Listening to injured workers: how recovery expectations predict outcomes--a prospective study

Cole, Donald C.; Mondloch, Michael V.; Hogg-Johnson, Sheilah
March 2002
CMAJ: Canadian Medical Association Journal;3/19/2002, Vol. 166 Issue 6, p749
Academic Journal
Background Rigorous evidence on factors affecting the prognosis of work-related soft-tissue injuries remains limited. Although shown to be important for a wide variety of clinical conditions, recovery expectations have rarely been assessed as prognostic factors for workers with soft-tissue injuries. We examined the predictive role of various measures of recovery expectations among workers with injuries resulting in time off work. Methods We identified a prospective cohort of 1566 injured workers shortly after they filed a claim for their injury with the Ontario Workers' Compensation Board (OWCB). They had soft-tissue injuries to the back or upper or lower extremities, had new, lost-time claims from May to November 1993 and were still off work at the time of the first interview. We interviewed participants by telephone within 3 weeks after the injury and measured their recovery expectations (perceptions regarding progress, expected change in condition, expected time until return to usual activities and expectations regarding return to usual job) along with other, potentially important prognostic factors. The primary outcome was total time receiving 100% wage-replacement benefits during the year following injury, obtained from OWCB administrative files. Self-reported measures of pain, health-related quality of life and functional status, obtained up to 4 times during the year following injury, were both independent predictors and secondary outcomes. Results The 4 measures of recovery expectations together explained one-sixth of the variation in time receiving benefits. All but expectations regarding return to usual job were individually predictive of time receiving benefits. Judging one's recovery as much better than expected resulted in a 30% (95% confidence interval [CI] 9%-46%) faster rate of stopping receiving benefits (and likely returning to work) compared with judging one's recovery as much worse than expected. Similarly, participants who expected to...


Related Articles

  • Reimplantation of a Totally Extruded Talus. Apostle, K. L.; Umran, T.; Penner, M. J. // Journal of Bone & Joint Surgery, American Volume;7/7/2010, Vol. 92-A Issue 7, p1661 

    A case study is presented of a 39-year-old man who suffered a traumatic total talar extrusion injury without fracture following a motor vehicle collision. The talus injury was treated with reimplantation and Kirschner wire fixation. Five years after the injury, the patient was evaluated for...

  • Genetic risk factors for soft-tissue injuries 101: a practical summary to help clinicians understand the role of genetics and 'personalised medicine'. Collins, M. // British Journal of Sports Medicine;Oct2010, Vol. 44 Issue 13, p915 

    The author reflects on the genetic risk factors for soft tissue injuries. He presents a summary to help clinicians understand the role of genetics and personalized medicine in acute and chronic sports- and occupational-related musculoskeletal soft-tissue injuries, including the conditions in...

  • OÅ TEĆENJA VRATNE KRALJEŽNICE KAO OZLJEDA NA RADU.  // Sigurnost;2011, Vol. 53 Issue 1, p75 

    No abstract available.

  • Pellegrini-Stieda Syndrome: Report Of Two Cases. Akinkunmi, Michael Akinpelu N.; Vijayvargiya, Subhash; Prakash, Chandra; Kayode, Michael; Awosanya, Gbolahan Olusegun G. // Internet Journal of Radiology;2010, Vol. 12 Issue 2, p1 

    We report two cases of Pellegrini-Stieda Syndrome (PSS) following trauma to the knee. One of the two cases had computed tomography (CT) scan and magnetic resonance imaging (MRI), in addition to the x-ray examinations of the knee. We suggest further imaging evaluation of soft tissue...

  • Cervical Prevertebral Soft Tissue Swelling in the Traumatized Patient: What is Normality in the Intubated Patient? Mascio, Livio; Sivaraman, Algapan // European Journal of Trauma & Emergency Surgery;Apr2009, Vol. 35 Issue 2, p165 

    Interpretation of prevertebral soft tissue swelling is generally thought to be invalid in the presence of an endotracheal tube (ETT). There is however little scientific data to support this. We evaluate the prevertebral soft tissue swelling of 43 traumatized patients that have had an...

  • Modular Use of External Fixation Configurations for Treatment of Complex and Severely Injured Limbs. Lerner, Alexander; Hörer, Dory; Merom, Lior; Stein, Haim // European Journal of Trauma;Apr2003, Vol. 29 Issue 2, p108 

    Treatment of modern, traumatic, high-energy injuries requires rapid answers to different kinds of problems that may emerge when using external fixation systems: excessive soft tissue transfixation, insufficient reduction or stabilization of the bone fragments, and connection between different...

  • Soft Tissue: Infection and Reconstruction. Barker, John; Marzi, Ingo // European Journal of Trauma & Emergency Surgery;Jun2008, Vol. 34 Issue 3, p217 

    The article discusses various reports published within the issue including one about the surgical treatment of necrotizing faciitis in the perineum and abdominal wall and another on the procedures and options for reconstructing soft tissue defects of the lower leg and the foot.

  • Abstracts. Thompson, Clint // Journal of Athletic Training (National Athletic Trainers' Associ;Apr-Jun98, Vol. 33 Issue 2, p179 

    Presents an abstract of an article entitled `Soft Tissue Restraints to Lateral Patellar Translation in the Human Knee,' by S.M. Desio, R.T. Burks and K.N. Bachus, printed in the 1998 issue of the `American Journal of Sports Medicine.'

  • Analysis of Soft Tissue Injuries and Scarring Following Terrorist Bomb Explosion at the American Embassy in Nairobi, Kenya. Adungo, J. I.; Mutispo, V. M.; Ngugi, M.; Khainga, S.; Muoki, A.; Kimeu, M. // East & Central African Journal of Surgery;Nov/Dec2014, Vol. 19 Issue 3, p85 

    Background: This retrospective observational descriptive study was aimed at determining the pattern of soft tissue injuries and subsequent scars that followed the American Embassy Terrorist Bomb Explosion in Nairobi. Methods: The study was undertaken at Kenyatta National Teaching and Referral...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics