166 lines
5.6 KiB
YAML
166 lines
5.6 KiB
YAML
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'
|