Peculiarities of Changes in the Occupational Restriction of Patients with Orthopedic Disorders in the Cervical, Upper Limb or Belt During Outpatient Physical Therapy Program Depending on a Psychotype
Keywords:
musculoskeletal system, musculoskeletal disorders, damage, recovery, physical rehabilitation, therapeutic exercises, functioningAbstract
Objective of the Study is to determine specificities of work limitation dynamic among the patients with cervical, upper extremity or waistband musculoskeletal disorders grouped by their psychotypes within the outpatient physical therapy program. Methods. The Work Limitations Questionnaire (WLQ) was used in the research. Patients were grouped by the types of attitude to the disease. The study involved 58 patients who completed a standard course of physical therapy during the years 2013–2015. The study was conducted at «FESCO» Medical Center (Bila Tserkva, Ukraine). Results. The obtained data confirmed the impact of the type of attitude to the disease on all indicators of work limitations according to the WLQ, except for the «Physical Demands» scale. The study confirmed the existence of greater work limitations amongst the patients with irrational psychotypes. The biggest difference between the groups was observed on the «time management» scale. All questionnaire scales had significant improvements during a standard physical therapy course in both groups. The most significant absolute quantitative changes in the groups were observed on the «physical demands» and «time Management» scales. The largest absolute difference between the groups was observed on the «physical demands» and «mental-interpersonal demands» scales. Conclusions. After grouping the patients by the type of attitude to the disease, a number of significant differences in the indicators of work limitations were observed. The indicators of dynamics during physical therapy in the group of patients with a rational attitude to the disease had a number of statistical advantages, but in general all the scales and index indicators had better dynamics. Therefore, the established statistical differences in the results of the groups persisted and became somewhat larger, and significant difference was obtained on the «physical requirements» scale when comparing the final results. These results are important for working out an individualized physical therapy program according to the type of attitude to the disease, improving dynamic of work limitation indicators, and probably the quality of life.
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