Skip to Main content Skip to Navigation
Theses

Interaction entre les parcours de soins et les parcours professionnels des lombalgiques. : Rôle de la coordination des acteurs de soins et de la prévention.

Abstract : Low back pain is a major public and occupational health issue in industrialized countries. Chronic low back pain and resulting disability are potential sources of impaired quality of life, breaking career and even socio-professional exclusion. The first part of this work places the issue of the back intervertebral disc disease related to work and its social recognition.The low back pain chronicity and the social and professional restriction of participation are part of a dynamic model involving factors related to the individual, to the prevention and care system, to work, and to the financial compensation system. The need for integration of all these elements for medical care, prevention and medical and occupational surveillance of low back pain workers is developed through the presentation of recommendations for good practice. Recommendations for pre-return-to-work medical examination especially emphasize the benefit of coordinating medical, social and occupational actors for the return to / retention at work and the fight against occupational exclusion of low back pain workers. Finally, the offered to low back pain workers strategies which have shown their effectiveness in reducing the duration of sick leave combine an intensive physical rehabilitation, a cognitive-behavioral approach, a workplace intervention and the coordination of return to work actors. However, the implementation of these complex interventions has a great number of limitations.
Document type :
Theses
Complete list of metadata

https://tel.archives-ouvertes.fr/tel-03230912
Contributor : Abes Star :  Contact Connect in order to contact the contributor
Submitted on : Thursday, May 20, 2021 - 11:56:08 AM
Last modification on : Tuesday, August 24, 2021 - 8:12:38 AM
Long-term archiving on: : Saturday, August 21, 2021 - 6:30:08 PM

File

PETIT.pdf
Version validated by the jury (STAR)

Identifiers

  • HAL Id : tel-03230912, version 1

Citation

Audrey Petit. Interaction entre les parcours de soins et les parcours professionnels des lombalgiques. : Rôle de la coordination des acteurs de soins et de la prévention.. Médecine humaine et pathologie. Université d'Angers, 2015. Français. ⟨NNT : 2015ANGE0092⟩. ⟨tel-03230912⟩

Share

Metrics

Record views

94

Files downloads

164