Purchase individual online access for 1 year to this journal.
Price: EUR 250.00
Impact Factor 2018: 0.902
WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal's subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
WORK occasionally publishes thematic issues, but in general, issues cover a wide range of topics such as ergonomic considerations with children, youth and students, the challenges facing an aging workforce, workplace violence, injury management, performing artists, ergonomic product evaluations, and the awareness of the political, cultural, and environmental determinants of health related to work.
Dr. Karen Jacobs, the founding editor, and her editorial board especially encourage the publication of research studies, clinical practice, case study reports, as well as personal narratives and critical reflections of lived work experiences (autoethnographic/autobiographic scholarship),
Sounding Board commentaries and
Speaking of Research articles which provide the foundation for better understanding research to facilitate knowledge dissemination.
Narrative Reflections on Occupational Transitions, a new column, is for persons who have successfully transitioned into, between, or out of occupations to tell their stories in a narrative form. With an internationally renowned editorial board,
WORK maintains high standards in the evaluation and publication of manuscripts. All manuscripts are reviewed expeditiously and published in a timely manner.
WORK prides itself on being an author-friendly journal.
WORK celebrates its 25th anniversary in 2015.
*WORK is affiliated with the Canadian Association of Occupational Therapists (CAOT)* *WORK is endorsed by the International Ergonomics Association (IEA)* *WORK gives out the yearly Cheryl Bennett Best Paper Award*
Abstract: The office ergonomic design from the late 1980’s to the present has undergone significant changes during the transition from typewriters to the various human computer interfaces that evolved to the present day. Designs to accommodate various sized monitors and pointing devices have posed a challenge for ergonomist and designers of office workstations. Recent research suggesting adverse health effects associated with sedentary work environments have put additional pressure to incorporate the option to stand while working. This article reviews the current available options and suggests approaches to workplace design to meet the desire for employees to vary their work environment and…the concern by management for worker health.
Abstract: BACKGROUND: Understanding which factors influence occupational safety and health risks is crucial to promote psychosocial risk management. OBJECTIVE: To assess the main work-related determinants of high exposure to psychosocial risk factors among Portuguese employees in the hospital setting. METHODS: Between May and July 2014, 399 employees of a public hospital completed a structured questionnaire. Psychosocial factors were assessed by the Portuguese medium length version of the Copenhagen Psychosocial Questionnaire. Age and gender adjusted odds ratios (OR) and 95% confidence intervals (95% CI) were computed by logistic regression models. RESULTS: The highest psychosocial risks emerged…in the p ersonality (53.8%), workplace demands (28.1%), and social relationships and leadership (24.4%) categories. Professionals with non-health care roles presented a higher risk in the worker-work interface (OR = 2.60;95% CI:1.02–6.62), that evaluated work insecurity, satisfaction and the work-family interface. Shift workers were exposed to a higher psychosocial risk in workplace demands (OR = 1.79;95% CI:1.10–2.91), personality (OR = 2.45;95% CI:1.36–4.41), and health and well-being (OR = 3.18; 95% CI:1.72–5.66). Non-government employees had a higher risk exposure in personality (OR = 2.20;95% CI:1.15–4.21), and those who were absent from work in personality (OR = 2.62;95% CI:1.41–4.86), and health and wellbeing (OR = 2.34;95% CI:1.27–4.31). CONCLUSIONS: Employees working in the hospital setting are vulnerable to psychosocial risk factors. Identifying those risks contributes to optimize workers' psychosocial health, increasing the effectiveness of the organization.
Abstract: BACKGROUND: Postures while sitting are believed to have an important influence on the process of writing and quality of handwriting, but data in this field are sparse. OBJECTIVES: The current study was undertaken to investigate correlations between ‘ordinary’ children’s handwriting skills and their posture and stability while sitting. METHODS: Twenty-nine children with typical development (age 9.2±0.8 years) underwent the Hebrew Handwriting Evaluation, while the pressure distributions on their seats and backrests were recorded using a pressure mapping system. RESULTS: There was an increase in the odds of erasing and overwriting…letters in dictation tasks when body displacements of the buttocks increased [Odds Ratio (OR) = 1.01, 95% CI 1.000–1.02, p = 0.050]. Children who did not lean on the backrest were more likely to have legible handwriting in copying tasks (OR = 0.136, 95% CI 0.026–0.723, p = 0.019). CONCLUSIONS: The awareness and involvement of health practitioners in sitting postures of children at school might promote activities such as writing. Further investigation of movement patterns while writing and of the correlations of these patterns with handwriting outcomes is recommended. More research regarding adjustments at the school environment for children with developmental disorders is also warranted.
Abstract: BACKGROUND: The serious shortages of nurses are related to increased risk for musculoskeletal disorders during work. The complexity of patient care places nurses at high-risk for injury and high in the list of occupations with risk for work-related musculoskeletal disorders (WMSD). OBJECTIVE: The current study evaluated the association of personal, professional and health factors with the development of WMSD in the nursing staff of hospitals in the capital of Greece. METHODS: The study was conducted online with 394 nurses (age: 37.85±7.48 years (mean±SD), 19.54% male and 80.46% female) using a questionnaire based on the Nordic Musculoskeletal…Questionnaire, and comparatively examined WMSD across nurses. RESULTS: The prevalence of musculoskeletal disorders in general was 98%, with symptoms reported for the waist (85.3%), neck (71.2%) and back (70.7%). The risk for WMSD was higher for specific RN groups: female nurses had higher risk than males (p -value = 0.000 to 0.022), RNs with 11-20 years of work experience (p -value = 0.008) had higher risk than their younger colleagues, RNs that strain their waist, lift loads, etc faced higher risks (p -value = 0.000 to 0.043). Shift work, age and the body mass index also lead to increased risk. CONCLUSIONS: Our study indicated that Greek nurses suffer more frequently from WMSD in comparison to their colleagues internationally and this must alert hospital managers and the Greek National Health System to develop a prevention policy for WMSD in Greek hospitals.
Abstract: BACKGROUND: Due to improvements in breast cancer diagnosis and treatment, the healthcare system faces a growing number of cancer survivors. Breast cancer survivors experience many difficulties when returning to work, including discrimination at work and lack of support by employers and colleagues. OBJECTIVE: To point out the knowledge in literature up to date about return to work (RTW) after breast cancer, the factors influencing it and the interventions to facilitate it. METHODS: A literature search was conducted in January 2017 using the databases Medline (PubMed) and Scopus. Studies were included if they analyzed the problem of…RTW in women treated for breast cancer. RESULTS: Twenty-six articles met the inclusion criteria. The studies were divided into four themes: factors facilitating or impeding RTW; interventions to enhance RTW; lived experiences of RTW; economic aspects related to cancer survivors and RTW. CONCLUSIONS: The heterogeneity of the interventions suggests the need for a better definition of the concept of RTW. To compare interventions, studies should use a rigorous approach and better outcome measures should be identified to evaluate RTW.
Keywords: Occupational medicine, rehabilitation, tertiary prevention, breast cancer
vol. Pre-press, no. Pre-press, pp. 1-14, 2018
Abstract: BACKGROUND: In our digital society, the use of smartphones has increased rapidly. Parallel with the growing use of smartphones, musculoskeletal problems associated with intensive smartphone use have also increased. Neck flexion is the most commonly adopted posture by smartphone users while looking at the visual display terminals of smartphones for extended periods; this posture may lead to neck disorders. OBJECTIVE: The purpose of the current study was to investigate musculoskeletal disorders (MSDs) in smartphone users in Thailand in order to confirm high prevalence of neck pain. The study also aimed to determine all possible factors associated with neck…disorder among smartphone users. METHODS: A cross-sectional survey study was conducted with 779 undergraduate smartphone users. A self-administered questionnaire was used to collect self-report measures of smartphone use and musculoskeletal disorders. Descriptive statistics were used to analyze participant characteristics and the prevalence of musculoskeletal disorders. Logistic regression analysis was used to identify associated factors. RESULTS: The most painful body region after the use of smartphones over a 12-month period was found to be the neck (32.50%). Factors associated with neck disorders were a flexed neck posture (Odds Ratio (OR): = 2.44, 95% Confidence Interval (CI) = 1.21–4.90) and smoking (OR 8.99, 95% CI 1.88–42.87). CONCLUSIONS: The results suggest that to address neck disorders in smartphone users preventive initiatives should focus on reducing flexed neck postures and smoking.
