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Work-related outcome assessment instruments

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Abstract

Prevention of work disability is a primary goal within treatment of spinal disorders. Work-related outcome measures therefore are essential indices within evidence-based medicine. So far many measures suffer, however, from standardized measurement, standardized terminology, and a lack of theoretical background. This review addresses traditional indicators like work status and sickness absence, and discusses more theory-bound concepts, i.e. work ability, occupational risk factors for recurrence of symptoms and re-injury, work-related attitudes that may become obstacles to recovery, and individual reactions to occupational stressors that increase the risk of maintenance and recurrence of symptoms. The review includes methodological and theoretical considerations and recommendations for the use of work-related outcome measures in future outcome research.

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References

  1. Allebeck P, Mastekaasa A (2004) Risk factors for sick leave—general studies. Scand J Public Health 32:49–108

    Article  Google Scholar 

  2. Amick BC III, Lerner D, Rogers WH, Rooney T, Katz JN (2000) A review of health-related work outcome measures and their uses, and recommended measures. Spine 25:3152–3160

    Article  PubMed  Google Scholar 

  3. Ariëns GAM, van Mechelen W, Bongers PM, Bouter LM, van der Wal G (2001) Psychosocial risk factors for neck pain: a systematic review. Am J Ind Med 39:180–194

    Article  PubMed  Google Scholar 

  4. Aronsson G, Gustafsson K, Dallner M (2000) Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health 54:502–509

    Article  PubMed  CAS  Google Scholar 

  5. Atlas SJ, Wasiak R, van den Ancker M, Webster B, Pransky G (2004) Primary care involvement and outcomes of care in patients with a workers’ compensation claim for back pain. Spine 29:1041–1048

    Article  PubMed  Google Scholar 

  6. Badura B, Schellschmidt H, Vetter C (eds) (2005) Fehlzeiten-Report 2005 Arbeitsplatzunsicherheit und Gesundheit Zahlen, Daten, Analysen aus allen Branchen der Wirtschaft. Springer, Berlin Heidelberg New York

  7. Beaton DE, Bombardier C, Guillemin F et al (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25:3186–3191

    Article  PubMed  CAS  Google Scholar 

  8. Bergner M, Bobbitt RA, Carter WB et al (1981) The Sickness Impact Profile: development and final revision of a health status measure. Med Care 19:787–805

    Article  PubMed  CAS  Google Scholar 

  9. Bongers PM, de Winter CR, Kompier MAJ, Hildebrandt VH (1993) Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 19:297–312

    PubMed  CAS  Google Scholar 

  10. Borg K (2003) Sickness absence with musculoskeletal diagnoses—an eleven-year follow-up of young persons. PhD Thesis, Linkoping University, Sweden

  11. Brage S, Nygard JF, Tellnes G (1998) The gender gap in musculoskeletal-related long-term sickness absence in Norway. Scand J Soc Med 26:34–43

    PubMed  CAS  Google Scholar 

  12. Bruggemann A (1974) Zur Unterscheidung verschiedener Formen von “Arbeitszufriedenheit” [Different forms of job satisfaction]. Arbeit und Leistung 28:281–284

    Google Scholar 

  13. Buchbinder R, Jolley D (2005) Effects of a media campaign on back beliefs is sustained 3 years after its cessation. Spine 30:1323–1330

    Article  PubMed  Google Scholar 

  14. Buchbinder R, Jolley D, Wyatt M (2001) 2001 Volvo award winner in clinical studies: effects of a media campaign on back pain beliefs and its potential influence on management of low back pain in general practice. Spine 26:2535–2542

    Article  PubMed  CAS  Google Scholar 

  15. Burton AK, Main CJ (2000) Obstacles to recovery from work-related musculoskeletal disorders. In: Karwowski W (ed) International encyclopedia of ergonomics and human factors. Taylor & Francis, London, pp 1542–1544

