Cross-Disciplinary Workplace Intervention Strategy for Chronic Musculoskeletal Disorders
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Sick-day saving, work capacity, economic variables
研究概览
简要总结
Sickness absenteeism caused by MSDs is a persistent and expensive health challenge in all industrial countries including Switzerland. Despite much progress as to the cause and prevention of MSDs, they continue to be some of the most prevalent and challenging health problems with respect to the work-place and to socio-economic burden.
To improve the situation, several recent reviews recommended interventions based on the bio-psycho-social model. Work-hardening and industrial rehabilitation programs focused more on the in balance between physical and mental demands of work on one side and capacities of the individual on the other side. Therefore we propose to merge the two models into one. The result is an interdisciplinary intervention strategy witch includes work hardening, medical trainings, a cognitive behavioural approach and work place intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 58 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Employees on sick leave because of non-specific back and/or neck/shoulder pain
- •actual unable to work and continuous or cumulative (totalized) work incapa- city in the past 6 monts
- •≥ 20 working days 100% absence from work or
- •≥ 40 working days 80 to 99% absence from work or
- •≥ 60 working days 50 to 79% absence from work and
- •not older than 58 level of employment ≥ 50%
- •no longer than 6 monts absencer from work (100% unable to work)
排除标准
- •Specific diagnosis such as infection, neoplasm, metastasis osteoporosis, rheumatoid arthritis, fracture and inflammatory process or other conditions for which valid diagnoses had been demonstrated either in the anamnesis, records or the clinical examination
- •Postoperative health condition with prohibited physical load
- •Major co-morbidity which may determine return to work in a clearly stronger way then the MSD itself such as a major depression, psychosis, heavy drug or alcohol disease or instable cardiac or pulmonary disease
- •Predominant specific shoulder pathology in "neck-shoulder pain"
结局指标
主要结局
Sick-day saving, work capacity, economic variables
时间窗: one year
次要结局
- Functional performance, pain, general health, variables related to coping, believes, anxiety, depression(one year)