10 research outputs found

    Prognostic factors for disability claim duration due to musculoskeletal symptoms among self-employed persons

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    <p>Abstract</p> <p>Background</p> <p>Employees and self-employed persons have, among others, different personal characteristics and different working conditions, which may influence the prognosis of sick leave and the duration of a disability claim. The purpose of the current study is to identify prognostic factors for the duration of a disability claim due to non-specific musculoskeletal disorders (MSD) among self-employed persons in the Netherlands.</p> <p>Methods</p> <p>The study population consisted of 276 self-employed persons, who all had a disability claim episode due to MSD with at least 75% work disability. The study was a cohort study with a follow-up period of 12 months. At baseline, participants filled in a questionnaire with possible individual, work-related and disease-related prognostic factors.</p> <p>Results</p> <p>The following prognostic factors significantly increased claim duration: age > 40 years (Hazard Ratio 0.54), no similar symptoms in the past (HR 0.46), having long-lasting symptoms of more than six months (HR 0.60), self-predicted return to work within more than one month or never (HR 0.24) and job dissatisfaction (HR 0.54).</p> <p>Conclusions</p> <p>The prognostic factors we found indicate that for self-employed persons, the duration of a disability claim not only depends on the (history of) impairment of the insured, but also on age, self-predicted return to work and job satisfaction.</p

    Management of acute musculoskeletal pain

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    The pain and disability associated with musculoskeletal conditions represent a significant and increasing health burden worldwide. Musculoskeletal conditions of acute onset and short duration occur commonly, affect all age groups, and are usually idiopathic. Successful management of acute pain is paramount if chronic pain conditions are to be avoided. This article focuses on interventions for five areas of acute musculoskeletal pain (acute low back pain, acute thoracic spinal pain, acute neck pain, acute shoulder pain and anterior knee pain). It summarizes the results of a multidisciplinary evidence review recently conducted by the Australian Acute Musculoskeletal Pain Guidelines Group
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