Author:
Yang Chia-Lin,Yin Yan-Ru,Chu Chuan-Man,Tang Pei-Ling
Abstract
Abstract
Background
Occupational accidents may lead laborers to lose their working capacities, affecting their physical and mental health. Occupational rehabilitation helps improve the ability of patients with occupational accidents and suggests appropriate jobs to avoid second injuries. This study aimed to identify whether any of the functional capacity evaluation (FCE) strength subtests predicted successful return to work.
Methods
Data were collected of 84 patients receiving government-subsidized occupational rehabilitation between September 2016 and December 2018. A structured questionnaire was employed for pre- and post-training assessment, including basic information, information of the occupational accident, status of the laborer at the opening of the injury case, physical requirement for the job, and physical capacity. Eight subtests of strength were included in the physical capacity evaluation, i.e., carrying, lifting to several levels, power grip, and lateral pinch, to explore the association between the strength tests and return to work.
Results
The unadjusted model showed that for every additional kilogram in bilateral carrying strength before work hardening training, the odds of successful return to work increased (crude odds ratio [OR] = 1.12, 95% confidence interval [CI] = 1.01–1.24, p = 0.027). After adjustment for basic demographic information and pre-accident physical functional elements of work, the odds of successful return to work increased (adjusted OR = 1.27, 95% CI = 1.04–1.54, p = 0.02) for every additional kilogram in the pre-training bilateral carrying strength. There were no statistically significant differences observed in the other seven subtests.
Conclusion
Through thorough evaluation and work hardening training provided in the occupational rehabilitation, patients’ physical capacity can be understood and improved. However, a full evaluation of functional capacities is prolonged and time-consuming. This study provides evidence that pre-work-hardening bilateral carrying strength may be a promising predictor of return to work and we recommend to consider it as a prioritized test to assist in determining appropriate advice regarding return to work.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference37 articles.
1. Occupational Safety and health administration, Ministry of Labor. Determination and Appraisal of Occupational Diseases 2021. https://www.osha.gov.tw/2725/31527/33710/33731/33738/. Accessed 28 Oct 2021.
2. European Agency for Safety and Health at work (EU-OSHA). OSH in figures: Work-related musculoskeletal disorders in the EU-Facts and figures. 2010. https://osha.europa.eu/en/publications/osh-figures-work-related- musculoskeletal-disorders-eu-facts-and-figures. Accessed 19 Oct 2021.
3. Occupational Safety and Health Administration Ministry of Labor. Occupational Accident Statistics in 2019. 2020. https://www.osha.gov.tw/2725/29643/29645/30801/. Accessed 18 Oct 2021.
4. Laws & Regulations Database of The Republic of China. Labor Occupational Accident Insurance and Protection Act. 2021. https://law.moj.gov.tw/ENG/LawClass/LawAll.aspx?pcode=N0050031. Accessed 23 Oct 2021.
5. Jang Y. Occupational therapy and vocational rehabilitation. 2nd ed. Taipei: HE-FENG BOOK STORE CO., LTD.; 2017. p. 496. [In Traditional Chinese]