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Sick leave reductions from a comprehensive manual therapy programme for low back pain: the Gotland Low Back Pain Study.
Clin Rehabil. 2008 Jun; 22(6):529-41.CR

Abstract

OBJECTIVE

To evaluate if a comprehensive manual therapy programme reduces sick leave due low back pain and facilitates return to work more than the conventional optimized activating care.

DESIGN

A randomized controlled trial over a 10-week period with a two-year follow-up.

SETTING

Primary health care and Visby Hospital, Municipality of Gotland, Sweden.

SUBJECTS

One hundred and sixty patients (70 women, 90 men, ages 20-55 years) with acute or subacute low back pain with or without pain radiation into the legs.

INTERVENTIONS

Standardized optimized activating care (n = 71) versus a comprehensive pragmatic manual therapy programme including specific corticosteroid injections (n = 89).

MAIN MEASURES

Sick leave measured as net sick leave volume, point prevalence and return to work.

RESULTS

After 10 weeks, significantly more manual therapy patients than reference patients had returned to work (hazards ratio 1.62, 95% confidence interval (CI) 1.006-2.60, P<0.05), and among those on sick leave at baseline, significantly fewer were still on sick leave (8/58 versus 13/40, ratio 0.35, 95% CI 0.13-0.97, P<0.05). For all other measures there were inconclusive differences in favour of the manual therapy group. No significant differences remained after two years.

CONCLUSIONS

The manual therapy programme used in this study decreased sick leave and increased return to work more than the standardized optimized activating care only up to 10 weeks but not up to two years.

Authors+Show Affiliations

Uppsala University, Department of Public Health and Caring Sciences, Family Medicine Section, Uppsala, Sweden. johan.bogefeldt@pubcare.uu.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18511533

Citation

Bogefeldt, J, et al. "Sick Leave Reductions From a Comprehensive Manual Therapy Programme for Low Back Pain: the Gotland Low Back Pain Study." Clinical Rehabilitation, vol. 22, no. 6, 2008, pp. 529-41.
Bogefeldt J, Grunnesjö MI, Svärdsudd K, et al. Sick leave reductions from a comprehensive manual therapy programme for low back pain: the Gotland Low Back Pain Study. Clin Rehabil. 2008;22(6):529-41.
Bogefeldt, J., Grunnesjö, M. I., Svärdsudd, K., & Blomberg, S. (2008). Sick leave reductions from a comprehensive manual therapy programme for low back pain: the Gotland Low Back Pain Study. Clinical Rehabilitation, 22(6), 529-41. https://doi.org/10.1177/0269215507087294
Bogefeldt J, et al. Sick Leave Reductions From a Comprehensive Manual Therapy Programme for Low Back Pain: the Gotland Low Back Pain Study. Clin Rehabil. 2008;22(6):529-41. PubMed PMID: 18511533.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sick leave reductions from a comprehensive manual therapy programme for low back pain: the Gotland Low Back Pain Study. AU - Bogefeldt,J, AU - Grunnesjö,Marie I, AU - Svärdsudd,K, AU - Blomberg,S, PY - 2008/5/31/pubmed PY - 2008/9/26/medline PY - 2008/5/31/entrez SP - 529 EP - 41 JF - Clinical rehabilitation JO - Clin Rehabil VL - 22 IS - 6 N2 - OBJECTIVE: To evaluate if a comprehensive manual therapy programme reduces sick leave due low back pain and facilitates return to work more than the conventional optimized activating care. DESIGN: A randomized controlled trial over a 10-week period with a two-year follow-up. SETTING: Primary health care and Visby Hospital, Municipality of Gotland, Sweden. SUBJECTS: One hundred and sixty patients (70 women, 90 men, ages 20-55 years) with acute or subacute low back pain with or without pain radiation into the legs. INTERVENTIONS: Standardized optimized activating care (n = 71) versus a comprehensive pragmatic manual therapy programme including specific corticosteroid injections (n = 89). MAIN MEASURES: Sick leave measured as net sick leave volume, point prevalence and return to work. RESULTS: After 10 weeks, significantly more manual therapy patients than reference patients had returned to work (hazards ratio 1.62, 95% confidence interval (CI) 1.006-2.60, P<0.05), and among those on sick leave at baseline, significantly fewer were still on sick leave (8/58 versus 13/40, ratio 0.35, 95% CI 0.13-0.97, P<0.05). For all other measures there were inconclusive differences in favour of the manual therapy group. No significant differences remained after two years. CONCLUSIONS: The manual therapy programme used in this study decreased sick leave and increased return to work more than the standardized optimized activating care only up to 10 weeks but not up to two years. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/18511533/Sick_leave_reductions_from_a_comprehensive_manual_therapy_programme_for_low_back_pain:_the_Gotland_Low_Back_Pain_Study_ L2 - https://journals.sagepub.com/doi/10.1177/0269215507087294?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -