title: [Criteria for the reintegration to their jobs of workers with musculoskeletal pathologies of the upper limbs based on preliminary practical experiences].
abstract: The report presents a preliminary study on the return to the workforce of employees with WMSDs of the upper limbs, and their reallocation to jobs with "low exposure". The study, which is still underway, involves a large engineering firm and includes some 100 workers affected by WMSDs. The trial envisages: providing a definition of the criteria for characterising "accommodating" jobs (i.e. frequency of action < or = 20 actions per minute; virtual absence of other risk factors such as force, posture, inadequate pauses, etc.); concretely identifying jobs meeting such criteria (or jobs which, with minimal modifications, could be made suitable); classifying WMSDs workers, according to the type and severity of the disorder; matching WMSDs workers with the jobs best suited to them; specific training for the workers and their supervisors; carrying out a follow-up of the return of WMSDs workers to the workforce in organisational terms (i.e. need for further modifications to equipment or procedures) and clinical terms (i.e. symptom patterns, acceptability of the condition). The preliminary results, 6-12 months after the start of the trial, are extremely encouraging, and show that when workers return to the workforce in jobs that fully meet defined criteria, a significant prevalence of "improvements" are reported among the involved workers. The investigation will need to be extended, but already it shows quite convincingly that it is possible for workers with what can be described as a "reduced working capacity" to remain "productive" (albeit in jobs featuring a lower exposure potential than the acceptable threshold for "healthy" workers).
authors.affiliation: EPM-Unità di Ricerca Ergonomia della Postura e del Movimento, Milano.
authors.forename: D
authors.initials: D
authors.lastname: Colombini
authors.forename: O
authors.initials: O
authors.lastname: Menoni
authors.forename: F
authors.initials: F
authors.lastname: De Marco
authors.forename: M G
authors.initials: MG
authors.lastname: Ricci
authors.forename: R
authors.initials: R
authors.lastname: Bergamasco
authors.forename: V
authors.initials: V
authors.lastname: Grea
authors.forename: C
authors.initials: C
authors.lastname: Girola
authors.forename: E
authors.initials: E
authors.lastname: Occhipinti
mesh_terms: D001132:Arm; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009784:Occupational Diseases / Q000534:rehabilitation*; D016272:Occupational Health; D010559:Personnel Management; D014941:Work Simplification
vernacular_title: Criteri per il reinserimento lavorativo di soggetti portatori di patologie muscolo-scheletriche degli arti superiori sulla base di prime esperienze applicative.