{
  "abstract": "Objective Multiple sclerosis (MS) is a neurodegenerative disease that affects young people and can have an impact on their socio-professional life. The aim of our study was to evaluate work capacity in workers with MS .Material and Methods Bicentric cross-sectional study including patients with MS followed up at the neurology consultations during the period of one year . Work ability was assessed using the Work Ability Index (WAI) questionnaire.Results We included 146 patients with a mean age of 39.9±9.6 years and a gender-ratio (M/F) of 0,52. The WAI assessment was poor in 40.6% of cases, resulting in mean absenteeism of 127 days over the previous 12 months (p=10-3). Impairment of work capacity was associated with personal psychiatric history (p=10-3) , professional seniority of more than 17 years (p=0,006), , exposure to chemical neurotoxins (p=0,023), occupational constraints of accessibility to the company (p=10-3), prolonged walking (p=0,002), manual precision (p=0,016) and cognitive constraints (p=0,005). Work disability were also associated with the secondary progressive form (p=0,019) and the cognitive (p=10-3), motor (p=0,008) and bladder-sphincter (p=0,01) clinical signs. In multivariate analysis, the factors associated with work incapacity were cognitive l signs (OR=10,184; p=0,002), high days absence (OR=1,007; p=0,003), taking medication for comorbidities (OR=6,968; p=0,002), company accessibility constraints (OR=4,850; p=0,040) and high EDSS score (OR=1,786; p=0,002).Conclusion According to our study, a close collaboration between the neurologist, occupational physician and employer is essential to remain patients with multiple sclerosis in work.",
  "authors": [
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Wiem Wiem"
    },
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Najla Mechergui Samia Ben Sassi"
    },
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Saloua Fray"
    },
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Mariem Mersni"
    },
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Ghada Bahri"
    },
    {
      "affiliations": [
        "Occupational Medicine Department Charles Nicolle Hospital, Tunis, Tunisia. Neurology Department, National Neurology Institute, Tunis, Tunisia. Neurology Department , Charles Nicolle Hospital, Tunis, Tunisia"
      ],
      "name": "Nizar Ladhari"
    }
  ],
  "title": "8264382 Assessment of work capacity in workers with multiple sclerosis",
  "uid": "4a11f37d-bf2b-5075-ac1a-7bf5014058c2"
}