Significant resources needed for return to work after sick leave

There are increasing numbers of people on long-term sick leave, especially with stress-related ill health and musculoskeletal disorders. The main purpose of this study is to, early on in the sick leave, find predictors of individual resources for a return to work. The study group consists of women and men on sick leave compared with reference groups of healthy persons. A questionnaire was used regarding diagnosis given on the doctor's certificate, self-reported symptoms, residential area, education, and kind of work. It also contained open questions about consequences in daily life and beliefs about future. Checklists concerning life satisfaction, sense of coherence, locus of control, coping resources and sick leave information over a four-year period have been used. Significant differences between the study group and the reference groups were found, relating to sense of coherence, locus of control, life satisfaction and coping resources. More than half of the study group were still on sick leave at a two-year follow-up. Important predictive factors turned out to be: previous sick leave, own belief about future and self-reported symptoms.     

Social partners cooperation for reduction of musculoskeletal disorders in agriculture

The European social partners in agriculture recognize the considerable frequency of musculoskeletal disorders (MSD) in the sector which has negative consequences for workers, employers, social security systems and hence for the whole society. They made an agreement in 2005 to tackle this problem and their main interest was finding good practices 'on the floor', with the involvement of the farmers and farming industries. A partnership with researchers from 4 different organisations across Europe, was created, taking into account both academic partners and/or partners experienced with the agricultural sector. GEOPA-COPA acted as a network partner with all the EU agriculture organisations. The project partners proposed a methodology how to collect the good practices. In total, 103 company visits were organised and 55 additional reports were collected. More than 140 good practices were defined going from easy, low-cost solutions to highly technological, more expensive solutions. All this information is disseminated via the project website (www.agri-ergonomics.eu) and summarised in 6 brochures. This paper focuses on the methodology to set up the ergonomic project with social partners.     

Conceptual framework for development of a toolkit for prevention of work-related musculoskeletal disorders

The World Health Organisation (WHO) network of Collaborating Centres in Occupational Health aims to promote the development, implementation use of "toolkits" for workplace use in reducing the risk of injuries and disease. As a major partner within this network, the International Ergonomics Association is committed to developing a toolkit to reduce the risk of musculoskeletal disorders. This paper outlines the kind of conceptual framework required to support this work.     

A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study

This study is a prospective multicentre cohort study entitled Work and Health in the Processing and Engineering Industries, the AHA Study (AHA is the Swedish abbreviation for the study). Four large workplaces in Sweden participated during the years from 2000 to 2003. The present report has two objectives: (1) to present a comprehensive occupational health intervention programme and (2) to evaluate this programme with a focus on lifestyle (smoking and exercise), health related quality of life (HRQoL) and sick leave. Interventions were provided on an individual and group level, including evidence-based methods for four health/focus areas (individual level) and a group intervention based on a survey-feedback methodology. The analyses in this report were exclusively employed at an organizational level. The proportion of smokers decreased at three companies and the course of the HRQoL was advantageous at two of the companies as compared to a gainfully employed reference group. A significant decrease in sick leave was revealed at one company, whereas a break in an ascending sick-leave trend appeared at a second company as compared to their respective corporate groups. This comprehensive workplace intervention programme appears to have had positive effects on smoking habits, HRQoL and sick leave.     

Prevalence of musculoskeletal disorders among staffs in specialized healthcare centre

This study was conducted to investigate pervasiveness of the musculoskeletal disorder (MSD) among staffs in a specialized healthcare centre. Sixty-eight staffs from three departments namely Cardiovascular Lab (CVL), Nuclear Radiology, and General Radiography were recruited in this study. A modified Nordic Musculoskeletal Questionnaire (NMQ) was distributed among study population. The result shows that the prevalence of MSD was highest in lower back (88.2%), neck (76.5%) and shoulder (60.3%) for the past 12 months followed by lower back and elbow (44.1%), and wrist (39.1%) correspondingly, for the past 7 days. Present results suggest that healthcare professionals - radiographers, patient assistants and nurses incurs MSD risks through work tasks as well as psychosocial factors. These include awkward posture during patient handling, workload, work stress and time pressure. Therefore, an ergonomics improvement on the job design and workspace are needed in order to reduce the MSD risks.     