    Google Scholar 

  16. Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW (2004) The association of medical conditions and presenteeism. J Occup Environ Med Suppl 46:S38–S45

    Article  Google Scholar 

  17. Büssing A (1992) A dynamic view of job satisfaction in psychiatric nurses in Germany. Work Stress 6:239–259

    Article  Google Scholar 

  18. Cardol M, de Haan RJ, de Jong BA, van den Bos GAM, de Groot IJM (2001) Psychometric properties of the impact on participation and autonomy questionnaire. Arch Phys Med Rehabil 82:210–216

    Article  PubMed  CAS  Google Scholar 

  19. Ciccone DS, Just N (2001) Pain expectancy and work disability in patients with acute and chronic pain: a test of the fear avoidance hypothesis. J Pain 2:181–194

    Article  PubMed  CAS  Google Scholar 

  20. Cole DC, Mondloch MV, Hogg-Johnson S, Early Claimant Cohort Prognostic Modelling Group (2002) Listening to injured workers: how recovery expectations predict outcomes—a prospective study. CMAJ 166:749–754

    PubMed  Google Scholar 

  21. Cox T, Randall R, Griffiths A (2002) Interventions to control stress at work in hospital staff. CRR 435. HSE Books, Sudbury

    Google Scholar 

  22. Dasinger L, Krause N, Deegan L et al (1999) Duration of work disability after low back injury: a comparison of administrative and self-reported outcomes. Am J Ind Med 35:619–631

    Article  PubMed  CAS  Google Scholar 

  23. Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B et al (1998) Outcome measures for low back pain research. A proposal for standardized use. Spine 23:2003–2013

    Article  PubMed  CAS  Google Scholar 

  24. Dionne CE, Bourbonnais R, Fremont P, Rossignol M, Stock SR, Larocque I (2005) A clinical return-to-work rule for patients with back pain. CMAJ 172:1559–1567

    PubMed  Google Scholar 

  25. Dionne CE, von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H (1999) A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 24:2339–2345

    Article  PubMed  CAS  Google Scholar 

  26. Durand M-J, Loisel P et al (2002) Helping clinicians in work disability prevention: the work disability diagnosis interview. J Occup Rehabil 12:191–204

    Article  PubMed  Google Scholar 

  27. Elders LA, van der Beek AJ, Burdorf A (2000) Return to work after sickness absence due to back disorders—a systematic review on intervention strategies. Int Arch Occup Environ Health 73:339–348

    Article  PubMed  CAS  Google Scholar 

  28. Elfering A, Grebner S, Semmer NK, Gerber H (2002) Time control, catecholamines, and back pain among young nurses. Scand J Work Environ Health 28:386–393

    PubMed  CAS  Google Scholar 

  29. Elfering A, Semmer NK, Schade V, Grund S, Boos N (2002) Supportive colleague, unsupportive supervisor: the role of provider-specific constellations of social support at work in the development of low back pain. J Occup Health Psychol 7:130–140

    Article  PubMed  Google Scholar 

  30. Evanoff B, Abedin S, Grayson D, Dale AM, Wolf L, Bohr P (2002) Is disability underreported following work injury? J Occup Rehabil 12:139–150

    Article  PubMed  Google Scholar 

  31. Feuerstein M, Nicholas RA, Huang GD, Haufler AJ, Pransky G, Robertson M (2005) Workstyle: development of a measure of response to work in those with upper extremity pain. J Occup Rehabil 15:87–104

    Article  PubMed  Google Scholar 

  32. Fitzgerald TE (1997) Psychosocial aspects of work-related musculoskeletal disability. In: Quick JC, Murphy LR, Hurrell JJ (eds) Stress & well-being at work, 3rd edn. APA, Washington, pp 117–133

    Google Scholar 

  33. Frankenhaeuser M (1991) The psychophysiology of workload, stress, and health: comparison between the sexes. Ann Behav Med 13:197–204

