Note: [] Address for correspondence: Kelly M. Chapman-Day, 2624 Ambridge
Dr., Shiloh, IL 62221, USA. Tel.: +1 618 581 3977; E-mail: kellymday@hotmail.com
Abstract: Objective: Investigate the effect of the symptom magnification
syndrome (SMS) behavior pattern on industrial rehabilitation on return to work
and maintenance at work. Participants: A sample of 99 clients with active
workers' compensation claims was studied; 25 identified as having SMS. Methods: A protocol-driven functional capacity evaluation (FCE) was
administered and the presence of SMS was determined from a standard protocol
that considered 13 factors. Results: Upon conclusion of intervention, 80
of the 99 clients were classified as ready to return to full-time usual and
customary employment. The readiness for full-time return to work among those
who did not have SMS (84%) was not statistically different from those with
the syndrome (72%). Six months after discharge, follow-up work status data
were obtained for 63 clients. Among those that did not display SMS, 76%
continued to work full time, while 39% of those initially identified as SMS
were working, a statistically significant difference. Conclusions: SMS had no significant bearing on work readiness, but appears to impact maintenance
of employment. The value of return to work on a modified basis may need to be
reconsidered, because none of the clients who had been discharged ready for
modified work were employed at the six-month follow-up.
