rates for individuals with musculoskeletal conditions may be related to the fact that people are more likely to connect their health condition to work than individuals with other health conditions.[3]
However, each individual’s unique response to his / her pain will influence his / her prognosis. Depression, anxiety, psychosocial factors (including how well an individual deals with pain, fear of movement, pain catastrophisation, low self-efficacy and passive pain coping mechanisms) are important areas to consider when assessing these patients’ fitness to return to work.[1] If an individual fears that work will worsen his / her condition, it may have an impact on his / her ability to return to work.[3]
De Vries and colleagues report that, in general, patients who have chronic nonspecific musculoskeletal pain and who remain at work report poor to moderate work ability and performance.[4] However, they found that a subgroup of workers are able to remain at work and achieve high performance and ability. These individuals tend to have high levels of pain self-efficacy. Thus, it appears that personal and work-related factors affect work ability and performance rather than pain alone.[4]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Sleijser-Koehorst MLS, Bijker L, Cuijpers P, Scholten-Peeters GGM, Coppieters MW. Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain-A modified Delphi study. Pain. 2019;160(3):600-606.
- ↑ 2.0 2.1 Gouttebarge V, Wind H, Kuijer PP, Sluiter JK, Frings-Dresen MH. How to assess physical work-ability with Functional Capacity Evaluation methods in a more specific and efficient way?. Work. 2010;37(1):111-115.
- ↑ 3.0 3.1 3.2 3.3 3.4 Albert C. Assessment of Fitness to Return to Work Course. Physioplus. 2020.
- ↑ 4.0 4.1 de Vries HJ, Reneman MF, Groothoff JW, Geertzen JH, Brouwer S. Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. J Occup Rehabil. 2013;23(1):1-10.
