L. Trowitzsch

Paracelsus-Harz-Klinik Bad Suderode

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D. Herbold

Paracelsus-Harz-Klinik Bad Suderode

Claus Jacobi

Paracelsus-Harz-Klinik Bad Suderode

Matthias Bethge

University of Tübingen

Barbara Cavalcanti de Albuquerque Rust

BIRGIT-CHRISTIANE LEINEWEBER

K Spyra

Charité - Universitätsmedizin Berlin

Bernhard A. Koch

Universität Innsbruck

S Yaldai

Heinrich Heine University Düsseldorf

Cooperative Institutions

Paracelsus-Harz-Klinik Bad Suderode

Charité - Universitätsmedizin Berlin

Freie Universität Berlin

Humboldt-Universität zu Berlin

Berlin Institute of Health at Charité - Universitätsmedizin Berlin

Federal Institute for Occupational Safety and Health

Universität Innsbruck

Deutsche Rentenversicherung Bund

Austrian Academy of Sciences

St. Vincenz-Krankenhaus Limburg

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Erfahrungsbericht über das Bad Gandersheimer Modell zur Komplexrehabilitation - Aufbau eines südniedersächsischen Kompetenznetzwerks für die Verzahnung der medizinischen und beruflichen Rehabilitation bei Patienten mit chronischem Rückenschmerz

Die Rehabilitation (2000)

L. Trowitzsch Barbara Cavalcanti de Albuquerque Rust

Bernhard Jagoda, Präsident der Bundesanstalt für Arbeit, schloss seinen Festvortrag zum 40-jährigen Bestehen des Berufsförderungswerkes Düren mit einem Zitat des ehemaligen Bundespräsidenten Richard von Weizsäcker: „Nicht behindert zu sein, ist ein Geschenk, das dir jederzeit genommen werden kann.” Dass es aber z. B. auch nach einer Erblindung oder starken Sehbehinderung eine sinnvolle Lebens- und Arbeitsperspektive gibt, davon konnten sich die rund 400 Festgäste überzeugen, die der Einladung des BFW gefolgt waren - durch die wohlgesetzten Worte während des Festaktes im Winkelsaal von Schloss Burgau und nachher bei der Besichtigung der Einrichtung und der dort gebotenen Aus- und Weiterbildungsmöglichkeiten für rund 200 Rehabilitanden.

10.1055/s-2000-7859

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Disability Management of Orthopaedic Disorders

Routledge eBooks (2016)

L. Trowitzsch D. Herbold Bernhard A. Koch BIRGIT-CHRISTIANE LEINEWEBER

The aim of the pilot project was to provide all those involved employees, employers, occupational physicians, family doctors, specialists, health insurance and pension-fund insurers with a network of medical, psychological, social and occupational professionals to survey performance-challenged employees and to make recommendations for a professional disability management program. The disability management model developed in the 1990s in Canada and Australia after the establishment of the National Institutes of Disability Management and Research (NIDMAR), is finding growing acceptance worldwide. An essential element was a multidisciplinary assessment of the illness/injury/disability using specialist orthopaedics, internal medicine, occupational and social medicine and sports medicine, with an objective demonstration of reduced capacity and function according to the bio-psychosocial criteria of the International Classification of Functioning, Disability and Health (ICF). The FCE test was accompanied by a self-assessment of physical ability, using the spinal function sort-performance assessment and capacity testing (PACT) developed by the Swiss Working Group for Rehabilitation.

