scholarly journals Work Ability Assessment and Its Relationship with Cardiovascular Autonomic Profile in Postural Orthostatic Tachycardia Syndrome

Author(s):  
Franca Barbic ◽  
Maura Minonzio ◽  
Beatrice Cairo ◽  
Dana Shiffer ◽  
Antonio Roberto Zamuner ◽  
...  

Postural orthostatic tachycardia syndrome (POTS) negatively impacts quality of life. The excessive increase in cardiac sympathetic modulation during standing, which characterizes POTS patients, leads to many symptoms and signs of orthostatic intolerance. Little is known about the consequences of the disease on work performance and its relationship with individual autonomic profiles. Twenty-two POTS patients regularly engaged in working activity (20 females, age 36 ± 12 years) and 18 gender- and age-matched controls underwent a clinical evaluation and filled out the Work Ability Index (WAI) questionnaire. POTS patients completed the Composite Autonomic Symptom Score (COMPASS31) questionnaire, underwent continuous electrocardiogram, blood pressure and respiratory activity recordings while supine and during a 75° head-up tilt (HUT). A power spectrum analysis provided the index of cardiac sympatho-vagal balance (LF/HF). WAI scores were significantly reduced in POTS patients (29.84 ± 1.40) compared to controls (45.63 ± 0.53, p < 0.01). A significant inverse correlation was found between individual WAI and COMPASS31 scores (r = −0.46; p = 0.03), HUT increase in heart rate (r = −0.57; p = 0.01) and LF/HF (r = −0.55; p = 0.01). In POTS patients, the WAI scores were inversely correlated to the intensity of autonomic symptoms and to the excessive cardiac sympathetic activation induced by the gravitational stimulus.

Author(s):  
Ingrid Lindgren ◽  
Hélène Pessah-Rasmussen ◽  
Gunvor Gard ◽  
Christina Brogårdh

Objective: To explore how persons who have returned to work perceive their work situation and work ability one year after stroke. Design: Cross-sectional design. Subjects: A total of 88 persons of working age (mean age 52 (standard deviation; SD 8) years, 36% women), with mild to moderate disabilities following stroke, who had returned to work after one year [AQ14] participated in the study. Methods: A survey including a questionnaire regarding psychological and social factors at work (QPS Nordic) and 4 questions from the Work Ability Index (WAI) was posted to the participants. Results: According to the QPS Nordic survey, 69–94% of respondents perceived their work duties as well defined, and were content with their work performance. Most participants had good social support at work and at home. Between 51% and 64% of respondents reported that they seldom felt stressed at work, seldom had to work overtime, or that work demands interfered [AQ15] with family life. According to the WAI ≥75% of respondents perceived their work ability as sufficient, and they were rather [AQ3] sure that they would still be working 2 years hence. Conclusion: Persons who have returned to [AQ4] work one year after stroke appear to be content with their work situation and work ability. Appreciation at work, well-defined and meaningful work duties and support seem to be important for a sustainable work situation.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Mehdi El Fassi ◽  
Valery Bocquet ◽  
Nicole Majery ◽  
Marie Lise Lair ◽  
Sophie Couffignal ◽  
...  

2010 ◽  
Vol 27 (5) ◽  
pp. 1135-1148 ◽  
Author(s):  
Mei Yong ◽  
Michael Nasterlack ◽  
Rolf-Peter Pluto ◽  
Kathrin Elmerich ◽  
Dorothee Karl ◽  
...  

Author(s):  
Yasmín Ezzatvar ◽  
Joaquín Calatayud ◽  
Lars Louis Andersen ◽  
Edgar Ramos Vieira ◽  
Rubén López-Bueno ◽  
...  

