Fibromyalgie et lombalgie chronique : étude des facteurs invalidants et facteurs facilitateurs à la réinsertion et au maintien professionnel

Cette recherche a pour objectif de mettre à jour les différents facteurs invalidants ou favorisant la réintégration au travail et le maintien professionnel de patientes atteintes de deux types de maladies : la fibromyalgie ou la lombalgie chronique. En effet, les études actuelles sur la réinsertion et le maintien au travail sont généralement axées sur ces deux facteurs, mais elles n’envisagent pas la perspective d’une vision complémentaire de ceux-ci. Ce faisant, notre étude a permis de mettre en évidence l’association de ces deux approches mais également de révéler des différences et certaines similarités entre les patientes.The aim of this research is to explore the invalidating and facilitating factors related to return to work and/or to maintain work perceived by two groups of patients with chronic diseases: fibromyalgia or chronic back pain. Indeed, the current studies generally examined either return to work or maintaining work; their approach is rarely supported by an integrated view. Our study revealed similarities and differences between the two perspectives but also between the two groups of patients. This will help with the development of future initiatives for returning chronic pain patients to employment

Evaluation of Activity Limitation and Digital Extension in Dupuytrens Contracture Three Months after Fasciectomy and Hand Therapy Interventions

Background: Working while exposed to motions, physically and psychologically affects a person. Traditionally, motion sickness symptom reduction has implied use of medication, which can lead to detrimental effects on performance. Non-pharmaceutical strategies, in turn, often require cognitive and perceptual attention. Hence, for people working in high demand environments where it is impossible to reallocate focus of attention, other strategies are called upon. The aim of the study was to investigate possible impact of a mitigation strategy on perceived motion sickness and psychophysiological responses, based on an artificial sound horizon compared with a non-positioned sound source. Methods: Twenty-three healthy subjects were seated on a motion platform in an artificial sound horizon or in non-positioned sound, in random order with one week interval between the trials. Perceived motion sickness (Mal), maximum duration of exposure (ST), skin conductance, blood volume pulse, temperature, respiration rate, eye movements and heart rate were measured continuously throughout the trials. Results: Mal scores increased over time in both sound conditions, but the artificial sound horizon, applied as a mitigation strategy for perceived motion sickness, showed no significant effect on Mal scores or ST. The number of fixations increased with time in the non-positioned sound condition. Moreover, fixation time was longer in the non-positioned sound condition compared with sound horizon, indicating that the subjects used more time to fixate and, hence, assumingly made fewer saccades. Conclusion: A subliminally presented artificial sound horizon did not significantly affect perceived motion sickness, psychophysiological variables or the time the subjects endured the motion sickness triggering stimuli. The number of fixations and fixation times increased over time in the non-positioned sound condition.Original Publication:Christina Engstrand, L Boren and Gunilla Liedberg, Evaluation of Activity Limitation and Digital Extension in Dupuytrens Contracture Three Months after Fasciectomy and Hand Therapy Interventions, 2009, JOURNAL OF HAND THERAPY, (22), 1, 21-26.http://dx.doi.org/10.1016/j.jht.2008.08.003Copyright: Elsevierhttp://www.elsevier.com