Arbeidsparticipatie en Arbeidscapaciteit bij Beginnende Artrose van Heup en Knie

Artrose is een degeneratieve aandoening van het kraakbeen, waarbij ook de andere structuren in de gewrichten betrokken zijn. De aandoening kan leiden tot beperkingen in het dagelijks functioneren. De huidige kennis betreffende de effecten van artrose op arbeidsparticipatie is onvolledig. In de literatuur zijn slechts enkele studies gevonden met een adequate opzet, die geldige conclusies over dit effect opleverden. In dit onderzoek wordt de arbeidsparticipatie van mensen met beginnende artrose beschreven bij de baseline meting van de CHECK-studie (Cohort Heup En Cohort Knie)

HRM en duurzame inzetbaarheid van mantelzorgende werkenden: Een verkennend onderzoek binnen zorgorganisaties

Overgenomen uit Tijdschrift voor HRM, juli 2019 Het combineren van werk en mantelzorg leidt mogelijk tot overbelasting of arbeidsuitval, maar kan eveneens bijdragen aan het welbevinden van mantelzorgende werkenden. Voor organisaties is niet altijd duidelijk wie deze werkenden zijn, wat hun gezondheid en duurzame inzetbaarheid is en welke ondersteuning nodig is. Verkennend onderzoek middels gestructureerde individuele interviews binnen drie zorgorganisaties laat zien dat de meesten een goede gezondheid ervaren en over de capabilities beschikken om duurzaam inzetbaar te zijn. Zij halen voldoening en waardering uit werk en mantelzorg. De expertise als professional zetten ze in bij de mantelzorg en de ervaring als mantelzorger nemen zij mee in hun werk. Enkelen voelen zich echter minder gezond en beschikken over onvoldoende capabilities. Zij hebben behoefte aan ondersteuning op maat

Changes in kinematics and work physiology during progressive lifting in healthy adults

CC-BY Applied Ergonomics, 2021, March https://www.journals.elsevier.com/applied-ergonomics Purpose: To analyze progression of changes in kinematics and work physiology during progressive lifting in healthy adults.Methods: Healthy participants were recruited. A standardized lifting test from the WorkWell Functional Capacity Evaluation (FCE) was administered, with five progressive lifting low series of five repetitions. The criteria of the WorkWell observation protocol were studied: changes in muscle use (EMG), heart rate (heart rate monitor), base of support, posture and movement pattern (motion capture system). Repeated measures ANOVA’s were used to analyze changes during progressive workloads.Results: 18 healthy young adults participated (8 men, 10 women; mean age 22 years). Mean maximum weight lifted was 66 (±3.2) and 44 (±7.4) kg for men and women, respectively. With progressive loads, statistically significant (p < 0.01) differences were observed: increase in secondary muscle use at moderate lifting, increase of heart rate, increase of base of support and movement pattern changes were observed; differences in posture were not significant.Conclusions: Changes in 4 out of 5 kinematic and work physiology parameters were objectively quantified using lab technology during progressive lifting in healthy adults. These changes appear in line with existing observation criteria

Influence of respiration frequency on heart rate variability parameters:: A randomized cross-sectional study

BACKGROUND:Many patients visiting physiotherapists for musculoskeletal disorders face psychosocial challenges which may form a large barrier to recover. There are only a limited number of evidence based psychosocial therapies, but they are mainly based on breathing exercises. OBJECTIVE: to study which respiration frequency would lead to the highest relaxation, reflected in vagal tone derived from the heart rate variability (HRV) in healthy subjects. METHODS: A randomized controlled cross sectional study was performed. Respiration cycles of four, five, six, seven and eight breaths per minute (BPM) were delivered in randomized order for two minutes each. HRV metrics were measured during the sessions with electrocardiogram (ECG). Repeated Measures ANOVA’s were performed to analyze differences between breathing frequencies. RESULTS: 100 healthy volunteers were included (40 male). Standard Deviation of inter beat intervals (SDNN) values were significantly highest at 5 BPM, whereas the Root Mean Square of Successive Differences (RMSSD) values appeared highest at 7 breaths per minute (p< 0.01). High Frequency (HF) power was lowest at 4 BPM, whereas Low Frequency (LF) power was not significantly influenced by respiration frequency. CONCLUSIONS: Breathing at a frequency of 5 to 7 breaths per minute leads to highest HRV values, but there is no single respiration ratio that maximizes all metrics. Physiotherapists may use five to seven BPM as guidance to determine ideal breathing frequencie

Measurement properties and implications of the brief resilicience scale in healthy workers

Objectives: The aim of this study was to study measurement properties of the DutchLanguage Version of the Brief Resilience Scale (BRS-DLV) in blue and white collarworkers employed at multiple companies and to compare the validity and factorstructure to other language versions.Methods: Workers (n = 1023) were assessed during a cross-sectional health surveillance.Construct validity was tested with exploratory and confirmatory factor analyses(EFA and CFA) and hypothesis testing. Reliability was tested with Cronbach 's alpha.Results: A two-factor structure of the BRS-DLV had good model fit in both EFAand CFA, which could be explained by difficulties of workers with reversed orderitems. After excluding these inconsistent answering patterns, a one-factor structureshowed good model fit resembling the original BRS (χ2 = 16.5; CFI & TLI = 0.99;SRMR = 0.02;RMSEA = 0.04). Internal consitency is sufficient (Cronbach 'sα = 0.78). All five hypotheses were confirmed, suggesting construct validity.Conclusions: Reliability of the BRS-DLV is sufficient and there is evidence of constructvalidity. Inconsistent answering, however, caused problems in interpretationand factor structure of the BRS-DLV. This can be easily detected and handled becauseitem 2, 4 and 6 are in reversed order. Other language versions differ in factorstructure, most likely because systematic errors are not corrected for. To collect validdata, it is advised to be aware of inconsistent answering of respondents. CC BY-N

Functional and morphological lumbar multifidus characteristics in subgroups with low back pain in primary care

CC-BY 4.0 Background: Since the contribution of the lumbar multifidus(LM) is not well understood in relation to nonspecific low back pain(LBP), this may limit physiotherapists in choosing the most appropriate treatment strategy.Objectives: This study aims to compare clinical characteristics, in terms of LM function and morphology, between subacute and chronic LBP patients from a large clinical practice cohort compared to healthy controls.Design: Multicenter case control study.Method: Subacute and chronic LBP patients and healthy controls between 18 and 65 years of age were included.Several clinical tests were performed: primary outcomes were the LM thickness from ultrasound measurements, trunk range of motion(ROM) from 3D kinematic tests, and median frequency and root mean square values of LM by electromyography measurements. The secondary outcomes Numeric Rating Scale for Pain(NRS) and the Oswestry Disability Index(ODI) were administered. Comparisons between groups were made with ANOVA, pvalues< 0.05, with Tukey’s HSD post-hoc test were considered significant.Results: A total of 161 participants were included, 50 healthy controls, 59 chronic LBP patients, and 52 subacute LBP patients. Trunk ROM and LM thickness were significantly larger in healthy controls compared to all LBP patients(p < 0.01). A lower LM thickness was found between subacute and chronic LBP patients although not significant(p = 0.11–0.97). All between-group comparisons showed no statistically significant differences in electromyography outcomes (p = 0.10–0.32). NRS showed no significant differences between LBP subgroups(p = 0.21). Chronic LBP patients showed a significant higher ODI score compared to subacute LBP patients(p = 0.03).Conclusions: Trunk ROM and LM thickness show differences between LBP patients and healthy controls