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Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III

AGNEW L; JOHNSTON V; LANDEN LUDVIGSSON M; PETERSON G; OVERMEER T; JOHANSSON G; PEOLSSON A
J REHABIL MED , 2015, vol. 47, n° 6, p. 546-551
Doc n°: 174829
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-1960
Descripteurs : CC4 - TRAUMATISMES - RACHIS CERVICAL

OBJECTIVE: To investigate the factors related to self-perceived work ability in
patients with chronic whiplash-associated disorder grades II-III. DESIGN: Cross-sectional analysis. PATIENTS: A total of 166 working age patients with
chronic whiplash-associated disorder. METHODS: A comprehensive survey collected
data on work ability (using the Work Ability Index); demographic, psychosocial,
personal, work- and condition-related factors. Forward, stepwise regression
modelling was used to assess the factors related to work ability. RESULTS: The
proportion of patients in each work ability category were as follows: poor
(12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained
65% (adjusted R2 = 0.65, p < 0.01) of the variance in work ability. In descending
order of strength of association, these factors are: greater neck disability due
to pain; reduced self-rated health status and health-related quality of life;
increased frequency of concentration problems; poor workplace satisfaction; lower
self-efficacy for performing daily tasks; and greater work-related stress.
CONCLUSION: Condition-specific and psychosocial factors are associated with
self-perceived work ability of individuals with chronic whiplash-associated
disorder.

Langue : ANGLAIS

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