Work conditioning, work hardening and functional restoration for workers with back and neck pain

Schönstein, Eva; Kenny, Dianna T.; Keating, Jennifer Lyn; Koes, B.W.

doi:10.1002/14651858.cd001822

Cited by 161 publications

(104 citation statements)

References 58 publications

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“…These include cognitive behavioural therapy, 9,10 pain education and functional rehabilitation therapy. 11 Recent systematic reviews highlight the efficacy of multidisciplinary biopsychosocial approaches that coordinate physical and psychological approaches over unimodal approaches (e.g. pharmacological treatment only) 12,13 in terms of improved mood and a greater likelihood of return to work.…”

Section: Introductionmentioning

confidence: 99%

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Nielsen¹,

Campbell²,

Peacock

et al. 2016

Aust. Health Review

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Objective. The aims of the present study were to describe the use, and barriers to the use, of non-medication pain therapies and to identify the demographic and clinical correlates of different non-opioid pain treatments.Methods. The study was performed on a cohort (n = 1514) of people prescribed pharmaceutical opioids for chronic noncancer pain (CNCP). Participants reported lifetime and past month use of healthcare services, mental and physical health, pain characteristics, current oral morphine equivalent daily doses and financial and access barriers to healthcare services.Results. Participants reported the use of non-opioid pain treatments, both before and after commencing opioid therapy. Services accessed most in the past month were complementary and alternative medicines (CAMs; 41%), physiotherapy (16%) and medical and/or pain specialists (15%). Higher opioid dose was associated with increased financial and access barriers to non-opioid treatment. Multivariate analyses indicated being younger, female and having private health insurance were the factors most commonly associated with accessing non-opioid treatments.Conclusions. Patients on long-term opioid therapy report using multiple types of pain treatments. High rates of CAM use are concerning given limited evidence of efficacy for some therapies and the low-income status of most people with CNCP. Financial and insurance barriers highlight the importance of considering how different types of treatments are paid for and subsidised.What is known about the topic? Given concerns regarding long-term efficacy, adverse side-effects and risk of misuse and dependence, prescribing guidelines recommend caution in prescribing pharmaceutical opioids in cases of CNCP, typically advising a multidisciplinary approach to treatment. There is a range of evidence supporting different (non-drug) treatment approaches for CNCP to reduce pain severity and increase functioning. However, little is known about the non-opioid treatments used among those with CNCP and the demographic and clinical characteristics that may be associated with the use HEALTH SERVICE RESEARCH of different types of treatments. Understanding the use of non-drug therapy among people with CNCP is crucial given the potential to improve pain control for these patients. What does this paper add? The present study found that a wide range of non-opioid treatments was accessed by the study sample, both before and after commencing opioids, indicating that in this sample opioids were not the sole strategy used for pain management. The most common treatment (other than opioids) was CAM, reported by two-fifths of the sample. Having private health insurance was associated with increased use of non-opioid treatments for pain, highlighting the importance of considering how treatments are paid for and potential financial barriers to effective treatments. What are the implications for practitioners? Patients' beliefs and financial barriers may affect the uptake of different treatments. Many patients may be using com...

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Section: Introductionmentioning

confidence: 99%

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Nielsen¹,

Campbell²,

Peacock

et al. 2016

Aust. Health Review

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Section: Abstract: Persistent Musculoskeletal Pain Multiprofessionamentioning

confidence: 99%

“…Rehabilitation in a structured program with a multiprofessional team has shown beneficial effects on sick-leave, disability pension and /or return to work. The clinical effectiveness of such programs has also been documented in systematic reviews (Malone, Strube, 1988;Flor et al, 1992;Morley et al, 1999;Karjalainen et al, 2001;Karjalainen et al, 1999;Guzmán et al, 2001;Nielson, Weir, 2001;Marhold et al, 2001;Oliver, 2001;Shonstein et al, 2003; SBU, 2000; SBU, 2006; SBU, 2010).The Department of Rehabilitation Medicine at Huddinge University Hospital in Stockholm, Sweden, offered an 8-week multiprofessional work-related rehabilitation program for patients on long-term sickleave suffering from persistent musculoskeletal related pain.The objectives of the clinical rehabilitation program were: 1) return-to-work, 2) increased activity level, and 3) reduced pain intensity.The 8-week medical and work-related multiprofessional rehabilitation program ran 7.5 hours a day and 5 days a week.The program consisted of 2 parts: A 3-week Impairment and Disability Evaluation Analysis (IDEA) and a 5-week work-related program.The idea of the IDEA included the different tools of the multiprofessional team to measure, observe and evaluate the patients' medical, physical, psychological and social functions, ability to work. This, This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.…”

