Preditores de retorno ao trabalho em trabalhadores afastados por distúrbios musculoesqueléticos: uma revisão narrativa

Felipe Seiti Sekiya; João Silvestre da Silva Júnior

doi:10.23925/1984-4840.2023v25a1

Authors

Felipe Seiti Sekiya Universidade de São Paulo. Faculdade de Medicina
João Silvestre da Silva Júnior Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.23925/1984-4840.2023v25a1

Keywords:

Musculoskeletal Diseases, Return to Work, Prognosis

Abstract

The Return to Work (RTW) is often a source of labor and social security disputes, mainly due to the difficulty in assessing work disability. Considering that Musculoskeletal Disorders (MSDs) are the leading cause of disability in Brazil and worldwide, understanding the predictors of RTW enables us to foresee potential conflicts and devise more effective strategies to reintegrate workers who have been absent due to these disorders. Therefore, the present study aims to identify predictors of RTW in workers on sick leave due to MSDs based on recent scientific publications. To achieve this, a review of articles published in MEDLINE between 2017 and 2022 was conducted, following the PICO strategy and the PRISMA flowchart. Nine original articles were included, and the predictors were categorized into four domains: Sociodemographic, Clinical, Psychosocial, and Occupational. The results obtained revealed that the RTW process is influenced by multiple individual and social factors, highlighting that multidisciplinary rehabilitation programs hold greater potential for facilitating return compared to isolated approaches. Considering that work sites and organization also play a role in musculoskeletal health, workplace interventions are crucial not only to enhance the chances of return but also to prevent further absences.

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Author Biographies

Felipe Seiti Sekiya, Universidade de São Paulo. Faculdade de Medicina

Occupational Medicine Resident at University of São Paulo Medical School.

João Silvestre da Silva Júnior, Faculdade de Medicina da Universidade de São Paulo

Occupational Physician; PhD and Master in Public Health, with enfasis in Occupational Health. Professor of Occupational Medicine at University of São Paulo Medical School (Faculdade de Medicina da Universidade de São Paulo)(Brazil); and at Department of Medicine from São Camilo University Center (Centro Universitário São Camilo) (Brazil).

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