M Sivan1, B Sell, P Sell. 1. Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, UK. drmanojsivan@yahoo.com
Abstract
BACKGROUND: Multidisciplinary rehabilitation programmes have been successfully advocated for chronic low back pain. AIM: The aim of the study was to establish the functional and vocational outcome of a 3-week functional restoration programme. LEVEL OF EVIDENCE: IV, Uncontrolled clinical series. METHODS: One hundred and eighteen chronic low back pain patients underwent a 100-h programme consisting of back exercises, hydrotherapy, gymnasium work education and cognitive behavioural therapy. OUTCOME MEASURES: Oswestry Disability Index (ODI), Roland Morris (RM), 'patient global assessment tool' and work status scores were completed pre-programme and at least 1 year post programme. RESULTS: The ODI score improved by 15.6% (95% CI 11.8-19.4) and RM score by 4.6 points (95% CI 3.6-5.6). The proportion of patients who were seriously affected in the workplace had dropped from 59 to 22%. More than 85% of patients were satisfied with the outcome. CONCLUSION: Functional restoration programme improves the functional activity and vocational status of patients with chronic low back pain.
BACKGROUND: Multidisciplinary rehabilitation programmes have been successfully advocated for chronic low back pain. AIM: The aim of the study was to establish the functional and vocational outcome of a 3-week functional restoration programme. LEVEL OF EVIDENCE: IV, Uncontrolled clinical series. METHODS: One hundred and eighteen chronic low back painpatients underwent a 100-h programme consisting of back exercises, hydrotherapy, gymnasium work education and cognitive behavioural therapy. OUTCOME MEASURES: Oswestry Disability Index (ODI), Roland Morris (RM), 'patient global assessment tool' and work status scores were completed pre-programme and at least 1 year post programme. RESULTS: The ODI score improved by 15.6% (95% CI 11.8-19.4) and RM score by 4.6 points (95% CI 3.6-5.6). The proportion of patients who were seriously affected in the workplace had dropped from 59 to 22%. More than 85% of patients were satisfied with the outcome. CONCLUSION: Functional restoration programme improves the functional activity and vocational status of patients with chronic low back pain.
Authors: M W van Tulder; R Ostelo; J W Vlaeyen; S J Linton; S J Morley; W J Assendelft Journal: Spine (Phila Pa 1976) Date: 2000-10-15 Impact factor: 3.468
Authors: R B Cutler; D A Fishbain; H L Rosomoff; E Abdel-Moty; T M Khalil; R S Rosomoff Journal: Spine (Phila Pa 1976) Date: 1994-03-15 Impact factor: 3.468