Treatment of Chronic Low-Back Pain

Lichter, Rowlin L.; Hewson, James K.; Radke, Sara J.; Blum, Micha

doi:10.1097/00003086-198411000-00016

Cited by 13 publications

(1 citation statement)

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“…Several studies published in the mid-1980s looked at outcome for programs providingfunctional restoration, a specific approach to rehabilitation of chronic low back injury developed by Mayer and colleagues combining a sports medicine model and techniques for dealing with psychosocial issues (Hazard et aI., 1989;Mayer et aI., 1987). Several other interdisciplinary spinal rehabilitation programs published outcome data during the 1980s (Caruso, Chan, & Chan, 1987;Edwards et aI., 1992;Lichter, Hewson, Radke, & Blum, 1984;Sachs, David, Olimpio, Scala, & Lacroix, 1990). One program (McElligott, Miscovich, & Fielding, 1989) included an onsite rehabilitation workshop.…”

Section: Basic Client Characteristics and Outcome (C) Length Ofdisabmentioning

confidence: 99%

Work Hardening: Past, Present, and Future — The Work Programs Special Interest Section National Work-Hardening Outcome Study

Niemeyer

Jacobs

Reynolds-Lynch

et al. 1994

The American Journal of Occupational Therapy

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The authors suggest a need for uniform standards in collection of outcome data to establish a basis for comparison of efficacy among programs. Recommendations include tracking comparison or control groups, grouping clients in terms of length of disability, computing success rate on the basis of number of clients who completed their program, using relevant subcategories when reporting return to work, and consistency of the postdischarge interval for follow-up.

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Section: Basic Client Characteristics and Outcome (C) Length Ofdisabmentioning

confidence: 99%

Work Hardening: Past, Present, and Future — The Work Programs Special Interest Section National Work-Hardening Outcome Study

Niemeyer

Jacobs

Reynolds-Lynch

et al. 1994

The American Journal of Occupational Therapy

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Predictive model to determine cost/benefit of early detection and intervention in occupational low back pain

et al. 1991

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Low back pain related to work injury has major socioeconomic implications. Theoretically, the early detection of patients at risk for continued work disability after 6 months of work absence, and of those with a recurrence of pain (RP) and leave work once again, should be cost-effective if combined with effective intervention. The objective of this prospective research was to analyze the cost-effectiveness of a detection-intervention system (DIS) developed from a logistic predictive model of work status. A sample of newly injured workers (N=135 males) were assessed following a first episode of compensated low back pain. A predictive biopsychosocial profile was obtained from a series of univariate and multivariate regression analyses. Structural diagnosis, pain rating, length of inactivity before treatment, negative life changes, and self-efficacy expectancies were found to be best predictors. With a correct classification rate of 72% the predictive model parameters (sensitivity and specificity) were chosen in order to reduce the number of false negatives (recurrence of pain or chronic patients not detected). The calculation of the cost/benefit proportions reveals that the detection-intervention system generates savings of up to $39,595 Can./100 patients a year. By combining low treatment expenses ($250 Can to $1,000 Can.) and increasing the success rates (40-75% return to work), the detection-intervention system is potentially more cost effective than the current approach without detection-intervention.

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

Dionne

Turcotte

1992

J Occup Rehab

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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.

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Treatment of Chronic Low-Back Pain

Cited by 13 publications

References 0 publications

Work Hardening: Past, Present, and Future — The Work Programs Special Interest Section National Work-Hardening Outcome Study

Work Hardening: Past, Present, and Future — The Work Programs Special Interest Section National Work-Hardening Outcome Study

Predictive model to determine cost/benefit of early detection and intervention in occupational low back pain

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

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