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<< Tillbaka| 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 |