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Workplace rehabilitation

Sara Arlati, Daniele Spoladore, Stefano Mottura, Andrea Zangiacomi, Giancarlo Ferrigno, Rinaldo Sacchetti, Marco Sacco
BACKGROUND: Return to work represents an important milestone for workers who were injured during a workplace accident, especially if the injury results in needing a wheelchair for locomotion. OBJECTIVE: The aim of the study was to design a framework for training novice wheelchair users in regaining autonomy in activities of daily living and in the workplace and for providing medical personnel with objective data on users' health and work-related capabilities. METHODS: The framework design was accomplished following the "Usability Engineering Life Cycle" model...
November 27, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Paul Wehman, Lauren Avellone, Frederick Pecharka, Katti Sorboro, Joseph B Webster, Cynthia Young, Sharon Barton, William A Robbins, Samuel T Clanton
This article addresses employment as a critical part of community reintegration for polytrauma patients. Interdisciplinary polytrauma teams can work to effectively identify and eliminate known barriers to employment for veterans and offer continued support and guidance. This article discusses key themes pertinent to vocational reentry for service members/veterans, identifies evidenced-based employment models, highlights the essential role of everyday technology in meeting support needs, and describes 2 exemplar polytrauma models: the Louis Stokes Cleveland Veteran Affairs Medical Center in Cleveland, Ohio, and the Service member Transitional Advanced Rehabilitation (STAR) program at the Hunter Holmes McGuire Veterans Affairs Medical Center in Richmond, Virginia...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
Annie K Lewis, Katherine E Harding, David A Snowdon, Nicholas F Taylor
BACKGROUND: Many people wait long periods for community outpatient services. However little is known about the impact of waiting from referral to first visit on patient outcomes. The aim of this systematic review is to investigate whether waiting for community outpatient services is associated with adverse effects on patient outcomes. METHODS: Medline, Embase, Psych Info and CINAHL databases were searched, combining the key concepts of waiting for healthcare and patient outcomes...
November 20, 2018: BMC Health Services Research
Jenna Gourdeau, Alissa Fingold, Angela Colantonio, Elizabeth Mansfield, Mary Stergiou-Kita
BACKGROUND: Individuals who have experienced a work-related mild traumatic brain injury face a variety of challenges when returning to work. Research has demonstrated that the implementation of workplace accommodations can reduce the incidence of workplace disability. Few studies investigate work-related mild traumatic brain injury from injured workers' perspectives, and none examine workplace accommodations in detail. PURPOSE: This study explores the types of accommodations that individuals receive, and the factors that influence how they are provided and to whom...
November 18, 2018: Disability and Rehabilitation
Beate Muschalla, Anne Henning, Tim Woody Haake, Kathrin Cornetz, Dieter Olbrich
PURPOSE:  Work perception is an important predictor for work ability and, therefore, of interest for rehabilitation. Until now it is unclear to which extent different psychological aspects explain work perception. This study investigates in which way workplace problems on the one hand, and mental health and coping on the other hand, contribute to work perception. METHODS: A heterogeneous sample of 384 persons in working age with and without mental health problems was recruited...
November 18, 2018: Disability and Rehabilitation
Grahame K Simpson, Philippa McRae, Lisa Hallab, Maysaa Daher, Barbara Strettles
There is limited literature comparing the clinical and employment characteristics of clients accessing new employment with those resuming previous employment. To address this gap, a multi-centre observational study was conducted of all active clients with severe TBI from the 11 community rehabilitation services (n = 588) of the New South Wales Brain Injury Rehabilitation Program. Demographic, injury, clinical and vocational data were collected by treating clinicians employing a purpose-designed protocol...
November 8, 2018: Neuropsychological Rehabilitation
Cecilie N Thisted, Merete Labriola, Claus Vinther Nielsen, Sanne T Kristiansen, Janni Strøm, Merete B Bjerrum
PURPOSE: To synthesize evidence on factors promoting or hindering work participation (WP) of employees with depression from the employees', co-workers' and employers' perspectives, as well as an additional focus on the influence of the employee's occupation. METHODS: An integrative review was conducted. Pre-defined eligibility criteria guided study selection. Articles were critically appraised using tools developed by Joanna Briggs and Mixed Methods Appraisal Tool...
November 2, 2018: Disability and Rehabilitation
I D Anyfantis, A Biska
Background: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their causes and specific measures, and good practices followed. Additional emerging risk factors will be examined. Methods: A questionnaire of MSDs followed by individual and workplace characteristics was completed by 252 physiotherapists...
September 2018: Safety and Health At Work
Agnieszka Bukowska-Damska, Elzbieta Skowronska-Jozwiak, Beata Peplonska
Osteoporosis is an important public health problem worldwide. Among the countries with a very high population risk of fractures, there are those with the highest level of economic development. Osteoporotic fractures are the main cause of disability among elderly people, and the resultant disabilities require particularly large financial support associated not only with the direct treatment of the fracture but also with the necessity for long-term rehabilitation and care for the disabled person. Many well-established factors can have impact on bone mass and fracture risk...
October 12, 2018: Chronobiology International
Elisabeth Vigrestad Svinndal, Chris Jensen, Marit By Rise
PURPOSE: The aim was to identify and explore factors, which facilitate or hinder work participation for people with hearing impairment. MATERIALS AND METHODS: In-depth interviews with 21 hearing impaired individuals of 32-67 years of age with a present or recent vocational affiliation were conducted. The analysis was conducted using a grounded theory approach. RESULTS: The analysis resulted in a conceptual framework of working life trajectories evolving through three phases of acknowledgement of hearing loss impact: the pre-acknowledgement, acknowledgement, and post-acknowledgement phase...