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confidence: 99%

Pain rehabilitation – outcome of an 8-week rehabilitation program

Norrefalk

Borg

2012

SHS Web of Conferences

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Abstract. The prevalence of persistent pain has been estimated to be around 20-50% in a normal population. Musculoskeletal related pain is the most common form of persistent pain. In patients with persistent pain there are alterations in the peripheral as well as the central nervous system and patients develop a dysfunctional behaviour which, in many cases, leads to severe suffering for the patient. In the European countries an increasing problem has emerged consisting of more people on long-term sick-leave, increased number of early retirements and high social costs. After an 8-week structured multiprofessional rehabilitation programme at the Karolinska Institute in Stockholm, Sweden 63% of patients with longstanding non-malignant pain returned to work and half of the patients were still at work at a 6-year follow-up. Half of the patients reported pain reduction and almost half of the patients had reduced their consumption of analgesics. The rehabilitation program was estimated as economically beneficial on a society level. It is concluded that pain rehabilitation should have a multiprofessional approach. Pain rehabilitation programs are beneficial for the possibility for the patient to return to work pain and leads to pain reduction in the long run. Furthermore, they are beneficial from a socio-economical aspect. Key words: persistent musculoskeletal pain, multiprofessional rehabilitation program, return to work, socio-economic benefitThe prevalence of persistent pain is estimated to be 20 and even up to 50 % in the normal population (Brattberg et al., 1989;Andersson et al., 1993;Gerdle et al., 2004;Elliott et al., 1999;Brevik et al., 2006 Suffering from pain over a long period of time negatively affects a person's family life, spare time, economy, psychosocial well-being and ability to work. It also leads to rising costs for society. Rehabilitation in a structured program with a multiprofessional team has shown beneficial effects on sick-leave, disability pension and /or return to work. The clinical effectiveness of such programs has also been documented in systematic reviews (Malone, Strube, 1988;Flor et al., 1992;Morley et al., 1999;Karjalainen et al., 2001;Karjalainen et al., 1999;Guzmán et al., 2001;Nielson, Weir, 2001;Marhold et al., 2001;Oliver, 2001;Shonstein et al., 2003; SBU, 2000; SBU, 2006; SBU, 2010).The Department of Rehabilitation Medicine at Huddinge University Hospital in Stockholm, Sweden, offered an 8-week multiprofessional work-related rehabilitation program for patients on long-term sickleave suffering from persistent musculoskeletal related pain.The objectives of the clinical rehabilitation program were: 1) return-to-work, 2) increased activity level, and 3) reduced pain intensity.The 8-week medical and work-related multiprofessional rehabilitation program ran 7.5 hours a day and 5 days a week.The program consisted of 2 parts: A 3-week Impairment and Disability Evaluation Analysis (IDEA) and a 5-week work-related program.The idea of the IDEA included the different tools of the multiprofes...

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“…The first article in this issue, written by Bruns, Mueller, and Warren, considers the laws and regulations mandating biopsychosocial treatment guidelines for workers' compensation injuries. Despite the formidable body of literature and numerous systematic reviews supporting the biopsychosocial approach to pain (Guzmán et al 2001;Guzmán et al 2002;Schonstein et al 2003), its application is hardly universal in the USA and Canada (Schatman 2010a, b). Bruns and colleagues offer the term "biopsychosocial law" to describe the guidelines that are progressively being developed, noting that they do not necessarily fit into the traditional and established categories of medical or mental health laws under which clinicians and pain sufferers have operated.…”

mentioning

confidence: 99%

Introduction to Special Issue on Traumatically Induced Pain: Assessing and Addressing Controversies

Schatman

Gatchel

2010

Psychol. Inj. and Law

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Work conditioning, work hardening and functional restoration for workers with back and neck pain

Cited by 161 publications

References 58 publications

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study

Pain rehabilitation – outcome of an 8-week rehabilitation program

Introduction to Special Issue on Traumatically Induced Pain: Assessing and Addressing Controversies

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