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Measures of physical and cognitive function and work status among individuals with multiple sclerosis: a review of the literature.

The purpose of this review was to critically evaluate the multiple sclerosis (MS) literature that has examined physical and cognitive function in relation to ability to work. Although numerous factors may be considered when determining work ability, physical and/or cognitive functional limitations associated with MS are presumably the primary determinants of work capacity. An exhaustive search of the literature produced 20 research articles that described 18 studies. Findings from these studies support that limitations in physical or cognitive function can hinder one's ability to work; however, ability to work could not be based solely on these measures of function. Work ability among individuals extended beyond measures of impairment to include level of education, job characteristics, and disease symptoms such as fatigue. In summary, measures of physical and cognitive function can guide physicians when clinically evaluating an individual with MS, but are poor indicators for precluding an individual from working.

Cognition↗

[Physical work capacity of the patient with myocardial infarction submitted to intensive rehabilitative training (author's transl)].

The Authors have examined two homogeneous groups of patients with myocardial infarction; one underwent (61 patient) to a rehabilitating training, the other underwent (42 patient) to a domiciliary physical program. Patients have been considered by means of bicycle ergometer test at 2, 4, 12 and 24 months from myocardial infarction. They have been taken into consideration clinical and Ecg factors and also, as an index of physical work capacity was considered the complete work developed, the VO2 max/Kg per min., the product B.P. x H. R. and the pulse O2. The average value of parameters have been statistically compared by means of the t of Student, analysis of variation x2, and the test of Kolmogorov-Smirnov; moreover the correlation with linear coefficient has been studied. Afterwards the many-varied discriminating analysis and the test F di Snedelor have been carried out just for the index of functionality. From the statistical analysis of the data considered it results an increase of the functional capacity and its maintenance long after in the group that underwent to the rehabilitating training. However, two years after, this increase of capacity did not result greater than that obtained, in the same period of time, by the group of patients who underwent to a domiciliary physical rehabilitating program. These considerations point out the necessity of keeping physical exercise indefinitely or at least of repeating it periodically. In that event they suggest the right time to programme further cycles of training.

Adult↗

[Performance capacity of elderly workers--internal and external influencing factors].

Internal and external factors affecting ability and performance of older employees are being analyzed in a short literature review. Internal factors like physical capacity, sensory capacity, cognitive abilities and general health are reduced with ageing; their effect on performance, however, depends upon the specific constellation of abilities needed in work tasks and roles. Accumulating experience and work motivation compensate for decreases in most cases or even enable better performance than in younger age groups. High labour costs and negative age stereotypes continue to dismissals, refusal of training and discrimination in the labour market.

Aged↗

Static ergonomic strength testing in evaluating occupational back pain.

Quantitatively describing work limitation due to occupational back pain is difficult. Static ergonomic strength testing (SEST) was employed as part of a multidisciplinary evaluation program for occupational back pain, providing a quantitative description of lift ability in several positions. Comparison of intrasubject with intersubject variation confirmed that SEST did truly measure a personal characteristic. The expected degree of intrasubject variability is independent of the degree of impairment and provides a guide for detecting inadequate subject efforts. The technique allows worker-specific work restriction limitations to be recommended.

Back Pain↗

Working ability of 76 patients with ankylosing spondylitis.

The working ability of 76 patients with ankylosing spondylitis (AS) diagnosed between 1952 and 1959 was investigated. After 25 years of AS, 48% of the patients were still able to work at their original occupation and only 30% were unable to work at all. 17% of the patients had had to change their occupation and 5% had retired because of age. This finding does not differ from those reported in earlier studies.

Adult↗

[Skin diseases and working disability in the Netherlands. II. Catamnestic study in 3 groups of patients with occupational contact eczema].

A follow-up study was performed of the medical and social condition of 164 patients with an occupational allergic contact dermatitis. A change of work did not always lead to an improvement of the dermatitis. A number of patients improved without changing their job. It is suggested that a change of occupation can only be advised to these patients if the causal allergen can be avoided completely by doing so and only by doing so; at the same time one must reckon with other aetiologic factors and the social situation after change of work. Moreover it is pointed out that patients who changed their occupation did hardly use the possibilities, created by the Dutch law, to obtain expert advice or to be retrained for another job at the expense of the community.

Adolescent↗

[Synopsis of procedures used in the evaluation of the physically handicapped and work demands].

The selection of workplaces for disabled people requires the matching of their abilities with the requirements of potential workplaces. Such a comparison may occur in particular by directly contrasting abilities and job demands, for instance by profile comparison. Abilities are thereby described in terms of job demands and recorded in standardized items. In a synopsis of 13 existing job/person evaluation techniques it was to be ascertained which items are used for assessment of abilities and job demands and how detailed the various sections of abilities and job demands are recorded. For reasons of perspicuity the items used in the various techniques were grouped in 10 different sections. It turned out that the sections "work environment" and "movements of parts of the body" were in general emphasized most. Finally, the different sections are emphasized and subdivided differently in the various techniques, according to their scope (such as employment agencies, personnel planning, job design) and their range of applicability (to one company/different companies, to different branches of industry, etc.). The criteria of universality, completeness and acceptance are discussed in terms of devising an assessment technique.

Disability Evaluation↗