[Disabled workers with motor impairments: data from an occupational health service].
BACKGROUND
Mediclen is an occupational health service in charge of following-up 36,736 workers (divided among 1770 companies) in 3 cities of an area near Paris. The employment rate of disabled people among the French population is not well known (rough estimate 4.4%), and few studies have reported on the situation of workers with a motor impairment.


METHODS
The recent computerization of medical records allowed us to identify 195 workers considered disabled by the French administration (i.e. 0.55% of the 36,736 workers followed up in 2002). Among these, 26 had a motor impairment.


RESULTS
Twenty-one neurological disabilities were central and 5 were peripheral or neuromuscular. The workers were 44-years-old. Only two workers had a severe handicap. Companies had to adapt workstations for half of the workers, with the advice of neurologists (7 of 10 advice given) and once a physical medicine doctor.


CONCLUSIONS
The integration of people with motor impairments into the world of work is rare and difficult. This practical experience showed the difficulties people with motor impairment face. Close collaboration of physical medicine services with occupational health services is necessary to improve the integration of this population into the world of work.
Schnitzler
A
A
Service de médecine physique et de réadaptation, CHU Raymond-Poincaré, Garches, France.
D'Apolito
A C
AC
Roche
N
N
Genêt
F
F
Ameille
J
J
Azouvi
P
P
D000328:Adult; D006233:Persons with Disabilities; D004651:Employment; D006804:Ergonomics; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D019957:Motor Skills Disorders / Q000534:rehabilitation*; D016272:Occupational Health