    Google Scholar 

  34. Frese M, Zapf D (1994) Action as the core of work psychology: a German approach. In: Dunnette MD, Hough LM, Triandis HC (eds) Handbook of industrial and organizational psychology, vol. 4. Consulting Psychologists Press, Palo Alto, pp 271–340

  35. Göbel H (2001) Epidemiologie und Kosten chronischer Schmerzen. Spezifische und unspezifische Rückenschmerzen. Schmerz 15:92–98

    Article  PubMed  Google Scholar 

  36. Grotle M, Brox JI, Vollestad NK (2004) Functional status and disability questionnaires: what do they assess? Spine 30:130–140

    Google Scholar 

  37. Hagberg M, Tornqvist EW, Toomingas A (2002) Self-reported reduced productivity due to musculoskeletal symptoms: associations with workplace and individual factors among white-collar computer users. J Occup Rehabil 12:151–162

    Article  PubMed  Google Scholar 

  38. Hägg GM (1991) Static work loads and occupational myalgia—a new explanation model. In: Anderson PA, Hobart DJ, Danhoff JV (eds) Elektromyographical kinesiology. Elsevier, Amsterdam, pp 141–144

    Google Scholar 

  39. Hansson T, Jensen I (2004) Swedish council on technology assessment in health care (SBU). Chapter 6. sickness absence due to back and neck disorders. Scand J Public Health Suppl 63:109–151

    Article  PubMed  Google Scholar 

  40. Hensing G (2004) Swedish council on technology assessment in health care (SBU). Chapter 4. Methodological aspects in sickness-absence research. Scand J Public Health Suppl 63:44–48

    Article  PubMed  Google Scholar 

  41. Hensing G, Alexanderson K, Allebeck P, Bjurulf P (1998) How to measure sickness absence? Literature review and suggestion of five basic measures. Scand J Soc Med 26:133–144

    PubMed  CAS  Google Scholar 

  42. Hildebrandt J, Pfingsten M, Franz C, Deeger D, Saur P (1996) Das Göttinger Rücken Intensiv Programm (GRIP). Teil 4 Prognostik und Fazit. Schmerz 11:30–41

    Google Scholar 

  43. Høgelund J (2001) Work incapacity and reintegration: a literature review. In: Bloch FS, Prins R (eds) Who returns to work and why? A six country study on work incapacity and reintegration. Transaction Publishers, New Jersey, pp 27–54

    Google Scholar 

  44. Høgelund J, Holm A (2004) Case management interviews and the return to work of disabled employees. Report 2004-24 from the Centre for Applied Microeconomics. http://www.econ.ku.dk/CAM/

  45. Holm I, Friis A, Storheim K, Brox JI (2003) Measuring self-reported functional status and pain in patients with chronic low back pain by postal questionnaires: a reliability study. Spine 28:828–833

    Article  PubMed  Google Scholar 

  46. Hoogendoorn WE, van Poppel MNM, Bongers PM, Koes BW, Bouter LM (2000) Psychosocial factors at work and in the personal situation as risk for back pain. Spine 25:2114–2125

    Article  PubMed  CAS  Google Scholar 

  47. Huang GD, Feuerstein M, Sauter SL (2002) Occupational stress and work-related upper extremity disorders: concepts and models. Am J Ind Med 41:298–314

    Article  PubMed  Google Scholar 

  48. Ilmarinen J (2004) Preface. In: Ilmarinen J, Lehtinen S (eds) Past, present and future of work ability. People and work—research reports 65. National Institute of Occupational Health, Helsinki, pp 3–4

  49. Jackel WH, Beyer WF, Droste U, Engel JM, Genth E, Kohlmann T et al (2001) Outcome measurement in musculoskeletal diseases: recommendation for a core set of scales for use in rehabilitation. Z Rheumatol 60:342–351

