Prognostic factors specific to work-related musculoskeletal disorders: An overview of recent systematic reviews

被引:5
作者
Tousignant-Laflamme, Yannick [1 ,2 ,8 ]
Houle, Catherine [1 ,2 ]
Longtin, Christian [1 ,2 ]
Gerard, Thomas [1 ,2 ]
Lagueux, Emilie [1 ,2 ]
Perreault, Kadija [3 ,4 ,5 ]
Beaudry, Helene [6 ]
Tetreault, Pascal [2 ,6 ,7 ]
Blanchette, Marc-Andre [7 ]
Decary, Simon [1 ,2 ]
机构
[1] Univ Sherbrooke, Fac Med & Hlth Sci, Sch Rehabil, Sherbrooke, PQ, Canada
[2] Clin Res Ctr Hospitalier Univ Sherbrooke CRCHUS, Sherbrooke, PQ, Canada
[3] Ctr integre Univ Sante & Serv sociaux CIUSSS Capit, Ctr interdisciplinaire Rech readaptat & integrat s, Quebec City, PQ, Canada
[4] Laval Univ, Fac Med, Dept Rehabil, Quebec City, PQ, Canada
[5] Quebec Pain Res Network, Quebec City, PQ, Canada
[6] Univ Sherbrooke, Fac Med & Hlth Sci, Dept Anesthesiol & Nucl Med & Radiobiol, Sherbrooke, PQ, Canada
[7] Univ Quebec Trois Rivieres, Chiropract Dept, Trois Rivieres, PQ, Canada
[8] Univ Sherbrooke, Fac Med & Hlth Sci, Res Ctr CHUS, Sch Rehabil,CIUSSS Estrie CHUS3001, 12e Ave Nord, Sherbrooke, PQ J1H 5N4, Canada
关键词
Systematic review; Prognostic factors; Pain; Musculoskeletal diseases; Work; LOW-BACK-PAIN; GLOBAL BURDEN; RECOVERY; INTERVENTIONS; DISABILITY; THERAPY; PEOPLE; RISK;
D O I
10.1016/j.msksp.2023.102825
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: Work-related injuries affect a considerable number of people each year and represent a significant burden for society. To reduce this burden, optimizing rehabilitation care by integrating prognostic factors (PF) into the clinical decision-making process is a promising way to improve clinical outcomes. The aim of this study was to identify PF specific to work-related musculoskeletal disorders.Methods: We performed an overview of systematic reviews reporting on PF that had the following outcomes of interest: Return to work, pain, disability, functional status, or poor outcomes. Each extracted PF was categorized according to its level of evidence (grade A or B) and whether it was modifiable or not. The risk of bias of each study was assessed with the ROBIS tool.Results: We retrieved 757 citations from 3 databases. After removing 307 duplicates, 450 records were screened, and 20 studies were retained. We extracted a total of 20 PF with a Grade A recommendation, where 7 were deemed modifiable, 11 non-modifiable and 2 were index test. For example, return to work expectations, previous sick leave, delay in referral and pain intensity were found to be predictors of return-to-work outcomes. We also identified 17 PF with a Grade B recommendation, where 11 were deemed modifiable. For example, poor general health, negative recovery expectations, coping and fear-avoidance beliefs, pain severity, and particularly phys-ical work were found to predict return to work outcomes.Conclusion: We found numerous modifiable PFs that can help clinicians personalize their treatment plan beyond diagnostic-related information for work-related musculoskeletal disorders.
引用
收藏
页数:11
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