File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful return to work

TitleMultidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful return to work
Authors
KeywordsConservative treatment
Logistic models
Low Back pain
Return to work
Spine
Issue Date2021
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcmusculoskeletdisord/
Citation
BMC Musculoskeletal Disorders, 2021, v. 22 n. 1, p. article no. 251 How to Cite?
AbstractBackground: 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. © 2021, The Author(s).
Descriptioneid_2-s2.0-85102040944
Persistent Identifierhttp://hdl.handle.net/10722/297640
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.714
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLeung, GCN-
dc.contributor.authorCheung, PWH-
dc.contributor.authorLau, G-
dc.contributor.authorLau, ST-
dc.contributor.authorLuk, KDK-
dc.contributor.authorWong, YW-
dc.contributor.authorCheung, KMC-
dc.contributor.authorKoljonen, PA-
dc.contributor.authorCheung, JPY-
dc.date.accessioned2021-03-23T04:19:47Z-
dc.date.available2021-03-23T04:19:47Z-
dc.date.issued2021-
dc.identifier.citationBMC Musculoskeletal Disorders, 2021, v. 22 n. 1, p. article no. 251-
dc.identifier.issn1471-2474-
dc.identifier.urihttp://hdl.handle.net/10722/297640-
dc.descriptioneid_2-s2.0-85102040944-
dc.description.abstractBackground: 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. © 2021, The Author(s).-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcmusculoskeletdisord/-
dc.relation.ispartofBMC Musculoskeletal Disorders-
dc.rightsBMC Musculoskeletal Disorders. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectConservative treatment-
dc.subjectLogistic models-
dc.subjectLow Back pain-
dc.subjectReturn to work-
dc.subjectSpine-
dc.titleMultidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful return to work-
dc.typeArticle-
dc.identifier.emailCheung, PWH: gnuehcp6@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.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12891-021-04122-x-
dc.identifier.pmid33676471-
dc.identifier.pmcidPMC7937227-
dc.identifier.scopuseid_2-s2.0-85102040944-
dc.identifier.hkuros321886-
dc.identifier.volume22-
dc.identifier.issue1-
dc.identifier.spagearticle no. 251-
dc.identifier.epagearticle no. 251-
dc.identifier.isiWOS:000626513800006-
dc.publisher.placeUnited Kingdom-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats