Article

This study sought to provide an overview of the main topics and trends
in contemporary research on successful non-clinical interventions for preventing
prolonged work disability in workers compensated for work-related musculoskeletal
disorders (WRMSDs). METHODS: A systematic electronic search (English and French)
was performed in ten scientific databases using keywords and descriptors. After
screening the identified titles and abstracts using specific sets of criteria,
categorical and thematic analyses were performed on the retained articles.
RESULTS: Five main topics appear to dominate the research: (1) risk factors and
determinants; (2) effectiveness of interventions (programmes, specific
components, strategies and policies); (3) viewpoints, experiences and perceptions
of specific actors involved in the intervention process; (4) compensation issues;
and (5) measurement issues. A currently widespread trend is early screening to
identify risks factors for appropriate intervention and multidisciplinary,
multimodal approaches. Morover, workplace-related psychosocial and ergonomic
factors are considered vital to the success and sustainability of return-to-work
(RTW) interventions. Finally, involving workplace actors, and more specifically,
affected workers, in the RTW process appears to be a powerful force in improving
the chances of moving workers away from disabled status. CONCLUSIONS: The
findings of this literature review provide with information about the main topics
and trends in research on rehabilitation interventions, revealing some successful
modalities of intervention aimed at preventing prolonged work disability.
IMPLICATIONS FOR REHABILITATION: Successful intervention for preventing prolonged
work disability in workers compensated for WRMSDs address workplace issues:
physical and psychosocial demands at work, ability of the workers to fill these
demands, work organization and support of the worker, and worker' beliefs and
attitudes related to work. Successful intervention promotes collaboration,
coordination between all actors and stakeholders involved in the process of
rehabilitation. Strategies able to mobilize the employees, employers, insurers
and health care providers are still needed to be implemented.

Langue : ANGLAIS