167 lines
5.6 KiB
YAML
167 lines
5.6 KiB
YAML
abstract: 'Introduction. Back pain is a major problem in the workplace. Back pain
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is also responsible for considerable economic costs and can have serious
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social repercussions in our society. In this study we present the
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results of four years of study combining the findings of two different
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medical teams involved in the treatment of chronic back pain: the
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occupational health department in Brest (service de sante au travail en
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Iroise {[}STI], Brest and a service of physiotherapy and rehabilitation
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medicine in Roscoff, France.
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Methodology. Our model is based on the diagnosis of a problem of chronic
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back pain in various workers. The diagnosis is proposed by doctors
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associated with the occupational health department of Brest, based on a
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specific protocol that covers workers who have been suffering from
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chronic back pain for more than 3 months with an obvious impact on the
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quality of their work. Each individual medical case was then studied by
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a joint medical committee composed of doctors specialized in
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occupational health concerns and doctors specialized in physical
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rehabilitation. On the basis of the committee''s findings, it has (or
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not) been possible to offer to the back pain sufferers a series of
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physical therapy and functional re-education sessions, as well as an
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ergonomic study of their workstation. One year later, a new evaluation
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of the situation was systematically undertaken by comparing the ODI,
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HADS and Karasek tests for each individual.
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Results. One hundred and eighty-three workers were presented to the
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joint committee of occupational health practitioners and physical
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rehabilitation specialists between 2010 and 2013. Each case was then
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re-evaluated one year later. Only 90 cases were taken in charge by the
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rehabilitation and functional re-education center. Seventy-one cases
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were re-evaluated by the committee of doctors one year later. Among
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these cases, 18 workers were declared unfit with no work resumption.
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Seven of the original 90 cases were lost from sight. After one year,
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78.9\% of the subjects included in the program were working, whereas
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only 55.7\% of them were on their jobs at the beginning of the program.
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A total of 67.9\% of the patients (or workers) declared that they felt a
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physical improvement in their back pain. Seventy-five percent of the
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patients were recognized as disabled workers. On average, their ODI
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score was improved (by 10 points) as well as their psychological
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profile, in terms of less depression and less anxiety.
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Discussion. We compare our model to other types of health care offered
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to patients suffering from chronic back pain, especially the Sherbrooke
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model. We confirm the importance of multidisciplinary care based on the
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bio-psychosocial well-being profile. The first results we are publishing
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are more positive than those presented in other studies, although it is
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difficult to compare this particular ``protocol{''''} with others. On the
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other hand, we found no clear benefit in the ergonomic adaptation of the
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workstation, unlike other studies. However, the benefits of physical
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rehabilitation/re-adaptatiOn, (and sports) are confirmed. A global
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approach using a well-defined protocol that takes in charge patients
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(workers) suffering from chronic back pain by an occupational health
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service and then through a close relationship with a physical
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rehabilitation center has provided encouraging results. However, it is
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still possible to improve these results, especially by integrating
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suggestions by specialists in ergonomics with those of the occupational
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therapists in order to optimize the adaptation of certain workstations.
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(C) 2015 Elsevier Masson SAS. All rights reserved.'
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affiliation: 'Jegaden, D (Corresponding Author), Sante Travail Iroise, 26 Rue Eau
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Blanche, F-29200 Brest, France.
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Jegaden, D.; Peron, J.; Bianco, S.; Hekinian, A.; Nousbaum, M.; Nicolas, F., Sante
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Travail Iroise, 26 Rue Eau Blanche, F-29200 Brest, France.
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Davion, M.; Cardonne, S.; Ha, O., Fdn Ildys, Ctr Perharidy, F-29684 Roscoff, France.'
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author: Jegaden, D. and Peron, J. and Bianco, S. and Davion, M. and Cardonne, S. and
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Ha, O. and Hekinian, A. and Nousbaum, M. and Nicolas, F.
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author-email: d.jegaden@metrabrest.com
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author_list:
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- family: Jegaden
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given: D.
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- family: Peron
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given: J.
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- family: Bianco
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given: S.
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- family: Davion
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given: M.
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- family: Cardonne
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given: S.
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- family: Ha
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given: O.
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- family: Hekinian
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given: A.
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- family: Nousbaum
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given: M.
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- family: Nicolas
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given: F.
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da: '2023-09-28'
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doi: 10.1016/j.admp.2015.08.011
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eissn: 1778-4190
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files: []
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issn: 1775-8785
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journal: ARCHIVES DES MALADIES PROFESSIONNELLES ET DE L ENVIRONNEMENT
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keywords: Back pain; Occupational; Rehabilitation; Fitness
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keywords-plus: 'FUNCTIONAL RESTORATION PROGRAM; NECK PAIN; INTERVENTIONS; DEPRESSION;
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SYMPTOMS; SMOKING; ANXIETY; STRAIN; MODEL'
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language: French
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month: SEP
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number: '4'
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number-of-cited-references: '40'
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orcid-numbers: JEGADEN, Dominique/0000-0003-4709-326X
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pages: 623-635
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papis_id: d2a780594ce5d141a1270215b0c19e8e
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ref: Jegaden2016advantagestreating
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researcherid-numbers: JEGADEN, Dominique/ADL-3060-2022
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times-cited: '0'
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title: The advantages of treating workers suffering from chronic back pain by combining
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the services offered by occupational health doctors and those of physiotherapy and
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rehabilitation medicine
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type: article
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unique-id: WOS:000385608100002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '20'
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volume: '77'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2016'
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