Your browser doesn't support javascript.
loading
Multidisciplinary programme for rehabilitation of chronic low back pain - factors predicting successful return to work.
Leung, Gabriel Ching Ngai; Cheung, Prudence Wing Hang; Lau, Gareth; Lau, Sin Ting; Luk, Keith Dip Kei; Wong, Yat Wa; Cheung, Kenneth Man Chee; Koljonen, Paul Aarne; Cheung, Jason Pui Yin.
Afiliación
  • Leung GCN; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Cheung PWH; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Lau G; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Lau ST; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Luk KDK; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Wong YW; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Cheung KMC; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Koljonen PA; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
  • Cheung JPY; Department of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China. cheungjp@hku.hk.
BMC Musculoskelet Disord ; 22(1): 251, 2021 Mar 06.
Article en En | MEDLINE | ID: mdl-33676471
BACKGROUND: There are no clear indicators for predicting return to work for patients with chronic low back pain (LBP). We aim to report the outcomes of a 14-week multidisciplinary programme targeting patients with chronic LBP who failed conventional physiotherapy to provide functional rehabilitation. Also, this study will identify factors predicting successful return to work (RTW). METHODS: A collected cohort of patients with chronic LBP was consecutively enrolled into the programme from 1996 to 2014. All recruited patients failed to RTW despite at least 3 months of conservative treatment. Patient underwent weekly multidisciplinary sessions with physiotherapists, occupational therapists and clinical psychologists. Patient perceived function was considered the primary outcome of the programme. Patients were assessed for their sitting, standing and walking tolerance. Oswestry Disability Index (ODI) and Spinal Function Sort Score (SFSS) were used to assess patient perceived disability. RESULTS: One hundred and fifty-eight patients were recruited. After the programme, statistically significant improvement was found in ODI (47.5 to 45.0, p = 0.01) and SFSS (98.0 to 109.5, p <  0.001). There was statistically significant improvement (p <  0.01) in sitting, standing, walking tolerance and straight leg raise tests. 47.4% of the patients were able to meet their work demand. Multivariate logistic regression model (R2 = 59.5%, χ2 (9) = 85.640, p <  0.001) demonstrated that lower initial job demand level and higher patient-perceived back function correlated with greater likelihood of returning to work. CONCLUSION: The results of this study may support the use of this multidisciplinary programme to improve patient function and return to work.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido