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Titre : | Prognostic factors specific to work-related musculoskeletal disorders: An overview of recent systematic reviews (2023) |
Auteurs : | Yannick Tousignant-Laflamme ; Catherine Houle ; Christian Longtin ; Thomas Gérard ; Emilie Lagueux ; Kadija Perreault ; Hélène Beaudry ; Pascal Tétreault ; Marc-André Blanchette ; Simon Décary |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 66, August 2023) |
Article en page(s) : | 102825 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Pain |
Mots-clés: | Systematic review ; Prognostic factors ; Musculoskeletal diseases ; Work |
Résumé : | 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 physical 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001108 |