Abstract: BACKGROUND: Pain is affected by pain psychological factors (PPFs), whereas relationship between PPFs and job stress are unclear. OBJECTIVE: This study aimed to elucidate the relationship between PPFs and job stress in workers. METHODS: The study participants were the staff of the rehabilitation department of a core hospital. After undergoing a preliminary survey (38/43, 88% response rate), the rehabilitation workers were divided into the chronic pain group (CPG, n = 18) and the nonpain group (NPG, n = 13). RESULTS: Depression, anxiety, and magnification in the CPG were significantly associated with depressed mood and total stress…response. Anxiety in the NPG was also significantly associated with all stress responses, except irritability and feelings of anxiety. Furthermore, all subscales of the Pain Catastrophizing Scale in the NPG were significantly and negatively associated with the vigor of stress responses. CONCLUSIONS: Chronic pain in workers was associated with severe job stress, and increased job stress worsened the state of chronic pain. Pain catastrophizing may be associated with early job stress in a person with no pain. This finding revealed a difference between the CPG and NPG and may be important for managing workers with job stress or pain.
Keywords: Catastrophization, chronic pain, depression, medical staff, mental health
vol. Pre-press, no. Pre-press, pp. 1-9, 2018
Abstract: BACKGROUND: Low back pain (LBP) is a common health problem with high reoccurrence rate. As patients with LBP are often found to be proprioception impaired, new proprioception exercises should be explored. Whole body vibration (WBV) has been proven to improve muscle function and proprioception. OBJECTIVE: The aim of this study was to determine the effects of WBV on spinal proprioception when WBV was administered in standing and seated postures. METHODS: Twenty healthy male individuals (mean age: 23.2±1.2 years) were recruited and randomly assigned to two WBV groups: WBV in standing or WBV in seated posture. Their…body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination during dynamic motion in flexion and extension were assessed before, immediately after, 30 minutes after and 1 hour after 5 minutes of WBV (18 Hz, 6 mm amplitude) exposure. A Mixed ANOVA was used to analyze the effects of group and time factors on these four outcome measures. RESULTS: There were no significant interaction (group and time) and group effects on all outcome measures. Participants were found to have significant different time effect on body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination. CONCLUSIONS: WBV could significantly improve spinal proprioception including body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination in healthy individuals. WBV protocol is recommended to confirm its clinical application for improving spinal proprioception and its effects on patients with LBP is warranted.
Keywords: Body posture, proprioception, lumbar spine, low back pain
vol. Pre-press, no. Pre-press, pp. 1-9, 2018
Abstract: BACKGROUND: Allied health professions (AHP) students are subject to critical levels of study-related stressors including mental health symptoms (MHS) and musculoskeletal pain. Few studies recruited AHP students of multiple academic majors simultaneously. OBJECTIVES: This study investigated and compared the prevalence of MHS severity and their associated factors among students of nine AHP majors. METHODS: A cross-sectional design was used with a sample of nine AHP academic majors (n = 838). Participants completed a validated self-administered questionnaire that included demographics and life style, the Depression Anxiety Stress Scale (DASS 21), and the Nordic Musculoskeletal Questionnaire. MHS scores were…statistically compared between males and females and between majors. A general linear model (GLM) multivariate procedure was used to assess the statistical associations between MHS and their correlates. RESULTS: Mild to extremely severe MHS levels were found in 62.2% of the participants for depression, 65.3% for anxiety, and 54.2% for stress. Compared to males, females showed significantly higher levels of stress (p < 0.01) and depression (p = 0.018). MHS were statistically associated with gender, physical health, diet quality, study difficulty, satisfaction with academic major, academic major and musculoskeletal pain. University GPA demonstrated negative significant correlations with MHS. CONCLUSIONS: MHS in AHP students are prevalent and should be accounted for by AHP educators. More studies are encouraged to assess actual mechanisms causing MHS among AHP students, and effective treatment programs are needed.
Keywords: Academic stress, occupational health, musculoskeletal pain, medical education
vol. Pre-press, no. Pre-press, pp. 1-11, 2018