Prognostic factors specific to work-related musculoskeletal disorders: An overview of recent systematic reviews

Auteurs

Yannick Tousignant-Laflamme, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Catherine Houle, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Christian Longtin, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Thomas Gérard, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Emilie Lagueux, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada
Kadija Perreault, Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC, Canada
Hélène Beaudry, Quebec Pain Research Network, QC, Canada
Pascal Tétreault, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada, Departments of Anesthesiology and Nuclear Medicine and Radiobiology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
Marc-André Blanchette, Chiropractic Department, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
Simon Décary, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Clinical Research of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada

Type de document

Revues de littérature, synthèses de connaissances

Année de publication

2023

Langue

Anglais

Titre de la revue

Musculoskeletal Science and Practice

Résumé

Purpose: Work-related injuries affect a considerable number of people each year and represent a significant burden for society. To reduce this burden, optimizing rehabilitation care by integrating prognostic factors (PF) into the clinical decision-making process is a promising way to improve clinical outcomes. The aim of this study was to identify PF specific to work-related musculoskeletal disorders.

Methods: We performed an overview of systematic reviews reporting on PF that had the following outcomes of interest: Return to work, pain, disability, functional status, or poor outcomes. Each extracted PF was categorized according to its level of evidence (grade A or B) and whether it was modifiable or not. The risk of bias of each study was assessed with the ROBIS tool.

Results: We retrieved 757 citations from 3 databases. After removing 307 duplicates, 450 records were screened, and 20 studies were retained. We extracted a total of 20 PF with a Grade A recommendation, where 7 were deemed modifiable, 11 non-modifiable and 2 were index test. For example, return to work expectations, previous sick leave, delay in referral and pain intensity were found to be predictors of return-to-work outcomes. We also identified 17 PF with a Grade B recommendation, where 11 were deemed modifiable. For example, poor general health, negative recovery expectations, coping and fear-avoidance beliefs, pain severity, and particularly physical work were found to predict return to work outcomes.

Conclusion: We found numerous modifiable PFs that can help clinicians personalize their treatment plan beyond diagnostic-related information for work-related musculoskeletal disorders. © 2023 Elsevier Ltd

Mots-clés

Troubles musculosquelettiques, Musculoskeletal disease, Réadaptation physique, Physical rehabilitation, Pronostic, Prognosis

Numéro de projet IRSST

n/a

Citation recommandée

Tousignant-Laflamme, Y., Houle, C., Longtin, C., Gérard, T., Lagueux, E., Perreault, K., . . . Décary, S. (2023). Prognostic factors specific to work-related musculoskeletal disorders: An overview of recent systematic reviews. Musculoskeletal Science and Practice, 66, article 102825. https://doi.org/10.1016/j.msksp.2023.102825