INTRODUCTION:Behaviorally oriented graded activity interventions have been suggested for sick-listed workers with low back pain on return to work, but have not been extensively evaluated. METHODS:One hundred and thirty-four workers were randomly assigned to either a graded activity intervention (n = 67) or usual care (n = 67) and followed-up for 12 months. RESULTS: The graded activity group returned back to work faster with a median of 54 days compared to 67 days in the usual care group. The graded activity intervention was more effective after approximately 50 days post-randomization (HRR = 1.9, CI = 1.2-3.1, p = 0.01). Differences between the groups in number of recurrent episodes, total number of days of sick leave due to low back pain, and total number of days of sick leave due to all diagnoses, were in favor of the graded activity group, although not statistically significant. No effects of the graded activity intervention were found for functional status or pain. CONCLUSION:Graded activity intervention is a valuable strategy to enhance short-term return to work outcomes.
RCT Entities:
INTRODUCTION: Behaviorally oriented graded activity interventions have been suggested for sick-listed workers with low back pain on return to work, but have not been extensively evaluated. METHODS: One hundred and thirty-four workers were randomly assigned to either a graded activity intervention (n = 67) or usual care (n = 67) and followed-up for 12 months. RESULTS: The graded activity group returned back to work faster with a median of 54 days compared to 67 days in the usual care group. The graded activity intervention was more effective after approximately 50 days post-randomization (HRR = 1.9, CI = 1.2-3.1, p = 0.01). Differences between the groups in number of recurrent episodes, total number of days of sick leave due to low back pain, and total number of days of sick leave due to all diagnoses, were in favor of the graded activity group, although not statistically significant. No effects of the graded activity intervention were found for functional status or pain. CONCLUSION: Graded activity intervention is a valuable strategy to enhance short-term return to work outcomes.
Authors: J B Staal; H Hlobil; M W van Tulder; G Waddell; A K Burton; B W Koes; W van Mechelen Journal: Occup Environ Med Date: 2003-09 Impact factor: 4.402
Authors: P Loisel; L Abenhaim; P Durand; J M Esdaile; S Suissa; L Gosselin; R Simard; J Turcotte; J Lemaire Journal: Spine (Phila Pa 1976) Date: 1997-12-15 Impact factor: 3.468
Authors: Kaija Karjalainen; Antti Malmivaara; Timo Pohjolainen; Heikki Hurri; Pertti Mutanen; Pekka Rissanen; Helena Pahkajärvi; Heikki Levon; Hanna Karpoff; Risto Roine Journal: Spine (Phila Pa 1976) Date: 2003-03-15 Impact factor: 3.468
Authors: Paul Hendrick; S Milosavljevic; L Hale; D A Hurley; S McDonough; B Ryan; G D Baxter Journal: Eur Spine J Date: 2010-11-04 Impact factor: 3.134
Authors: Frederieke G Schaafsma; Karyn Whelan; Allard J van der Beek; Ludeke C van der Es-Lambeek; Anneli Ojajärvi; Jos H Verbeek Journal: Cochrane Database Syst Rev Date: 2013-08-30
Authors: Nicholas Henschke; Raymond Wjg Ostelo; Maurits W van Tulder; Johan Ws Vlaeyen; Stephen Morley; Willem Jj Assendelft; Chris J Main Journal: Cochrane Database Syst Rev Date: 2010-07-07
Authors: Keith T Palmer; Elizabeth C Harris; Cathy Linaker; Mary Barker; Wendy Lawrence; Cyrus Cooper; David Coggon Journal: Rheumatology (Oxford) Date: 2011-03-16 Impact factor: 7.580