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Clinical Interventions to Reduce Work Disability in Workers with Musculoskeletal Disorders or Mental Health Problems

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Handbook of Work Disability

Abstract

This chapter presents an overview of the effects of clinical interventions to improve work disability in employees with musculoskeletal disorders and mental disorders. Low back pain is the most common musculoskeletal disorder followed by neck/shoulder disorders and/or upper extremity disorders. Targeting at (physical) activity and return to work has positive health implications in employees with low back pain resulting in reduced costs and productivity losses. Some effects of patient education on return to work have been reported in low back pain patients. Physical exercise interventions generally seem effective in reducing work disability in subacute and chronic low back pain populations. For behavioral treatments no effects on work disability were found. A promising multidisciplinary intervention for low back pain is integrated care, which consists of the integration of clinical and occupational healthcare. Positive effects have also been found for physical exercises in workers with neck and/or upper extremity disorders although mostly for pain and self-reported disability whereas many studies surprisingly ignored work disability outcomes.

Generally, there is a lack of sound research on clinical interventions aimed at improving work disability in mental health problems. Nevertheless, there are some indications for positive effects of cognitive-behavioral interventions for stress, burnout, and depression. Generally, there is strong evidence for the effectiveness of cognitive behavioral interventions in studies not primarily focusing on employees. Including the workplace and a focus on work seems also important: employees with mental disorders generally experience stigma because of having (had) a mental disorder which might imply a barrier to (re)integrate in the workplace. Few intervention studies so far included work-related components.

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Authors and Affiliations

  1. Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, 9101, 6500 HB, Nijmegen, The Netherlands

    J. Bart Staal PT, Ph.D.

  2. Department of Social Medicine, Research School CAPHRI, Maastricht University, 616, 6200 MD, Maastricht, The Netherlands

    A. De Rijk Ph.D. & I. Houkes Ph.D.

  3. Department of Epidemiology and Biostatistics, VU University Medical Center, De Boelelaan 1117, 7057, Amsterdam, The Netherlands

    M. W. Heymans PT, Ph.D.

  4. Department of Health Sciences, Section Methodology and Applied Biostatistics, VU University Amsterdam (office U 448), The EMGO Institute for Health and Care Research, De Boelelaan 1085, 1081 HV, Amsterdam, The Netherlands

    M. W. Heymans PT, Ph.D.

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Correspondence to J. Bart Staal PT, Ph.D. .

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  1. University of Toronto, College Street 155, Toronto, M5T 3M7, Ontario, Canada

    Patrick Loisel

  2. EMGO Institute for Health and Care Resea, Department of Public and Occupational He, VU University Medical Center, AMC-UMCG-UWV-VUmc, Amsterdam, NL-1081 BT, Netherlands

    Johannes R. Anema

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Staal, J.B., De Rijk, A., Houkes, I., Heymans, M.W. (2013). Clinical Interventions to Reduce Work Disability in Workers with Musculoskeletal Disorders or Mental Health Problems. In: Loisel, P., Anema, J. (eds) Handbook of Work Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6214-9_20

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  • DOI: https://doi.org/10.1007/978-1-4614-6214-9_20

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