Article

OBJECTIVES: (1) To analyze whether functional capacity (FC) of sick listed
workers with chronic nonspecific musculoskeletal pain (CMP) referred for
rehabilitation (SL-Rehab group) and workers with CMP who stay at work (SAW group)
differ from the FC of healthy workers (HW group). (2) To analyze if FC of workers
with CMP is insufficient to meet work demands, and to assess factors associated
with insufficient FC. DESIGN: A 3-group cross-sectional comparison. SETTING:
Rehabilitation center. PARTICIPANTS: Workers (N=942) were included (SL-Rehab
group: n=122, SAW group: n=119, and HW group: n=701). INTERVENTIONS: All subjects
performed a short Functional Capacity Evaluation (FCE) and completed
questionnaires assessing demographics, personal, and work characteristics. MAIN
OUTCOME MEASURE: FCE performances. Participants' FC was insufficient to meet
their work demands when their FC was lower than the 5th percentile of the HW
group's FC. RESULTS: Both the SL-Rehab and SAW groups had significantly lower FC
compared with the HW group; 15% to 71% demonstrated insufficient FC. Insufficient
FC was associated with group status (SL Rehab group: odds ratio [OR]=6.5; SAW
group: OR=7.2), having physically high demanding work (OR=35.1), being a woman
(OR=35.7), higher age (OR=1.2), and lower effort level during FCE (OR=1.9). Among
subjects with CMP, kinesiophobia, physical health, and perceived disability were
associated with having an insufficient FC for work. CONCLUSIONS: Workers in the
SL-Rehab group have lower FC than their working counterparts. Many workers in
both groups with CMP demonstrated insufficient FC. Not the pain itself, but
personal and work-related factors are related to insufficient FC.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS