B Grahn1, C Ekdahl, L Borgquist. 1. Kronoberg Occupational Rehabilitation Service, Växjö, Sweden. birgitta.grahn@1tkronoberg.se
Abstract
PURPOSE: To evaluate the two year outcome of multidisciplinary rehabilitation for patients with prolonged musculoskeletal disorders (MSDs), in terms of health-related quality of life (HRQL) and working ability. In addition, predictors of outcome were examined. METHODS: The rehabilitation group and the matched control group comprised 122 and 114 patients respectively. Baseline data were compared with two year follow-up data within and between the groups. The variables that were measured were: HRQL (Nottingham Health Profile), motivation, body awareness, pain, pain-related medicine consumption, psychosomatic symptoms, working environment and working ability. RESULTS: Variables which improved significantly for the rehabilitation group compared with the control group were: HRQL (p = 0.049), emotional reactions (p = 0.043), pain related to movements (p = 0.028) and need for pain-related medicines (p = 0.009). Multivariate regression analysis including all patients revealed that motivation was a predictor of change in HRQL (p = 0.001) and working ability (p < 0.001). CONCLUSION: The rehabilitation programme appeared to improve HRQL to a greater extent than ordinary treatment available within primary care. The patient's level of motivation could be an important predictor of outcome.
PURPOSE: To evaluate the two year outcome of multidisciplinary rehabilitation for patients with prolonged musculoskeletal disorders (MSDs), in terms of health-related quality of life (HRQL) and working ability. In addition, predictors of outcome were examined. METHODS: The rehabilitation group and the matched control group comprised 122 and 114 patients respectively. Baseline data were compared with two year follow-up data within and between the groups. The variables that were measured were: HRQL (Nottingham Health Profile), motivation, body awareness, pain, pain-related medicine consumption, psychosomatic symptoms, working environment and working ability. RESULTS: Variables which improved significantly for the rehabilitation group compared with the control group were: HRQL (p = 0.049), emotional reactions (p = 0.043), pain related to movements (p = 0.028) and need for pain-related medicines (p = 0.009). Multivariate regression analysis including all patients revealed that motivation was a predictor of change in HRQL (p = 0.001) and working ability (p < 0.001). CONCLUSION: The rehabilitation programme appeared to improve HRQL to a greater extent than ordinary treatment available within primary care. The patient's level of motivation could be an important predictor of outcome.
Authors: Silvia R M Pereira; Wendy Chiu; Alyson Turner; Stephanie Chevalier; Lawrence Joseph; Allen R Huang; Jose A Morais Journal: BMC Geriatr Date: 2010-11-03 Impact factor: 3.921