The Work Ability Index (WAI) is a validated and widely used tool in occupational research. However, normative values for physical therapists (PTs) by age and sex are lacking. Although the nature of PTs’ work is physically demanding, it is unknown whether muscular fitness is associated with their WAI. This study sought to provide reference WAI data for Spanish PTs and to evaluate the association between PTs’ muscular fitness and WAI. Data on WAI of 1005 PTs were collected using a questionnaire. A subgroup (n = 68) performed a battery of physical tests including grip strength, push-ups and back-extension endurance. Associations between muscular fitness and WAI were evaluated using logistic regression controlling for various confounders. PTs aged 50 years or older had lower WAI scores than their younger counterparts. PTs with high back-extension endurance scored 3.5 (95% CI) higher in the WAI than those with low endurance. No associations were found between grip strength or number of push-ups and WAI. Our findings seem to highlight the importance of muscular fitness in PTs, especially the back-extension endurance.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mamunur Rashid ◽  
Marina Heiden ◽  
Annika Nilsson ◽  
Marja-Leena Kristofferzon

Abstract Background Impaired work ability and reduced life satisfaction due to long-term musculoskeletal pain, particularly in neck, shoulders and back, are considered occupational health problems that can result in workers taking sick leave. The aim of the study was to determine whether work ability and life satisfaction predict return to work (RTW) among women with long-term neck/shoulder and/or back pain, and to assess the ability of the Work Ability Index (WAI) and the Life Satisfaction Questionnaire (LiSat-11) to discriminate between those who did RTW and those who did not RTW (NRTW). Methods This is a cohort study with 1-year follow-up. A survey was sent to 600 women receiving sick leave benefits from the Swedish Social Insurance Agency. In total, 208 women responded at baseline, and 141 at a 1-year follow-up. To identify whether work ability and life satisfaction predicted RTW, multiple logistic regression analyses were performed with and without adjustment for type of work and pain intensity. To assess the discriminative ability of the WAI and the LiSat-11 for women who did RTW and those who did NRTW, receiver operating characteristic curves were fitted. Results Work ability predicted RTW, and the results remained significant after adjusting for type of work and pain intensity (OR 1.12, 95% CI: 1.04–1.22). Life satisfaction was not significant. The WAI at baseline adequately discriminated between RTW and NRTW after 1 year (Area under curve 0.78, 95% CI: 0.70–0.86), but the LiSat-11 did not. Conclusions This study supports a relationship between work ability and RTW among women on sick leave for long-term neck/shoulder and/or back pain. The results indicate that the WAI, but not the LiSat-11, can discriminate between RTW and NRTW in the population under study. Although the discriminative ability of the WAI needs to be verified in new samples before it can be recommended for use in rehabilitation settings, we suggest that healthcare professionals consider how women perceive their work ability in order to better support them in their RTW.


2012 ◽  
pp. 61-69
Author(s):  
Juhani Ilmarinen

La work ability e l'age management vantano una lunga storia in Finlandia. La ricerca sulla work ability ha preso avvio nei primi anni '80, con l'obiettivo di studiare quanto a lungo le persone sono in grado di lavorare. Poiché i manager rive- stono il ruolo centrale nel determinare i cambiamenti della work ability, all'inizio degli anni '90 č stato introdotto il concetto di age management. I piů recenti sviluppi delle attivitŕ realizzate in Finlandia si sono concentrati sulla realizzazione di indagini nazionali che utilizzano il work ability index e sullo sviluppo di soluzioni di training, coaching e consulenza rivolte alle organizzazioni. I trent'anni di esperienza sulla work ability e i venti sull'age management, che dalla Finlandia si sono estesi a diverse parti del globo, garantiscono oggi una base empirica alla dimostrazione della possibilitŕ di avere una vita lavorativa migliore e piů estesa.


2013 ◽  
Vol 17 (4) ◽  
pp. 382-391 ◽  
Author(s):  
Rosimeire S. Padula ◽  
Maria L. C. Comper ◽  
Suzana A. Moraes ◽  
Catherine Sabbagh ◽  
Wagner Pagliato Junior ◽  
...  

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