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Överskrift Increasing days at work using function-centered rehabilitation in nonacute nonspecific low back pain: a randomized controlled trial
Upplaga 86(5)
Sidor 857-64
Överskrift Increasing days at work using function-centered rehabilitation in nonacute nonspecific low back pain: a randomized controlled trial
Beskrivning Objective To evaluate the effect of function-centered compared with pain-centered inpatient rehabilitation in patients whose absence from work is due to chronic nonspecific low back pain (LBP). Design Single-blinded randomized controlled trial with follow-up assessments immediately after treatment and at 3 months. Setting Center for work rehabilitation in Switzerland. Participants Patients with more than 6 weeks of work absence due to chronic nonspecific LBP (N=174; 137 men, 37 women; mean age +/- standard deviation, 42+/-8y; mean sick leave before study, 6.5mo). Interventions Function-centered treatment (FCT) (4h/d, 6d/wk, for 3wk) consisted of work simulation, strength, endurance, and cardiovascular training. Pain-centered treatment (PCT) (2.5h/d, 6d/wk, for 3wk) used a mini back school, individually selected passive and active mobilization, stretching, and low-intensity strength training. Main outcome measures The number of days at work in 3 months after treatment, self-efficacy, lifting capacity, pain, mobility, strength, and global perceived effect. Effect sizes (ESs) (Cohen d ) were defined as small (ES range, 0.2-0.5), moderate (ES range, 0.5-0.8), and large (ES, >0.8). Results Groups were comparable at baseline. Moderate ESs for the FCT group versus PCT group were found for days at work (25.9d vs 15.8d, ES=.36, P =.029), self-efficacy (5.9 points vs -7.4 points, ES=.55, P =.003), and lifting capacity (2.3kg vs 0.2kg, ES=.54, P =.004). Conclusions Function-centered rehabilitation increases the number of work days, self-efficacy, and lifting capacity in patients with nonacute nonspecific LBP.
Källa Arch Phys Med Rehabil
Publicerad 2005
Författare Bachmann S, Bascom A., De Bie RA, Dierkes JG, Knuesel O, Kool JP, Oesch PR, Russo M, Van den Brandt PA

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