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Conference Paper: Over 20-years of experience of a multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful re-integration and return to work

TitleOver 20-years of experience of a multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful re-integration and return to work
Authors
Issue Date2018
PublisherThe Hong Kong Orthopaedic Association.
Citation
38th Annual Congress of the Hong Kong Orthopaedic Association (HKOA 38), Hong Kong, 3-4 November 2018 How to Cite?
AbstractIntroduction: Low back pain (LBP) is highly disabling with significant health cost worldwide and in Hong Kong. Since 1996, we have adopted a 14-week intensive multidisciplinary programme targeting patients with chronic LBP, providing functional rehabilitation aiming at re-integration back to the society. This study aims to review its outcomes, as well as to identify factors predicting successful return to work. Methodology: This is an assessment of a prospectively collected cohort of chronic LBP patients consecutively enrolled into the programme from 1996–2014. Rigorous pre-admission assessment was performed to identify patients with functional deficits while excluding patients with surgically treatable diseases or psychological disorders. All recruited patients failed to return to work previously despite a prolonged period of conservative treatment. Assessments were performed at baseline, 8-weeks and 14-weeks for sitting, standing and walking tolerance, and straight leg raise test, Oswestry Disability Index (ODI) and Spinal Function Sort Score (SFSS). Results and Analysis: 191 patients were recruited. Significant improvement was found in ODI (46.9 to 43.9, p<0.05) and SFSS (98.3 to 108.1, p<0.05). Sitting, standing, walking tolerance, performance in straight leg raising test all improved significantly (p<0.01). After training, 41.9% of patients met their work demand. Multivariate logistic regression model showed gender and initial job demand level (by Physical Demands Classification) correlated with meeting work demand level (R2=62.4%). Male Patients were 5.92 times (p<0.05) more likely to meet work demand level. Discussion and Conclusion: This staple multidisciplinary programme has been effective in re-integrating patients back to work by improving self-perceived disability. Predictors of good outcome included male gender and lower initial job demand level.
DescriptionFree Paper Session IV: Rehabilitation & General Orthopaedics - no. 4.9
Persistent Identifierhttp://hdl.handle.net/10722/268336

 

DC FieldValueLanguage
dc.contributor.authorLeung, GCN-
dc.contributor.authorCheung, WHP-
dc.contributor.authorLau, G-
dc.contributor.authorLuk, KDK-
dc.contributor.authorWong, YW-
dc.contributor.authorCheung, KMC-
dc.contributor.authorLau, ST-
dc.contributor.authorKoljonen, P-
dc.contributor.authorCheung, JPY-
dc.date.accessioned2019-03-18T04:23:28Z-
dc.date.available2019-03-18T04:23:28Z-
dc.date.issued2018-
dc.identifier.citation38th Annual Congress of the Hong Kong Orthopaedic Association (HKOA 38), Hong Kong, 3-4 November 2018-
dc.identifier.urihttp://hdl.handle.net/10722/268336-
dc.descriptionFree Paper Session IV: Rehabilitation & General Orthopaedics - no. 4.9-
dc.description.abstractIntroduction: Low back pain (LBP) is highly disabling with significant health cost worldwide and in Hong Kong. Since 1996, we have adopted a 14-week intensive multidisciplinary programme targeting patients with chronic LBP, providing functional rehabilitation aiming at re-integration back to the society. This study aims to review its outcomes, as well as to identify factors predicting successful return to work. Methodology: This is an assessment of a prospectively collected cohort of chronic LBP patients consecutively enrolled into the programme from 1996–2014. Rigorous pre-admission assessment was performed to identify patients with functional deficits while excluding patients with surgically treatable diseases or psychological disorders. All recruited patients failed to return to work previously despite a prolonged period of conservative treatment. Assessments were performed at baseline, 8-weeks and 14-weeks for sitting, standing and walking tolerance, and straight leg raise test, Oswestry Disability Index (ODI) and Spinal Function Sort Score (SFSS). Results and Analysis: 191 patients were recruited. Significant improvement was found in ODI (46.9 to 43.9, p<0.05) and SFSS (98.3 to 108.1, p<0.05). Sitting, standing, walking tolerance, performance in straight leg raising test all improved significantly (p<0.01). After training, 41.9% of patients met their work demand. Multivariate logistic regression model showed gender and initial job demand level (by Physical Demands Classification) correlated with meeting work demand level (R2=62.4%). Male Patients were 5.92 times (p<0.05) more likely to meet work demand level. Discussion and Conclusion: This staple multidisciplinary programme has been effective in re-integrating patients back to work by improving self-perceived disability. Predictors of good outcome included male gender and lower initial job demand level.-
dc.languageeng-
dc.publisherThe Hong Kong Orthopaedic Association. -
dc.relation.ispartof38th Annual Congress of the Hong Kong Orthopaedic Association 2018-
dc.titleOver 20-years of experience of a multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful re-integration and return to work-
dc.typeConference_Paper-
dc.identifier.emailCheung, WHP: gnuehcp6@hku.hk-
dc.identifier.emailWong, YW: yatwa@hkucc.hku.hk-
dc.identifier.emailCheung, KMC: cheungmc@hku.hk-
dc.identifier.emailCheung, JPY: cheungjp@hku.hk-
dc.identifier.authorityLuk, KDK=rp00333-
dc.identifier.authorityCheung, KMC=rp00387-
dc.identifier.authorityCheung, JPY=rp01685-
dc.identifier.hkuros297050-
dc.publisher.placeHong Kong-

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