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Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A
Louise Agnew1, Venerina Johnston, Maria Landén Ludvigsson
1Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Objective:
To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III.
Design:
Cross-sectional analysis.
Patients:
A total of 166 working age patients with chronic whiplash-associated disorder.
Methods:
A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability.
Results:
The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2 = 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress.
Conclusion:
Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.
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