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Quality of life and maintenance of improvements after early multimodal rehabilitation: a 5-year follow-up.
Disabil Rehabil. 2006 Apr 15; 28(7):437-46.DR

Abstract

PURPOSE

There is a paucity of long-term evaluations on rehabilitation of musculoskeletal disorders, e.g., neck, shoulder or back pain. The aim of this study was to assess quality of life and the effect of early multimodal rehabilitation on 91 patients with musculoskeletal pain and disability at a 5-year follow-up.

METHOD

The follow-up assessment, which included questions on pain, function, quality of life, perceived health, sick leave and psychosomatic symptoms, was performed 5 years after the assessment of baseline status.

RESULTS

Improvements in pain, perceived health and psychosomatic symptoms were maintained at the 5-year follow-up. In addition, improvements in function, quality of life, and level of acceptable pain were significant in comparison to baseline. At the time of the baseline assessment all patients were on sick leave (13% were on partial sick leave). At the 5-year follow-up, 58% of the patients were at work part or full time. The results show that those working differed significantly from those not working at the 5-year follow-up on almost all variables, indicating that those working enjoy better health. The most salient prognostic factors for return to work were perceived health and educational level at the time of the baseline evaluation.

CONCLUSIONS

These results show that treatment improved quality of life and the effects were basically maintained at 5 years. Work capacity as reflected in return to work increased greatly (81%) at a 1-year follow-up and was substantial (58%) at the 5-year follow-up. Moreover, perceived health and educational levels were important prognostic factors. Finally, the fact that patients working reported better health underscores the probable importance of return to work. Our results imply that it may be feasible to obtain long-term benefits from such a primary care-based intervention.

Authors+Show Affiliations

Centre for Clinical Research, Uppsala University-Västerås Hospital, Sweden. anders.westman@ltv.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16507506

Citation

Westman, A, et al. "Quality of Life and Maintenance of Improvements After Early Multimodal Rehabilitation: a 5-year Follow-up." Disability and Rehabilitation, vol. 28, no. 7, 2006, pp. 437-46.
Westman A, Linton SJ, Theorell T, et al. Quality of life and maintenance of improvements after early multimodal rehabilitation: a 5-year follow-up. Disabil Rehabil. 2006;28(7):437-46.
Westman, A., Linton, S. J., Theorell, T., Ohrvik, J., Wahlén, P., & Leppert, J. (2006). Quality of life and maintenance of improvements after early multimodal rehabilitation: a 5-year follow-up. Disability and Rehabilitation, 28(7), 437-46.
Westman A, et al. Quality of Life and Maintenance of Improvements After Early Multimodal Rehabilitation: a 5-year Follow-up. Disabil Rehabil. 2006 Apr 15;28(7):437-46. PubMed PMID: 16507506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life and maintenance of improvements after early multimodal rehabilitation: a 5-year follow-up. AU - Westman,A, AU - Linton,S J, AU - Theorell,T, AU - Ohrvik,J, AU - Wahlén,P, AU - Leppert,J, PY - 2006/3/2/pubmed PY - 2006/7/19/medline PY - 2006/3/2/entrez SP - 437 EP - 46 JF - Disability and rehabilitation JO - Disabil Rehabil VL - 28 IS - 7 N2 - PURPOSE: There is a paucity of long-term evaluations on rehabilitation of musculoskeletal disorders, e.g., neck, shoulder or back pain. The aim of this study was to assess quality of life and the effect of early multimodal rehabilitation on 91 patients with musculoskeletal pain and disability at a 5-year follow-up. METHOD: The follow-up assessment, which included questions on pain, function, quality of life, perceived health, sick leave and psychosomatic symptoms, was performed 5 years after the assessment of baseline status. RESULTS: Improvements in pain, perceived health and psychosomatic symptoms were maintained at the 5-year follow-up. In addition, improvements in function, quality of life, and level of acceptable pain were significant in comparison to baseline. At the time of the baseline assessment all patients were on sick leave (13% were on partial sick leave). At the 5-year follow-up, 58% of the patients were at work part or full time. The results show that those working differed significantly from those not working at the 5-year follow-up on almost all variables, indicating that those working enjoy better health. The most salient prognostic factors for return to work were perceived health and educational level at the time of the baseline evaluation. CONCLUSIONS: These results show that treatment improved quality of life and the effects were basically maintained at 5 years. Work capacity as reflected in return to work increased greatly (81%) at a 1-year follow-up and was substantial (58%) at the 5-year follow-up. Moreover, perceived health and educational levels were important prognostic factors. Finally, the fact that patients working reported better health underscores the probable importance of return to work. Our results imply that it may be feasible to obtain long-term benefits from such a primary care-based intervention. SN - 0963-8288 UR - https://www.unboundmedicine.com/medline/citation/16507506/Quality_of_life_and_maintenance_of_improvements_after_early_multimodal_rehabilitation:_a_5_year_follow_up_ DB - PRIME DP - Unbound Medicine ER -