    Article  PubMed  CAS  Google Scholar 

  50. Keel P, Calanchini C (1989) Chronic backache in migrant workers from Mediterranean countries in comparison to central European patients: demographic and psychosocial aspects. Schweiz Med Wochenschr 119:22–31

    PubMed  CAS  Google Scholar 

  51. Kendall NAS, Linton SJ, Main CJ (1997) Guide to assessing psychosocial yellow flags in acute low back pain: risk factors for long term disability and work loss. Accident Rehabilitation and Compensation Insurance Corporation of New Zealand and the National Health Committee, Wellington

    Google Scholar 

  52. Kohlmann T (2003) Die Chronifizierung von Rückenschmerzen: Ergebnisse eines internationalen WHO-Workshops. Bundesgesundheitsblatt 46:327–335

    Article  Google Scholar 

  53. Kopec JA, Esdaile JM (1998) Occupational role performance in persons with back pain. Disabil Rehabil 20:373–379

    Article  PubMed  CAS  Google Scholar 

  54. Kuhnt O (2005) Die kognitive Leistungsfähigkeit bei chronischem Lumbalsyndrom. Dissertation Universität Giessen. http://geb.uni-giessen.de/geb/volltexte/2005/2187/pdf/KuhntOliver-2005-05-17.pdf

  55. Kushnir T, Luria O (2002) Supervisors’ attitudes toward return to work after myocardial infarction or coronary artery bypass graft. J Occup Environ Med 44:331–337

    Article  PubMed  Google Scholar 

  56. Leino P, Hänninen V (1995) Psychosocial factors at work in relation to back and limb disorders. Scand J Work Environ Health 21:134–142

    PubMed  CAS  Google Scholar 

  57. Linton SJ (ed) (2002) New avenues for the prevention of chronic musculoskeletal pain and disability. Elsevier, Amsterdam, pp 165–179

  58. Linton SJ (2000) A review of psychological risk factors in back and neck pain. Spine 25:1148–1156

    Article  PubMed  CAS  Google Scholar 

  59. Linton SJ, Vlaeyen J, Ostelo R (2002) The back pain beliefs of health care providers: are we fear-avoidant? J Occup Rehabil 12:223–232

    Article  PubMed  Google Scholar 

  60. Lundberg U (2003) Is lack of recovery of work more important for health than stress during work? Identity and diversity in organizations—building bridges in Europe, 11th European congress on work and organizational psychology, vol. 14, Lisbon, 17 May 2003

  61. Marhold C, Linton SJ, Melin L (2002) Identification of obstacles for chronic pain patients to return to work: evaluation of a questionnaire. J Occup Rehabil 12:65–75

    Article  PubMed  Google Scholar 

  62. Marras WS, Davis KG, Heaney CA, Maronitis AB, Allread WG (2000) The influence of psychosocial stress, gender, and personality on mechanical loading of the lumbar spine. Spine 25:3045–3054

    Article  PubMed  CAS  Google Scholar 

  63. Mein G, Martikainen P, Stansfeld SA, Brunner EJ, Fuhrer R, Marmot MG (2000) Predictors of early retirement in British civil servants. Age Ageing 29:529–536

    Article  PubMed  CAS  Google Scholar 

  64. Melin B, Lundberg U (1997) A biopsychosocial approach to work–stress and musculoskeletal disorders. J Psychophysiol 11:238–247

    Google Scholar 

  65. Mittag O, Raspe H (2003) A brief scale for measuring subjective prognosis of gainful employment: findings of a study of 4279 statutory pension insurees concerning reliability (Guttman scaling) and validity of the scale. Rehabilitation 42:169–174

    Article  PubMed  CAS  Google Scholar 

  66. Mondloch MV, Cole DC, Frank JW (2001) Does how you do depend on how you think you’ll do? A systematic review of the evidence for a relation between patients’ recovery expectations and health outcomes. CMAJ 165:174–179

