Objective: To describe sickness absence in patients with arm, neck and/or shoulder complaints and to evaluate determinants of sickness absence during 6 months follow-up. Methods: A prospective cohort study in physical therapy practice with follow-up measurements at 3 and 6 months. The main outcome measure was the occurrence of sickness absence due to arm, neck and shoulder complaints during 6 months follow-up. Determinants were tested in univariate and multivariate GEE (Generalized Estimating Equations) analysis. Results: At baseline 161 patients (33%) reported absence from work. The multivariate analysis showed that self-reported work-relatedness of complaints, previous musculoskeletal trauma, higher severity of complaints at baseline, more somatization and low decision authority at work were associated with sickness absence during the follow-up period. Conclusion: In physical therapy practice, social and psychological factors (at work) influence the occurrence of sickness absence in patients with arm, neck and/or shoulder complaints. These factors can be taken into account when developing and evaluating interventions to reduce sickness absence among these patients.

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doi.org/10.1016/j.math.2010.04.001, hdl.handle.net/1765/20793
Manual Therapy
Erasmus MC: University Medical Center Rotterdam

Karels, C.H, Bierma-Zeinstra, S.M, Verhagen, A.P, Koes, B.W, & Burdorf, A. (2010). Sickness absence in patients with arm, neck and shoulder complaints presenting in physical therapy practice: 6 months follow-up. Manual Therapy, 15(5), 476–481. doi:10.1016/j.math.2010.04.001