scholarly journals The experiences of workers who do not successfully return to work following a work-related injury

Work ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. 537-549 ◽  
Author(s):  
Rebecca E. Gewurtz ◽  
Stephanie Premji ◽  
D. Linn Holness
2021 ◽  
Vol 29 (2) ◽  
pp. 91-104
Author(s):  
Eun-Ju Jo ◽  
◽  
Dong-Hee Noh ◽  
Seung-Hyup Han ◽  
Kyung-Yoon Kam

2019 ◽  
Vol 27 (2) ◽  
pp. 107-120
Author(s):  
Dong-Hee Noh ◽  
◽  
Eun-Ju Jo ◽  
Yun-Jun Cha ◽  
Seung-Hyup Han ◽  
...  

Author(s):  
Hee Tae Kang ◽  
Hyoung June Im ◽  
Yong Kyu Kim ◽  
Young Su Ju ◽  
Hwa Pyung Lee ◽  
...  

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0022
Author(s):  
Alexander J. Idarraga ◽  
Adam Wright-Chisem ◽  
Daniel D. Bohl ◽  
Simon Lee ◽  
Johnny Lin ◽  
...  

Category: Hindfoot, Ankle, Midfoot/Forefoot, Injury and Rehabilitation Introduction/Purpose: The functional capacity evaluation (FCE) is used to determine a worker’s physical ability after treatment of a work-related injury. This evaluation is a critical determinant in the administration of benefits and the decision to return to work (RTW). The purpose of this study is to characterize FCE results and ability to RTW among patients treated for work- related orthopaedic injuries to the foot or ankle. Methods: A retrospective medical record review from the practices of four orthopaedic foot and ankle surgeons was conducted. Inclusion criteria were (1) treatment of a work-related injury to the foot or ankle, (2) at least 2 years of follow-up from the injury, and (3) documentation of an associated FCE. The FCE report and clinic notes were used to determine the patient’s pre-injury job requirement (Department of Labor Office category: light, medium, or heavy), post-injury FCE-determined work ability (light, medium, or heavy), specific FCE- or physician-imposed work restrictions, and clearance for RTW. Patients were considered cleared to RTW if their FCE-determined work ability met or exceeded their pre-injury job requirement and if there were no additional restrictions imposed by the FCE or physician that would prevent them from functioning in their pre-injury role. Results: A total of 188 patients met inclusion criteria. Missteps/rotational injuries (44.1%), falls from height (22.3%), and crush injuries (20.7%) were the most common mechanisms. 74.4% of patients had FCE-determined work abilities at or above their pre- injury job requirements, and 63.3% of patients were eventually cleared for RTW. The median time from injury to clearance for RTW was 2.0 ± 1.3 years. Reasons for not being cleared to RTW included failure to meet the pre-injury job requirement (67.2%), specific FCE-imposed limitations (28.3%), or specific physician-imposed limitations (4.5%). Less strenuous pre-injury job requirement was positively associated with both FCE-determined work ability meeting pre-injury job requirement and clearance for RTW (p<0.001 and p=0.034, respectively; Table 1). Conclusion: Approximately two-thirds of patients undergoing FCE after a work-related foot or ankle injury are cleared to RTW. However, it takes a median of two years to achieve this clearance. Patients with jobs that are more physically strenuous are less likely to be able to return to those jobs after injury to the foot or ankle.


BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048143
Author(s):  
Cameron Mustard ◽  
Victoria Nadalin ◽  
Nancy Carnide ◽  
Emile Tompa ◽  
Peter Smith

PurposeThe substantial economic burden of work-related injury and illness, borne by workers, employers and social security programmes, is primarily attributed to the durations of work disability among workers whose recovery requires a period of absence from work, with the majority of costs arising from the minority of workers with the longest duration absences. The objective of the Ontario Life After Workplace Injury Study is to describe the long-term health and labour market outcomes of workers disabled by work injury or illness after they are no longer receiving benefits or services from the work disability insurance authority.ParticipantsWorkers disabled by a work-related injury or illness were recruited from a sample frame of disability benefit claimants with oversampling of claimants with longer benefit durations. Characteristics of workers, their employers and claimant benefits were obtained from baseline administrative data. Interviews completed at 18 months post injury (T1) and to be completed at 36 months (T2) measure return-to-work and work status; income; physical and mental health; case manager and healthcare provider interactions and employer accommodations supporting return-to-work and sociodemographic characteristics. Of eligible claimants, 40% (1132) participated in the T1 interview, with 96% consenting to participate in the T2 interview.Findings to datePreliminary descriptive analyses of T1 data have been completed. The median age was 50 years and 56% were male. At 18 months following injury, 61% were employed by their at-injury employer, 16% had changed employment and 23% were not working. Past-year prescription opioid use was prevalent (34%), as was past-year cannabis use (31%). Longer duration claimants had poorer function, recovery and health and more adverse labour market outcomes.Future plansMultivariate analyses to identify modifiable predictors of adverse health and labour market outcomes and a follow-up survey of 96% of participants consenting to follow-up at 36 months are planned.


1991 ◽  
Vol 22 (1) ◽  
pp. 3-6
Author(s):  
Reginald J. Alston

This article discusses the importance of counseling in the rehabilitation of persons with work related injury. Counseling interventions that rehabilitation counselors can use to facilitate the industrially injured person's adjustment to the injury and return to work are described. Special focus is on the adjustment issues of frustration and anger, motivation, and self-concept. Case studies are provided to accentuate the discussions. Implications for rehabilitation practice and research are presented.


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