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- Scope of the Problem
-
1. Current thinking in back pain management - introduction
- Ms. Anna Hlavsova MSc, MCSP, HPC
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2. Genetic epidemiology of low back pain and intervertebral disc degeneration
- Dr. Frances Williams
- Biomechanics, Spinal Surgery and Research Methods
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3. The biomechanics of back pain: what we know so far
- Prof. Michael Adams
-
4. Low back pain: a composite of interacting systems?
- Prof. Alison McGregor
-
5. What does physiotherapy teach us about back pain?
- Ms. Josephine O'Callaghan
-
6. How we currently measure back pain
- Prof. Rob Froud
-
7. Back pain: are we measuring the right things?
- Prof. Rob Froud
- Chronic Pain and Current Challenges
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8. The psychosocial flags framework: overcoming obstacles to work
- Prof. Kim Burton
- Current Therapies and Treatments
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9. Psychological treatment for people with musculoskeletal pain 1
- Prof. Tamar Pincus
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10. Psychological treatment for people with musculoskeletal pain 2
- Prof. Tamar Pincus
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11. Current thinking in pain medicine and some thoughts on back pain
- Dr. Nick Hacking
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12. Combined physical and psychological programmes plus alternative therapies for back pain
- Ms. Anna Hlavsova MSc, MCSP, HPC
Printable Handouts
Navigable Slide Index
- Introduction
- Work is what defines us
- Traditional occupational health paradigm
- Safety vs. Health - conflicting paradigms
- The work-health double act
- Uncomfortable tension: clinic-work interface
- Work - Health
- Report overview
- Focus: common health problems
- Properties of common health problems
- Range of manifestations
- Prevailing paradox
- CHP epidemiology - the key to understanding
- The elephant in the room
- Work-relevant symptoms
- What is a health outcome?
- Work is an important health outcome
- Diminishing returns
- The slide to disaster
- The challenge: shifting the recovery curve
- Vocational rehabilitation
- Integrated approach
- Why do some people become disabled?
- Biopsychosocial model of disability
- The obstacles model
- Tackling musculoskeletal problems
- Important flags to identify - person
- Important flags to identify - workplace
- Important flags to identify - context
- Identification of flags
- Identifying flags: Useful stem questions
- Work ability screening
- Work ability question
- Andy’s predicament
- Plan & action: smarter management
- Plan & action: communication
- The role of healthcare
- Observational study: what patients want
- Observational study: what docs did
- Words that do harm
- Delivering therapy
- Over servicing
- Stepped approach
- Common beliefs
- Common myths
- Dispelling myths and shifting the culture
- Who is involved in RTW
- Fit note
- The line manager’s predicament
- What should be on our fit notes
- The nature of workplace accommodation
- Whither healthcare?
- Shifting the culture
- Thank you
Topics Covered
- Back pain: symptoms of episodic patterns
- Various ways of coping with back pain
- The determinants of disability (psychosocial vs. injury)
- Psychosocial factors as obstacles to work participation
- The key to help: Evidence-informed Psychosocial Flags Framework
Talk Citation
Burton, K. (2015, July 30). The psychosocial flags framework: overcoming obstacles to work [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 5, 2024, from https://doi.org/10.69645/YHMR9886.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Kim Burton has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Hi.
My name's Kim Burton and I'm a
freelance occupational health
researcher doing some work with
the University of Huddersfield.
I've been asked to talk
about the psychosocial flags
framework with a focus on
overcoming obstacles to work.
Now, I'm fully aware that this
series is about back pain,
but I'm not going to talk
about back pain specifically.
I think probably at some
point, I will mention it,
but I'm focusing on the world of
work, not the world of back pain.
0:34
Work is what defines us.
It's what we do.
It's the second question
you ask somebody in the pub.
What's your name?
What do you do?
0:45
There's an interface
between work and health.
And the traditional
occupational health paradigm
sees work as something that can
produce some sort of trauma which
will lead to injury or disease.
So the concept is that work is
hazardous, it affects the worker,
and will do harm.
The focus is all on a causal
relationship between work
and the outcome, which
is injury or disease.
It's a totally reasonable concept
and it applies to lots of things,
but it doesn't explain
everything that we see.
1:24
Safety versus health has
conflicting paradigms.
We've got a health and
safety executive which tries
to combine the two things together.
The idea is that if we can
reduce the risks of work,
we're going to prevent the harm.
And that's a lovely paradigm.
And it works for things
like safety, such as falls
from height and the such like.
And it's a paradigm that also
works for occupational disease
where you've got a clear cause and
effect relationship, for instance,
exposure to hazardous substances.
However, the paradigm does
not work for a lot of other
important work-related conditions.
And actually, it impedes
our understanding
of this health and work interface.
And that's quite a
lot of what I'm going
to talk about over the next while.