    PubMed  CAS  Google Scholar 

  67. Müller A, Mohr G, Rigotti T (2004) Differenzielle Aspekte psychischer Beanspruchung aus Sicht der Zielorientierung: Die Faktorstruktur der Irritations-Skala [Differential aspects of psychological strain with respect to goal orientation: The factor-structure of the irritation scale]. Z Diff Diag Psychol 25:213–227

    Google Scholar 

  68. Müller U, Roeder C, Dubs L, Duetz MS, Greenough CG (2004) Condition-specific outcome measures for low back pain. Part II: Scale construction. Eur Spine J 13:314–324

    PubMed  Google Scholar 

  69. Nachemson AL, Jonsson E (2000) (eds) Neck and back pain. The scientific evidence for causes, diagnostics, and treatment. Lippincott Williams & Wilkins, Philadelphia

  70. Neubauer E, Pirron P, Junge A, Seemann H, Schiltenwolf M (2005) What questions are appropriate for predicting the risk of chronification in patients suffering from acute low back pain? Z Orthop Ihre Grenzgeb 143:299–301

    Article  PubMed  CAS  Google Scholar 

  71. Nordin M (2001) 2000 International society for the study of the lumbar spine presidential address. Spine 26:251–259

    Article  Google Scholar 

  72. Nordin M, Hiebert R, Pietrek M, Alexander M, Crane M, Lewis S (2002) Association of comorbidity and outcome in episodes of nonspecific low back pain in occupational populations. J Occup Environ Med 44:677–684

    Article  PubMed  Google Scholar 

  73. Nordqvist C, Holmqvist C, Alexanderson K (2003) Views of laypersons on the role employers play in return to work when sick-listed. J Occup Rehabil 13:11–20

    Article  PubMed  Google Scholar 

  74. Pfingsten M, Kroner-Herwig B, Leibing E et al (2000) Validation of the German version of the fear-avoidance beliefs questionnaire (FABQ). Eur J Pain 4:259–266

    Article  PubMed  CAS  Google Scholar 

  75. Pincus T, Burton AK, Vogel S, Field AP (2002) A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine 27:E109–E120

    Article  PubMed  Google Scholar 

  76. Pole, JD, Franche R-L, Hogg-Johnson S, Krause N, Vidmar M (2005) Duration of work disability: a comparison of self-report and administrative data. Institute for Work and Health, California, Working paper #266

    Google Scholar 

  77. Pransky GS, Dempsey PG (2004) Practical aspects of functional capacity evaluations. J Occup Rehabil 14:217–229

    Article  PubMed  Google Scholar 

  78. Rasker JJ (1995) Rheumatology in general practice. Br J Gen Pract 34:494–497

    CAS  Google Scholar 

  79. Rödel A, Siegrist J, Hessel A, Brähler E (2004) Fragebogen zur Messung beruflicher Gratifikationskrisen: Psychometrische Testung en einer repräsentativen deutschen Stichprobe [Psychometric test of the questionnaire measuring effort-reward imbalance at work in a representative German sample]. Z Diff Diag Psychol 25:227–238

    Google Scholar 

  80. Roland M, Morris R (1983) A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low-back pain. Spine 8:141–144

    Article  PubMed  CAS  Google Scholar 

  81. Rugulies R, Krause N (2005) Job strain, iso-strain, and the incidence of low back and neck injuries. A 7.5-year prospective study of San Francisco transit operators. Soc Sci Med 61:27–39

    Article  PubMed  Google Scholar 

  82. Santos-Eggimann B, Wietlisbach V, Rickenbach M, Paccaud F, Gutzwiler F (2000) One-year prevalence of low back pain in two Swiss regions. Spine 25:2473–2479

    Article  PubMed  CAS  Google Scholar 

  83. Schade V, Semmer NK, Main CJ, Hora J, Boos N (1999) The impact of clinical, morphological, psychosocial and work-related factors on the outcome of lumbar discectomy. Pain 80:239–249

