Back to work - a two-year outcome of a multidisciplinary rehabilitation programme focused on physical function and pain

被引:11
|
作者
Sjostrom, Rita [1 ]
Alricsson, Marie [2 ]
Asplund, Ragnar [3 ,4 ]
Nordenmark, Mikael [2 ]
机构
[1] Famtland Cty Council, Stromsund Hlth Ctr, SE-83334 Stromsund, Sweden
[2] Mid Sweden Univ, Dept Hlth Sci, Ostersund, Sweden
[3] Karolinska Inst, Ctr Family Med, Huddinge, Sweden
[4] Famtland Cty Council, Res & Dev Unit, Ostersund, Sweden
关键词
Body complaints; disability; musculoskeletal disorders; occupational rehabilitation; pain; return to work; sick leave; VISUAL ANALOG SCALE; MUSCULOSKELETAL DISORDERS; RATING-SCALES; DISABILITY;
D O I
10.1080/09638280801923540
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose. To analyze why some responded positively to rehabilitation and why some did not. Method. Sixty participants with musculoskeletal disorders, mainly neck and back pain participated in a 7-week rehabilitation programme which was based on a combination of theoretical and practical education and physical activities. Before and after the programme and 6, 12 and 24 months after completion of the programme all participants were evaluated with the Disability Rating Index (DRI) and Pain Intensity Rating on a Visual analogue scale (VAS). Results. In the participants who had full-time sick leave from the start of the programme to the 2-year follow-up (Group I) self-experienced physical disability and pain ratings were high and showed no decrease and were maintained up until the 2-year follow-up. For the participants who had part-time sick leave or no sick leave (Group II) physical disability and pain ratings were initially lower than in Group I and decreased gradually, (p0.01) and (p0.05), respectively throughout the 2-year follow-up period. Conclusion. Participants in Group I did not benefit from the rehabilitation programme and did not show improvement in their physical disability and pain rating. Group II showed decreased physical disability and pain rating. The decrease was gradual and was maintained up until the 2-year follow-up period. These results may indicate that persons with musculoskeletal pain with severe disability and pain require other rehabilitation programmes than those with moderate symptoms. This research has highlighted the need for development of such programmes.
引用
收藏
页码:237 / 242
页数:6
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