ORIGINAL PAPER
An assessment of work ability after the completion of rehabilitation as part of disability pension prevention of the Social Insurance Institution among people with chronic musculoskeletal diseases
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1
Uniwersytet Rzeszowski / University of Rzeszow, Rzeszów, Poland
(Wydział Medyczny, Instytut Fizjoterapii / Faculty of Medicine, Institute of Physiotherapy)
2
Kliniczny Szpital Wojewódzki nr 2 im. św. Jadwigi Królowej w Rzeszowie / Saint Queen Jadwiga’s Regional Clinical Hospital No. 2
in Rzeszow, Rzeszów, Poland
(Oddział Rehabilitacji z Pododdziałem Wczesnej Rehabilitacji Neurologicznej / Department of Rehabilitation with the Sub-Department
of Early Neurological Rehabilitation)
3
Uniwersytet Rzeszowski / University of Rzeszow, Rzeszów, Poland
(Wydział Medyczny, Przyrodniczo-Medyczne Centrum Badań Innowacyjnych / Faculty of Medicine, Centre for Innovative Research
in Medical and Natural Science)
4
Kliniczny Szpital Wojewódzki nr 2 im. św. Jadwigi Królowej w Rzeszowie / Saint Queen Jadwiga’s Regional Clinical Hospital No. 2
in Rzeszow, Rzeszów, Poland
(Kliniczna Pracownia Fizjoterapii / Clinical Laboratory of Physiotherapy)
Online publication date: 2019-07-09
Corresponding author
Grzegorz Przysada
Kliniczny Szpital Wojewódzki nr 2 im. św. Jadwigi
Królowej w Rzeszowie, Oddział Rehabilitacji z Pododdziałem Wczesnej Rehabilitacji Neurologicznej, ul. Lwowska 60,
35-301 Rzeszów
Med Pr Work Health Saf. 2019;70(4):459-73
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ABSTRACT
Background: The increasing number of people receiving benefits due to incapacity for work is a heavy burden for the state budget.
In order to reduce the scale of this phenomenon, the Social Insurance Institution (ZUS) carries out a rehabilitation program as
part of disability pension prevention. Material and Methods: The study was based on the analysis of medical documentation of
607 patients rehabilitated at the Saint Queen Jadwiga’s Regional Clinical Hospital No. 2 in Rzeszow, as part of the ZUS prevention
of disability pension program in 2011−2013. Medical documentation included the medical history and results of the Functional Test
recommended by ZUS. Two years after the completion of rehabilitation, a telephone check was conducted among 118 rehabilitated
patients to assess their occupational status. Results: The analysis of the Functional Test documentation showed that in all groups of wykorzystująpatients
included in the rehabilitation program, as well as those among whom the control was carried out, the majority were people
with post-exercise pain, full physical fitness, slight mobility limitation, full efficiency in everyday activities, correct strength of muscles
and moving abilities, as well as normal psychosocial efficiency. The vast majority of them received a recommendation regarding
work in a properly-adjusted position. It was shown that in the 2-year observation period, the percentage of professionally active people
increased from 56% to 61.02%. Conclusions: The most important factors determining the return to work include psychosocial
efficiency and the level of pain. Med Pr. 2019;70(4):459–73