Coping with low-back pain: Remaining disabilities 5 years after multidisciplinary rehabilitation

Abstract

The health status of 106 persons once affected with a chronic low back pain episode was compared to that of 115 referent subjects, category matched on sex, age, and time of episode about 5 years after their admission to a multidisciplinary treatment program in rehabilitation. The current health status of both groups was assessed with the Sickness Impact Profile (SIP). Results show that cases reported significantly more functional limitations in areas related to ambulation, body care and movements, home management activities, and employment. These limitations increased with age. The current distress of cases seemed comparable to that of patients with severely restricting diseases such as end-stage renal disease. This study underlines the duration and burden of personal suffering among workers with chronic low back pain.

The Effects of a Change in Work Organization Upon the Work Environment and Musculoskeletal Symptoms Among Letter Carriers

“…Musculoskeletal symptoms are often of a long duration and studies have shown that a reduction of work load does not lead to a prompt reduction of symptoms (Berg, Torell, & Jarvholm, 1988;Derriennic, Iwatsubo, Monfort, & Cassou, 1993;Dionne & Turcotte, 1992;Hagberg, 1991;Kemmlert et al, 1993). This is true especially if symptoms are severe and chronic.…”

“…This is true especially if symptoms are severe and chronic. An expected effect, for example, lack of symptoms due to ergonomic changes might be smaller if the symptoms have become chronic (Berg et al, 1988;Derriennic et al, 1993;Dionne & Turcotte, 1992;Hagberg, 1991;Kem mlert, 1995;W allace & Buckle, 1987).…”

Les qualités psychométriques d'un instrument de mesure du bien-être psychologique utilisé auprès des personnes ayant une déficience physique

“…Le SIP est un instrument générique relié à la santé fréquemment choisi pour mesurer la qualité de vie (De Bock, Kaptein,Touw-Otten & Mulder, 1995 ;Bullinger & Hasford, 1991 ;Cleary & al., 1991 ;de Haan, Horn, Limburg, VanDer Meulen & Bossuyt, 1993 ;Dionne & Turcotte, 1992 ;Guyatt, Feeney & Patrick, 1991 ;Guyatt et al, 1993 ;McColl & Skinner, 1992 ;Wiklund & Karlberg, 1991). Le SIP est un instrument générique relié à la santé fréquemment choisi pour mesurer la qualité de vie (De Bock, Kaptein,Touw-Otten & Mulder, 1995 ;Bullinger & Hasford, 1991 ;Cleary & al., 1991 ;de Haan, Horn, Limburg, VanDer Meulen & Bossuyt, 1993 ;Dionne & Turcotte, 1992 ;Guyatt, Feeney & Patrick, 1991 ;Guyatt et al, 1993 ;McColl & Skinner, 1992 ;Wiklund & Karlberg, 1991).…”

Das Göttinger Rücken Intensiv Programm (GRIP) Ein multimodales Behandlungsprogramm für Patienten mit chronischen Rückenschmerzen, Teil 4 * ,

“…Further progress in this field calls for greater standardisation of terms, of research tools and of interventions. And last, but not least, figthing the disease ought to prevail over the hunt for abusers" (S. 86) [14]. In diesem Zusammenhang dürfen die Beschwerden und Probleme der Patienten nicht ausschließlich individualisiert werden; die Arbeitsplatz-und Arbeitsmarktsituation hat als gesellschaftlichpolitische Dimension eine erhebliche Auswirkung auf die scheinbare Therapieresistenz dieses Krankheitsbildes.…”