Analysis of urban cleanness agents' workstation on the appearance of work related musculoskeletal disorders

This study had as objective to evaluate the workstation of the responsible for the collection of urban garbage in relation to the factors associates with the appearance or aggravation of WMRD, as well as identifying signals and symptoms of these illnesses in the related professionals. For this, was developed a form with open and closed questions, that approached item relative to the identification of the searched, to the organization and execution of the work and to the signals and symptoms of WMRD, e that was applied in 44 agents in a company of collection of urban residues in a Brazilian metropolis. As the results can be evidenced that between the factors that the cleanness' agents are susceptible to the appearance of WMRD can detach the lack of orientation of these professionals as the positions adopted in the work, the lack of training and qualification, as well as the repetitivity of tasks and not use of individual protection equipment. However, yet with the existence of innumerable factors of risk, evidenced a small incidence of pain.     

Development of a score for assessing severity, predicting interventions and prognosis of musculoskeletal disorders

Musculoskeletal disorders (MSD's) are a constellation of disorders. There is no single tool available which guides the clinicians to predict the severity, intervention and recovery period of the patients who is suffering from different musculoskeletal disorder. In this paper authors tried to categorize the severity of the musculoskeletal discomfort and the prognosis of the recovery period. The questionnaire was formulated using different epidemiological risk factor of the development of MSD and the effect of MSD on physical and psychosocial factors. The questionnaire contains 13 questions which include seven direct (rating was 0, 2, 4, 6, 8 and 10) and six indirect (rating was 0, 1, 2, 3, 4 and 5) questions. Results revealed a significant correlation with the prognosis of recovery and the actual recovery period (r= 0.80). It also showed a significant correlation between the total severity score and the actual recovery (r=0.82) period. Depending on the prognosis of the recovery the severity score was segregated in four categories as mild, moderate, severe and complicated. Due to small sample size the prognosis of recovery for higher severity score could not be plotted.     

Non-work factors associated with musculoskeletal upper extremity disorders in women: Beyond the work environment

It is women who are predominantly affected by musculoskeletal disorders of the upper extremities (MSD/UE), especially those disorders attributed to repetitive strain or cumulative trauma. This study focuses on a female sample of supermarket employees and the effects of stress acquired from their non-work environments on the reporting of musculoskeletal symptoms. Stress and life events were shown to be positively associated with the presence of UE disorders and measures of intensity, duration, and frequency of pain. A multifactorial model for explaining the development of MSD/UE in female workers is proferred, while the significance of understanding the inter-relational nature of women's lives is underscored. Additionally, the study lends credence to the physiological underpinning of stress.     

Evidence-based exposure criteria for work-related musculoskeletal disorders as a tool to assess physical job demands

Despite worldwide attention, musculoskeletal disorders (MSDs) remain a substantial concern at work. To support ergonomists to assess the work-related risk factors for MSDs, several instruments are available. Unfortunately, many of these instruments are not supported by evidence-based exposure criteria for particular MSDs. For effective prevention of MSDs, it is important to know to what extent work-related risk factors are present in the work situation. The Netherlands Center for Occupational Diseases (NCOD) develops evidence-based criteria documents for the assessment of work-related MSDs. The exposure criteria of these documents can be used on a group level to support ergonomists in their assessment of the physical job demands that are associated with work-related MSDs. At the moment the NCOD has exposure criteria for the assessment of 22 work-related MSDs, for instance on the work-relatedness of upper extremity disorders, non-specific low back pain or patellar tendinopathy. The use of these exposure criteria enables ergonomist to better assess the work-related risks of MSDs as a starting point for effective prevention.     

Procedures when young people leave care — Views of 111 Swedish social services managers

In western societies, there is a general tendency towards a protracted transition to adulthood for young people, who thereby may become increasingly dependent on support from family. Young people leaving a placement in out-of-home care often lack such support, and will thus have a disadvantageous position compared to their peers. With the purpose of looking into the procedures when young people leave a placement in out-of-home care, telephone interviews were performed with 111 managers of social service units in two Swedish regions (West Sweden, and Stockholm Region), using a structured interview schedule. Answering rate was 99.1%.Only 6% of the managers had information of the young people's whereabouts once they had left care. 86-88% had general support programmes for all young people concerning housing, employment etc. but only 2-4% had specific programmes for young people leaving care. A majority of the managers were attentive of the difficulties the young people leaving care may encounter, but displayed little awareness of the consequences of a prolonged transition to adulthood, and the need for continued support after leaving care. Several managers referred to the general support of the Swedish welfare state, meaning that young people leaving care had the same access to support as all other young people in Sweden. Consequently, young people leaving care are at risk of being invisible in the welfare system and facing a compressed transition to adulthood.