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Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis

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Preparing difficult clients to return to work.

Kelly M Chapman-Day¹, Leonard N Matheson, Dean Schimanski

¹PRORehab. kellymday@hotmail.com

Work (Reading, Mass.)

|December 2, 2011

Summary

This summary is machine-generated.

Symptom magnification syndrome (SMS) did not affect initial return-to-work readiness but significantly impacted long-term employment maintenance. Modified work readiness may require reevaluation for sustained employment outcomes.

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Area of Science:

Occupational medicine
Rehabilitation science
Psychological factors in health

Background:

Symptom magnification syndrome (SMS) is a behavior pattern that can influence patient outcomes in rehabilitation.
Understanding the impact of SMS on return to work is crucial for effective industrial rehabilitation programs.

Purpose of the Study:

To investigate the effect of symptom magnification syndrome (SMS) on industrial rehabilitation outcomes, specifically focusing on return to work and sustained employment.
To determine if the presence of SMS influences an individual's ability to return to and maintain employment after an injury.

Main Methods:

A cohort of 99 clients with active workers' compensation claims was assessed.
The presence of SMS was identified using a standard protocol considering 13 factors.
Functional capacity evaluations (FCEs) were administered following a protocol-driven approach.

Main Results:

Initial readiness for full-time return to work was not statistically different between clients with and without SMS (84% vs. 72%).
At six-month follow-up, a significantly higher percentage of clients without SMS were employed full-time (76%) compared to those with SMS (39%).
None of the clients discharged with readiness for modified work were employed at the six-month follow-up.

Conclusions:

Symptom magnification syndrome (SMS) does not appear to significantly affect immediate work readiness but does impact long-term employment maintenance.
The effectiveness of modified work return as a rehabilitation outcome may need reconsideration.
Further research into strategies to improve sustained employment for individuals with SMS is warranted.