    Article  PubMed  CAS  Google Scholar 

  84. Semmer NK (2003) Individual differences, work stress and health. In: Schabracq MJJ, Winnubst AM, Cooper CL (eds) Handbook of work and health psychology, 2nd edn. Wiley, Chichester, UK, pp 83–120

    Google Scholar 

  85. Semmer NK, Grebner S, Elfering A (2004) Beyond self-report: using observational, physiological, and event-based measures in research on occupational stress. In: Perrewé PL, Ganster DC (eds) Emotional and physiological processes and positive intervention strategies. Research in occupational stress and well-being, vol 3. JAI, Amsterdam, pp 205–263

  86. Semmer NK, Grebner S, Jacobshagen N (2005) Diagnostik von Stress und Belastung. In: Petermann F, Eid M (eds) Handbuch psychologischer Diagnostik, vol. 84. Hogrefe, Göttingen (in press)

  87. Semmer NK, Udris I (2004) Bedeutung und Wirkung von Arbeit (The meaning and the effects of work). In: Schuler H (ed) Lehrbuch Organisationspsychologie. Huber, Bern, pp 157–194

    Google Scholar 

  88. Semmer NK, Zapf D, Dunckel H (1995) Assessing stress at work: a framework and an instrument. In: Svane O, Johansen C (eds) Work and health—scientific basis of progress in the working environment. Office for Official Publications of the European Communities, Luxembourg, pp 105–113

  89. Severens J, Mulder J, Laheij R, Verbeek A (2000) Precision and accuracy in measuring absence from work as a basis for calculating productivity costs in The Netherlands. Soc Sci Med 51:243–249

    Article  PubMed  CAS  Google Scholar 

  90. Shaw WS, Robertson MM, Pransky G, McLellan RK (2003) Employee perspectives on the role of supervisors to prevent workplace disability after injuries. J Occup Rehabil 13:129–142

    Article  PubMed  Google Scholar 

  91. Shimizu T, Nagashima S, Mizou T, Nagata S (2003) A mental health care program and sickness absence in a Japanese manufacturing plant. J Occup Health 45:234–237

    Article  PubMed  Google Scholar 

  92. Sicherheit und Gesundheit bei der Arbeit. Bericht der Bundesregierung 2003. Bundesministerium für Wirtschaft und Arbeit. http://de.osha.eu.int/statistics/statistiken/bericht_zum_stand_von_sicherheit_und_gesundheit_bei_der_arbeit/suga_2003.php

  93. Sjogaard G, Lundberg U, Kadefors R (2000) The role of muscle activity and mental load in the development of pain and degenerative processes at the muscle cell level during computer work. Eur J Appl Physiol 83:99–105

    Article  PubMed  CAS  Google Scholar 

  94. Sluiter JK, de Croon EM, Meijman TF, Frings-Dresen MHW (2003) Need for recovery from work related fatigue and its role in the development and prediction of subjective health complaints. Occup Environ Med 60:62–70

    Article  Google Scholar 

  95. Sluiter JK, Frings-Dresen MHW, Meijman TF, van der Beek A (2000) Reactivity and recovery from different types of work measured by catecholamines and cortisol: a systematic literature overview. Occup Environ Med 57:298–315

    Article  PubMed  CAS  Google Scholar 

  96. Smith BH, Elliott AM, Hannaford PC, Chambers WA, Smith WC (2004) Factors related to the onset and persistence of chronic back pain in the community: results from a general population follow-up study. Spine 29:1032–1040

    Article  PubMed  Google Scholar 

  97. Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T (2005) The risk of getting worse after lumbar microdiscectomy. Eur Spine J 14:49–54

    Article  PubMed  Google Scholar 

  98. Sonnentag S (2003) Recovery, work engagement, and proactive behavior: a new look at the interface between nonwork and work. J Appl Psychol 88:518–528

