Sickness absence in patients with arm, neck and shoulder complaints presenting in physical therapy practice: 6 months follow-up.

Autor: Karels CH; Department of General Practice, Erasmus Medical Centre University, PO Box 2040, 3000 CA Rotterdam, The Netherlands. c.karels@erasmusmc.nl, Bierma-Zeinstra SM, Verhagen AP, Koes BW, Burdorf A
Jazyk: angličtina
Zdroj: Manual therapy [Man Ther] 2010 Oct; Vol. 15 (5), pp. 476-81. Date of Electronic Publication: 2010 May 31.
DOI: 10.1016/j.math.2010.04.001
Abstrakt: Objective: To describe sickness absence in patients with arm, neck and/or shoulder complaints and to evaluate determinants of sickness absence during 6 months follow-up.
Methods: A prospective cohort study in physical therapy practice with follow-up measurements at 3 and 6 months. The main outcome measure was the occurrence of sickness absence due to arm, neck and shoulder complaints during 6 months follow-up. Determinants were tested in univariate and multivariate GEE (Generalized Estimating Equations) analysis.
Results: At baseline 161 patients (33%) reported absence from work. The multivariate analysis showed that self-reported work-relatedness of complaints, previous musculoskeletal trauma, higher severity of complaints at baseline, more somatization and low decision authority at work were associated with sickness absence during the follow-up period.
Conclusion: In physical therapy practice, social and psychological factors (at work) influence the occurrence of sickness absence in patients with arm, neck and/or shoulder complaints. These factors can be taken into account when developing and evaluating interventions to reduce sickness absence among these patients.
(Copyright 2010 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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