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Titolo:
Disability prevention - New paradigm for the management of occupational back pain
Autore:
Loisel, P; Durand, MJ; Berthelette, D; Vezina, N; Baril, R; Gagnon, D; Lariviere, C; Tremblay, C;
Indirizzi:
Univ Sherbrooke, Dept Surg, Div Orthoped, Longueuil, PQ, Canada Univ Sherbrooke Longueuil PQ Canada Div Orthoped, Longueuil, PQ, Canada Charles Lemoyne Hosp, PREVICAP, Occupat Rehabil Ctr, Longueuil, PQ, CanadaCharles Lemoyne Hosp Longueuil PQ Canada abil Ctr, Longueuil, PQ, Canada Univ Sherbrooke, Dept Community Hlth Sci, Longueuil, PQ, Canada Univ Sherbrooke Longueuil PQ Canada nity Hlth Sci, Longueuil, PQ, Canada Univ Quebec, Sch Management Sci, Dept Org & Human Resources, Montreal, PQ H3C 3P8, Canada Univ Quebec Montreal PQ Canada H3C 3P8 rces, Montreal, PQ H3C 3P8, Canada Univ Quebec, CINBIOSE, Montreal, PQ H3C 3P8, Canada Univ Quebec Montreal PQ Canada H3C 3P8 IOSE, Montreal, PQ H3C 3P8, Canada IRSST, Montreal, PQ, Canada IRSST Montreal PQ CanadaIRSST, Montreal, PQ, Canada Univ Sherbrooke, Dept Kinanthropol, Sherbrooke, PQ J1K 2R1, Canada Univ Sherbrooke Sherbrooke PQ Canada J1K 2R1 erbrooke, PQ J1K 2R1, Canada Inst Rech Sante & Securite Travail Quebec, Longueuil, PQ, Canada Inst RechSante & Securite Travail Quebec Longueuil PQ Canada PQ, Canada Publ Hlth Dept Monteregie, Longueuil, PQ, Canada Publ Hlth Dept Monteregie Longueuil PQ Canada gie, Longueuil, PQ, Canada
Titolo Testata:
DISEASE MANAGEMENT & HEALTH OUTCOMES
fascicolo: 7, volume: 9, anno: 2001,
pagine: 351 - 360
SICI:
1173-8790(2001)9:7<351:DP-NPF>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CLINICAL-TRIAL; FUNCTIONAL RESTORATION; SCIENTIFIC EVIDENCE; PROGNOSTIC FACTORS; LUMBAR SPINE; PRIMARY-CARE; SOFT-TISSUE; FOLLOW-UP; WORK; INJURIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
66
Recensione:
Indirizzi per estratti:
Indirizzo: Loisel, P PREVICAP, Occupat Rehabil Ctr, 1111 St Charles W St,Off 101, Longueuil, PQJ4K 5G4, Canada PREVICAP 1111 St Charles W St,Off 101 Longueuil PQ Canada J4K 5G4
Citazione:
P. Loisel et al., "Disability prevention - New paradigm for the management of occupational back pain", DIS MANAG H, 9(7), 2001, pp. 351-360

Abstract

Occupational back pain is a widespread self-limited but recurring disease that generates major societal costs and impairs workplace productivity. However, this societal impact is mostly accounted for by a small fraction of patients with back pain who have prolonged absence from work, i.e. prolongeddisability. Evidence from research from the past 2 decades has progressively shown that most efforts to prevent or cure the disease have limited results, explaining the expanding number of disability cases from back pain. However, recent evidence has also shed light on the causes of disability that are not only due to the patient's personal characteristics (physical and psychosocial), but also stem from the patient's environment in the disability problem - the workplace, the compensation system and even the healthcare delivery system. In addition, successful intervention studies have used an approach to disability prevention through patient reassurance and interventions linked to the workplace, instead of using a medical model of back pain treatment. It is evident that the present disease treatment paradigm should be replaced bya disability prevention paradigm for patients with subacute or chronic back pain to avoid unnecessary evolution towards prolonged disability. We propose a disability prevention management model to encourage clinicians, employers, unions and insurers, as well as researchers in the field, to work within the perspective of the disability paradigm.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 23:02:00