    Article  PubMed  Google Scholar 

  99. Staerkle R, Mannion A, Elfering A, Junge A, Semmer NK, Jacobshagen N, Grob D, Dvorak J, Boos N (2004) Longitudinal validation of the fear-avoidance beliefs questionnaire (FABQ) in a Swiss–German sample of low back pain. Eur Spine J 13:332–340

    Article  PubMed  Google Scholar 

  100. Stansfeld SA, North FM, White I, Marmot MG (1995) Work characteristics and psychiatric disorder in civil servants in London. J Epidemiol Community Health 49:48–53

    Article  PubMed  CAS  Google Scholar 

  101. Strunin L, Boden LI (2000) Paths of reentry: employment experiences of injured workers. Am J Ind Med 38:373–384

    Article  PubMed  CAS  Google Scholar 

  102. Sudman S, Bradburn N, Schwartz N (1996) Thinking about answers: the application of cognitive processes to survey methodology. Jossey–Bass, San Francisco

    Google Scholar 

  103. Svensson T, Karlsson A, Alexanderson K, Nordqvist C (2003) Shame-inducing encounters. Negative emotional aspects of sickness–absentees’ interactions with rehabilitation professionals. J Occup Rehabil 13:183–195

    Article  PubMed  Google Scholar 

  104. Thiehoff R (2002) Economic significance of work disability caused by musculoskeletal disorders. Orthopade 31:949–956

    Article  PubMed  CAS  Google Scholar 

  105. Veiersted KB (1994) Sustained muscle tension as a risk factor for trapezius myalgia. Int J Ind Ergon 14:333–339

    Article  Google Scholar 

  106. Waddell G (2005) Subgroups within nonspecific low back pain. J Rheumatol 32:395–396

    PubMed  Google Scholar 

  107. Waddell G (1998) The back pain revolution. Churchill Livingstone, Edinburgh

    Google Scholar 

  108. Waddell G, Burton AK (2005) Concepts of rehabilitation for the management of low back pain. Baillieres Clin Rheumatol 19:655–670

    Article  Google Scholar 

  109. Waddell G, Burton AK (2001) Occupational health guidelines for the management of low back pain at work: evidence review. Occup Med 51:124–135

    Article  CAS  Google Scholar 

  110. Waddell G, Burton AK, Main CJ (2003) Screening to identify people at risk of long-term incapacity for work. A conceptual and scientific review. Royal Society of Medicine Press, London

    Google Scholar 

  111. Waddell G, Newton M, Henderson I et al (1993) A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 52:157–168

    Article  PubMed  CAS  Google Scholar 

  112. Waddell G, Waddell H (2000) A review of social influences on neck and back pain and disability. In: Nachemson A, Jonsson E (eds) Neck and back pain: the scientific evidence of causes, diagnosis and treatment. Lippincott Williams & Wilkins, Philadelphia, pp 13–55

    Google Scholar 

  113. Werner A, Steihaug S, Malterud K (2003) Encountering the continuing challenges for women with chronic pain: recovery through recognition. Qual Health Res 13:491–509

    Article  PubMed  Google Scholar 

  114. WHO (2001) The international classification of functioning, disability and health—ICF. WHO, Geneva

    Google Scholar 

  115. WIDO Wissenschaftliches Institut der AOK Krankmeldungen weiter rückläufig. http://www.aok-bv.de/imperia/md/content/aokbundesverband/dokumente/pdf/presse/pi_wido_krankmeldungen_170603.pdf

  116. Zimmermann M (2004) Chronic pain. Epidemiology and management in Germany. Orthopade 33:508–514

    Article  PubMed  CAS  Google Scholar 

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    Achim Elfering

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Elfering, A. Work-related outcome assessment instruments. Eur Spine J 15 (Suppl 1), S32–S43 (2006). https://doi.org/10.1007/s00586-005-1047-7

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