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Long sick leave after orthopaedic inpatient rehabilitation : treatment failure or relapse ?

MANGELS M; SCHWARZ S; WORRINGEN U; HOLME M; RIEF W
INT J REHABIL RES , 2011, vol. 34, n° 1, p. 29-37
Doc n°: 150329
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0b013e328339817c
Descripteurs : DA - APPAREIL LOCOMOTEUR

We investigated whether short-term versus long-term sick leave after orthopaedic
inpatient rehabilitation can be predicted by initial assessment information, the
clinical status at discharge, or whether the follow-up interval is crucial for
later sick leave. We examined 214 patients from an orthopaedic rehabilitation
hospital at admission, discharge and 1-year follow-up. Outcome measures included
disability, depression, self-efficacy, health status and attitudes towards work.
Later short-term versus long-term sick leave was not significantly predicted by
pretreatment and posttreatment scores. Surprisingly, both groups improved
comparably during treatment. The long-term sick leave group deteriorated on most
of the variables at follow-up, whereas the short-term sick leave group maintained
the improvements. Rehabilitation interventions should not only focus on inpatient
treatment but also on the follow-up interval to prevent relapses and maintain
success reached during treatment.

Langue : ANGLAIS

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