A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study
Purpose. To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. Methods. 57 men and 8 women aged 20 to 56 (mean, 39) years who had a >3-month history of low back pa...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2010-08-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901001800201 |
| _version_ | 1818533103607480320 |
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| author | Keith Dip Kei Luk Thomas Wai Man Wan Yat Wa Wong Kenneth Man Chee Cheung Keith Ying Kei Chan Aldous Chun Shing Cheng Mike Wing Wang Kwan Karlen Kar Pui Law Peter Wing Ho Lee Gladys Lai Ying Cheing |
| author_facet | Keith Dip Kei Luk Thomas Wai Man Wan Yat Wa Wong Kenneth Man Chee Cheung Keith Ying Kei Chan Aldous Chun Shing Cheng Mike Wing Wang Kwan Karlen Kar Pui Law Peter Wing Ho Lee Gladys Lai Ying Cheing |
| author_sort | Keith Dip Kei Luk |
| collection | DOAJ |
| description | Purpose. To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. Methods. 57 men and 8 women aged 20 to 56 (mean, 39) years who had a >3-month history of low back pain and were unresponsive to >6 months of conventional treatment participated in a 14-week multidisciplinary rehabilitation programme involving physical conditioning, work conditioning, and work readiness. Training protocols entailed flexibility and endurance training, hydrotherapy, weight lifting, and work stimulation. Patients were assessed at baseline (week 1), week 7, week 14, and month 6 with regard to the intensity of low back pain, self-perceived disability, range of lumbar motion, isoinertial performance of the trunk muscles, and depression level. Patient demographics that influenced work resumption were identified using a prediction model. Patients who did and did not return to work were compared. Results. Of the 54 patients who completed all follow-up assessments, 28 returned to work and 26 did not. The latter was significantly older (37 vs. 42 years, p=0.038) and absent from work longer (11 vs. 22 months, p=0.029) than the former. The rehabilitation programme helped patients regain physical function and the ability to work. Patients who returned to work showed greater improvement in self-perceived disability and physical function. Conclusion. This rehabilitation programme facilitated regain of physical functioning and the ability to return to work. The pre-programme employment status, duration of absence from work, and patient age were the most important predictors for work resumption. |
| first_indexed | 2024-12-11T17:54:16Z |
| format | Article |
| id | doaj.art-295fab3e2ecc4cf8bfb0510d9463dc24 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T17:54:16Z |
| publishDate | 2010-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-295fab3e2ecc4cf8bfb0510d9463dc242022-12-22T00:56:07ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902010-08-011810.1177/230949901001800201A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective StudyKeith Dip Kei Luk0Thomas Wai Man Wan1Yat Wa Wong2Kenneth Man Chee Cheung3Keith Ying Kei Chan4Aldous Chun Shing Cheng5Mike Wing Wang Kwan6Karlen Kar Pui Law7Peter Wing Ho Lee8Gladys Lai Ying Cheing9 Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong St Theresa's Hospital, Hong Kong Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong The Duchess of Kent Children's Hospital, Hong Kong The Duchess of Kent Children's Hospital, Hong Kong The Duchess of Kent Children's Hospital, Hong Kong Department of Psychiatry, The University of Hong Kong, Hong Kong Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong KongPurpose. To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. Methods. 57 men and 8 women aged 20 to 56 (mean, 39) years who had a >3-month history of low back pain and were unresponsive to >6 months of conventional treatment participated in a 14-week multidisciplinary rehabilitation programme involving physical conditioning, work conditioning, and work readiness. Training protocols entailed flexibility and endurance training, hydrotherapy, weight lifting, and work stimulation. Patients were assessed at baseline (week 1), week 7, week 14, and month 6 with regard to the intensity of low back pain, self-perceived disability, range of lumbar motion, isoinertial performance of the trunk muscles, and depression level. Patient demographics that influenced work resumption were identified using a prediction model. Patients who did and did not return to work were compared. Results. Of the 54 patients who completed all follow-up assessments, 28 returned to work and 26 did not. The latter was significantly older (37 vs. 42 years, p=0.038) and absent from work longer (11 vs. 22 months, p=0.029) than the former. The rehabilitation programme helped patients regain physical function and the ability to work. Patients who returned to work showed greater improvement in self-perceived disability and physical function. Conclusion. This rehabilitation programme facilitated regain of physical functioning and the ability to return to work. The pre-programme employment status, duration of absence from work, and patient age were the most important predictors for work resumption.https://doi.org/10.1177/230949901001800201 |
| spellingShingle | Keith Dip Kei Luk Thomas Wai Man Wan Yat Wa Wong Kenneth Man Chee Cheung Keith Ying Kei Chan Aldous Chun Shing Cheng Mike Wing Wang Kwan Karlen Kar Pui Law Peter Wing Ho Lee Gladys Lai Ying Cheing A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study Journal of Orthopaedic Surgery |
| title | A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study |
| title_full | A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study |
| title_fullStr | A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study |
| title_full_unstemmed | A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study |
| title_short | A Multidisciplinary Rehabilitation Programme for Patients with Chronic Low Back Pain: A Prospective Study |
| title_sort | multidisciplinary rehabilitation programme for patients with chronic low back pain a prospective study |
| url | https://doi.org/10.1177/230949901001800201 |
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