October 9, 2018: Disability and Rehabilitation
Elisabeth Björk Brämberg, Irene Jensen, Lydia Kwak
AIM: The aim is to assess whether the national policy for evidence-based rehabilitation with a focus on facilitating return-to-work is being implemented in health-care units in Sweden and which factors influence its implementation. METHODS: A survey design was used to investigate the implementation. Data were collected at county council management level (process leaders) and clinical level (clinicians in primary and secondary care) using web surveys. Data were analyzed using SPSS, presented as descriptive statistics...
October 4, 2018: Disability and Rehabilitation
Filipe Lima Santos, Andreia Ferreira, Rita Grazina, David Sá, Pedro Canela, Rui Lemos
Objective: This study is aimed at evaluating the long-term results of proximal scaphoid hemiarthroplasty for post-traumatic avascular necrosis at this institution. Methods: Twelve patients who underwent this procedure were identified, and the mean follow-up time was 6.5 years (range: 5-8 years). All patients were male, with a mean age of 39 years (range: 28-55 years). In eight patients, the non-dominant limb was affected. The procedure was carried out through a dorsal approach and all patients underwent the same rehabilitation protocol...
September 2018: Revista Brasileira de Ortopedia
Ailin Luo, Xue Zhang, Shiyong Li, Yilin Zhao
RATIONALE: Anesthesiologists have a well-known increased risk of substance abuse. High-concentration of inhalation anesthetics in exhaled air of operating room personnel is detected. such secondhand exposure produces neurobiological sensitization to the reinforcing effects of inhalation anesthetics. PATIENT CONCERNS: An addictive young male anesthesiologist who was long-term abuse with sevoflurane after 4 years occupational exposure. A 28-year-old anesthesiologist on duty was found deeply sleep in the locker room and coved his nose with Gauze with high-concentration of sevoflurane...
September 2018: Medicine (Baltimore)
Reut Oren, Hod Orkibi, Cochavit Elefant, Maayan Salomon-Gimmon
OBJECTIVE: Despite the increase in arts-based programs in community rehabilitation services in many countries, little is known about how these programs are perceived by health professionals who can refer individuals with mental health conditions to community-based psychiatric rehabilitation services. This study examined how senior professionals with key positions in the public health system perceive the integration of the arts in community-based psychiatric rehabilitation services in Israel...
September 17, 2018: Psychiatric Rehabilitation Journal
N Honkonen, J Liira, A Lamminpää, H Liira
Background: Work ability meetings (WAMs) are planned discussions between an employee, a manager and an occupational physician (OP) to support work ability and return to work (RTW). During the last decade, WAMs become a popular intervention in Finnish occupational healthcare, although research on their content is lacking. Aims: To describe the practice of WAMs in Finland. Methods: We sent an internet survey by e-mail to members of the Finnish Society of Occupational Health Physicians in August 2014...
November 16, 2018: Occupational Medicine
Katherina Heinrichs, Patricia Vu-Eickmann, Stefan Hummel, Jalal Gholami, Adrian Loerbroks
OBJECTIVES: Asthma can represent a substantial challenge to the affected individual, but is usually well controlled by adequate asthma self-management behaviour (SMB). Asthma SMB comprises symptom prevention, symptom monitoring, acute symptom management and communication with important others. The implementation of asthma SMB seems to depend on contextual factors. For employed adults, working conditions may be important in this respect. We, therefore, aimed to explore the perceived influences on effective asthma SMB at work...
August 29, 2018: BMJ Open
Batia S Marom, Navah Z Ratzon, Rafael S Carel, Moshe Sharabi
OBJECTIVE: To determine time of return to work (TRTW) in relation to multivariable predictors among male manual workers after hand injury (HI) over a 12-month follow-up. DESIGN: A cohort study with baseline medical information, functional evaluation, and 3-, 6-, 9-, and 12-month follow-up telephone interviews. SETTING: Seven physical rehabilitation community occupational therapy clinics. PARTICIPANTS: Participants (N=178) with acute HI aged 22-65...
August 18, 2018: Archives of Physical Medicine and Rehabilitation
Sara Thomée, Kristina Jakobsson
BACKGROUND: It is well known that electrical accidents can cause physical injury. Less well known is that long-term consequences may include emotional and cognitive problems. OBJECTIVE: To explore electricians' experiences and perceptions of work-related electrical accidents, with focus on psychological short- and long-term consequences, including how contacts with health care services and the workplace were perceived. METHODS: Semi-structured interviews with 23 Swedish male electricians, aged 25- 68, who had experienced at least one electrical accident and reported residual sensory, musculoskeletal, cognitive or emotional symptoms...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Vahid Zamanzadeh, Leila Valizadeh, Azad Rahmani, Mohammad Zirak, Huget Desiron
OBJECTIVE: The study aimed to explore Iranian cancer survivors' experiences of returning to work. METHODS: Semistructured interviews were conducted with 20 cancer survivors at their workplace and in a referral cancer center. Data were analyzed using a conventional content analysis technique. RESULTS: Three main categories were identified as important in cancer survivors' experiences of returning to work: (1) individual perspectives, (2) nature of disease, and (3) access to support system...
October 2018: Psycho-oncology
Lena Strindlund, Madeleine Abrandt-Dahlgren, Christian Ståhl
PURPOSE: This study aims to increase our understanding of employers' views on the employability of people with disabilities. Despite employers' significant role in labor market inclusion for people with disabilities, research is scarce on how employers view employability for this group. METHODS: This was a qualitative empirical study with a phenomenographic approach using semi-structured interviews with 27 Swedish employers from a variety of settings and with varied experience of working with people with disabilities...
June 30, 2018: Disability and Rehabilitation
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