10.4324/9781315577395-14

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Return to work following a multimodal work hardening: A cluster randomised trial

Das Gesundheitswesen (2010)

Matthias Bethge K Spyra D. Herbold L. Trowitzsch Claus Jacobi

Background: Systematic reviews have confirmed the effectiveness of work-related rehabilitation programmes with significant cognitive-behavioural components for patients with musculoskeletal disorders. However, in Germany work-related rehabilitation for patients with musculoskeletal disorders is mainly focussed on evaluating functional capacity and on enhancing it by appropriate modules of exercise therapy while psychosocial work demands have been less considered in the rehabilitation process so far. The aim of our study was the efficacy evaluation of a multimodal work hardening following a cognitive-behavioural approach. Methods: Participants were patients with musculoskeletal disorders and substantial work-related problems that were allocated to an inpatient rehabilitation centre. Included patients were randomised in groups either to a multimodal work hardening or to a common orthopaedic rehabilitation (cluster randomisation). Primary outcome was return to work. Analyses were based on data obtained 6 and 12 months after treatment. Results: 236 (86.8%) patients consented to participate. Response rates after 6 and 12 months were 71.6% (n=169) and 61.9% (n=146). After 6 months participants of the intervention group had a 2.4fold (OR=2.363; 95% CI: 1.266 to 4.410; p=0.007) higher chance of return to work, after 12 months the chance of return to work was 1.9fold (OR=1,914; 95% CI: 0.849 to 4.317; p=0.118) higher than for the control group. Furthermore, participants of the multimodal work hardening reported less depression and anxiety, better mental and physically health-related quality of life and better pain management. Conclusions: Results of the trial confirmed that an intensified work-related programme with a well-defined multimodal structure is able to enhance the chances of return to work for patients with substantial work-related problems.

10.1055/s-0030-1266664

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Work status and health-related quality of life following multimodal work hardening: A cluster randomised trial

Journal of Back and Musculoskeletal Rehabilitation (2011)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Background: Systematic reviews have confirmed the effectiveness of work-related rehabilitation with significant cognitive-behavioural components for patients with musculoskeletal disorders (MSDs). In Germany, however, work-related rehabilitation focu

10.3233/bmr-2011-0290

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Citations (60)

[Changes in subjective health in sports participating and sedentary patients after 4-week treatment in a rehabilitation clinic].

PubMed (1995)

S Yaldai L. Trowitzsch

Presented are selected findings of a study of 62 patients who had participated in a four-week inpatient treatment programme in a health-resort rehabilitation clinic due to complaints of the locomotor organs. The patients' physical and general complaints showed statistically significant reductions in the course of this programme participation. Similar effects were stated as well for the majority of the scales pertaining to subjective health. A correlation between physical activity and subjective wellbeing, or physical complaints, respectively, has not been stated for all of the subjective health-related scales and complaints items. The improvements achieved can be considered proof of the effectiveness of the clinic's overall therapeutic concept as well as of the social relief afforded by the rehabilitation clinic setting.

Physical health

Health resort

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Berufliche Teilhabe durch multimodale medizinisch-beruflich orientierte Rehabilitation

Public Health Forum (2011)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Einleitung Seit den 90er Jahren haben in der orthopädischen Rehabilitation Angebote mit einem stärkeren Arbeits- und Berufsbezug an Bedeutung gewonnen. Der Beitrag stellt eines dieser Programme vor, fasst die vorliegende Evidenz zusammen und skizziert die Erfolgsfaktoren für eine wirksame Umsetzung medizinisch-beruflich orientierter Rehabilitation.

10.1016/j.phf.2011.10.002

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Berufliche Wiedereingliederung nach einer medizinisch-beruflich orientierten orthopädischen Rehabilitation: Eine clusterrandomisierte Studie

Die Rehabilitation (2010)

Matthias Bethge D. Herbold L. Trowitzsch Claus Jacobi

Hintergrund: Seit den 1990er Jahren haben in der orthopädischen Rehabilitation stärker berufsorientierte Programme an Bedeutung gewonnen. Allerdings konzentrierte sich die orthopädische Rehabilitation hierzulande zunächst auf eine verbesserte Diagnostik körperlich funktioneller Leistungsfähigkeit und die Entwicklung daraufhin abgestimmter trainingstherapeutischer Module, während psychosoziale Arbeitsbelastungen im Rehabilitationsprozess bislang weniger berücksichtigt wurden.

Depression

10.1055/s-0029-1246143

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Citations (18)