abstract: 'Introduction. Back pain is a major problem in the workplace. Back pain

  is also responsible for considerable economic costs and can have serious

  social repercussions in our society. In this study we present the

  results of four years of study combining the findings of two different

  medical teams involved in the treatment of chronic back pain: the

  occupational health department in Brest (service de sante au travail en

  Iroise {[}STI], Brest and a service of physiotherapy and rehabilitation

  medicine in Roscoff, France.

  Methodology. Our model is based on the diagnosis of a problem of chronic

  back pain in various workers. The diagnosis is proposed by doctors

  associated with the occupational health department of Brest, based on a

  specific protocol that covers workers who have been suffering from

  chronic back pain for more than 3 months with an obvious impact on the

  quality of their work. Each individual medical case was then studied by

  a joint medical committee composed of doctors specialized in

  occupational health concerns and doctors specialized in physical

  rehabilitation. On the basis of the committee''s findings, it has (or

  not) been possible to offer to the back pain sufferers a series of

  physical therapy and functional re-education sessions, as well as an

  ergonomic study of their workstation. One year later, a new evaluation

  of the situation was systematically undertaken by comparing the ODI,

  HADS and Karasek tests for each individual.

  Results. One hundred and eighty-three workers were presented to the

  joint committee of occupational health practitioners and physical

  rehabilitation specialists between 2010 and 2013. Each case was then

  re-evaluated one year later. Only 90 cases were taken in charge by the

  rehabilitation and functional re-education center. Seventy-one cases

  were re-evaluated by the committee of doctors one year later. Among

  these cases, 18 workers were declared unfit with no work resumption.

  Seven of the original 90 cases were lost from sight. After one year,

  78.9\% of the subjects included in the program were working, whereas

  only 55.7\% of them were on their jobs at the beginning of the program.

  A total of 67.9\% of the patients (or workers) declared that they felt a

  physical improvement in their back pain. Seventy-five percent of the

  patients were recognized as disabled workers. On average, their ODI

  score was improved (by 10 points) as well as their psychological

  profile, in terms of less depression and less anxiety.

  Discussion. We compare our model to other types of health care offered

  to patients suffering from chronic back pain, especially the Sherbrooke

  model. We confirm the importance of multidisciplinary care based on the

  bio-psychosocial well-being profile. The first results we are publishing

  are more positive than those presented in other studies, although it is

  difficult to compare this particular ``protocol{''''} with others. On the

  other hand, we found no clear benefit in the ergonomic adaptation of the

  workstation, unlike other studies. However, the benefits of physical

  rehabilitation/re-adaptatiOn, (and sports) are confirmed. A global

  approach using a well-defined protocol that takes in charge patients

  (workers) suffering from chronic back pain by an occupational health

  service and then through a close relationship with a physical

  rehabilitation center has provided encouraging results. However, it is

  still possible to improve these results, especially by integrating

  suggestions by specialists in ergonomics with those of the occupational

  therapists in order to optimize the adaptation of certain workstations.

  (C) 2015 Elsevier Masson SAS. All rights reserved.'
affiliation: 'Jegaden, D (Corresponding Author), Sante Travail Iroise, 26 Rue Eau
  Blanche, F-29200 Brest, France.

  Jegaden, D.; Peron, J.; Bianco, S.; Hekinian, A.; Nousbaum, M.; Nicolas, F., Sante
  Travail Iroise, 26 Rue Eau Blanche, F-29200 Brest, France.

  Davion, M.; Cardonne, S.; Ha, O., Fdn Ildys, Ctr Perharidy, F-29684 Roscoff, France.'
author: Jegaden, D. and Peron, J. and Bianco, S. and Davion, M. and Cardonne, S. and
  Ha, O. and Hekinian, A. and Nousbaum, M. and Nicolas, F.
author-email: d.jegaden@metrabrest.com
author_list:
- family: Jegaden
  given: D.
- family: Peron
  given: J.
- family: Bianco
  given: S.
- family: Davion
  given: M.
- family: Cardonne
  given: S.
- family: Ha
  given: O.
- family: Hekinian
  given: A.
- family: Nousbaum
  given: M.
- family: Nicolas
  given: F.
da: '2023-09-28'
doi: 10.1016/j.admp.2015.08.011
eissn: 1778-4190
files: []
issn: 1775-8785
journal: ARCHIVES DES MALADIES PROFESSIONNELLES ET DE L ENVIRONNEMENT
keywords: Back pain; Occupational; Rehabilitation; Fitness
keywords-plus: 'FUNCTIONAL RESTORATION PROGRAM; NECK PAIN; INTERVENTIONS; DEPRESSION;

  SYMPTOMS; SMOKING; ANXIETY; STRAIN; MODEL'
language: French
month: SEP
number: '4'
number-of-cited-references: '40'
orcid-numbers: JEGADEN, Dominique/0000-0003-4709-326X
pages: 623-635
papis_id: d2a780594ce5d141a1270215b0c19e8e
ref: Jegaden2016advantagestreating
researcherid-numbers: JEGADEN, Dominique/ADL-3060-2022
times-cited: '0'
title: The advantages of treating workers suffering from chronic back pain by combining
  the services offered by occupational health doctors and those of physiotherapy and
  rehabilitation medicine
type: article
unique-id: WOS:000385608100002
usage-count-last-180-days: '0'
usage-count-since-2013: '20'
volume: '77'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2016'