A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain

Norrefalk, Jan-Rickard; Linder, Jürgen; Ekholm, Jan; Borg, Kristian

doi:10.1097/mrr.0b013e328013dac8

Cited by 20 publications

(22 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further, compared with before entering the program there was a statistically significant difference in the return-to-work rate within the study group (p < 0.001) (Norrefalk et al, 2007). None of the present patients who returned to work was working less than 4 hours a day.…”

Section: Shs Web Of Conferencesmentioning

confidence: 73%

“…At the 6-year follow up 52% of the 122 patients were back at work compared to 13% in the control group (p < 0.001) (23). Further, compared with before entering the program there was a statistically significant difference in the return-to-work rate within the study group (p < 0.001) (Norrefalk et al, 2007).…”

Section: Shs Web Of Conferencesmentioning

confidence: 79%

“…Pain reduction was experienced by 58% of the patients (p < 0.001), 16% reporting no pain at all (Norrefalk et al, 2007).…”

Section: Shs Web Of Conferencesmentioning

confidence: 99%

“…Compared to before entering the program, the patients had a statistically significant higher level of activity (p = 0.037) (Norrefalk, 2007). Pain reduction was experienced by 58% of the patients (p < 0.001), 16% reporting no pain at all (Norrefalk et al, 2007).…”

Section: Shs Web Of Conferencesmentioning

confidence: 99%

“…None of the present patients who returned to work was working less than 4 hours a day. Concerning the actual change in working hours, there was a difference regarding age: older patients in the study group had decreased their working hours or were not working at all compared to the rest of the group (p = 0.008) (Norrefalk et al, 2007).…”

Section: Shs Web Of Conferencesmentioning

confidence: 99%

See 4 more Smart Citations

Pain rehabilitation – outcome of an 8-week rehabilitation program

Norrefalk

Borg

2012

SHS Web of Conferences

View full text Add to dashboard Cite

Abstract. The prevalence of persistent pain has been estimated to be around 20-50% in a normal population. Musculoskeletal related pain is the most common form of persistent pain. In patients with persistent pain there are alterations in the peripheral as well as the central nervous system and patients develop a dysfunctional behaviour which, in many cases, leads to severe suffering for the patient. In the European countries an increasing problem has emerged consisting of more people on long-term sick-leave, increased number of early retirements and high social costs. After an 8-week structured multiprofessional rehabilitation programme at the Karolinska Institute in Stockholm, Sweden 63% of patients with longstanding non-malignant pain returned to work and half of the patients were still at work at a 6-year follow-up. Half of the patients reported pain reduction and almost half of the patients had reduced their consumption of analgesics. The rehabilitation program was estimated as economically beneficial on a society level. It is concluded that pain rehabilitation should have a multiprofessional approach. Pain rehabilitation programs are beneficial for the possibility for the patient to return to work pain and leads to pain reduction in the long run. Furthermore, they are beneficial from a socio-economical aspect. Key words: persistent musculoskeletal pain, multiprofessional rehabilitation program, return to work, socio-economic benefitThe prevalence of persistent pain is estimated to be 20 and even up to 50 % in the normal population (Brattberg et al., 1989;Andersson et al., 1993;Gerdle et al., 2004;Elliott et al., 1999;Brevik et al., 2006 Suffering from pain over a long period of time negatively affects a person's family life, spare time, economy, psychosocial well-being and ability to work. It also leads to rising costs for society. Rehabilitation in a structured program with a multiprofessional team has shown beneficial effects on sick-leave, disability pension and /or return to work. The clinical effectiveness of such programs has also been documented in systematic reviews (Malone, Strube, 1988;Flor et al., 1992;Morley et al., 1999;Karjalainen et al., 2001;Karjalainen et al., 1999;Guzmán et al., 2001;Nielson, Weir, 2001;Marhold et al., 2001;Oliver, 2001;Shonstein et al., 2003; SBU, 2000; SBU, 2006; SBU, 2010).The Department of Rehabilitation Medicine at Huddinge University Hospital in Stockholm, Sweden, offered an 8-week multiprofessional work-related rehabilitation program for patients on long-term sickleave suffering from persistent musculoskeletal related pain.The objectives of the clinical rehabilitation program were: 1) return-to-work, 2) increased activity level, and 3) reduced pain intensity.The 8-week medical and work-related multiprofessional rehabilitation program ran 7.5 hours a day and 5 days a week.The program consisted of 2 parts: A 3-week Impairment and Disability Evaluation Analysis (IDEA) and a 5-week work-related program.The idea of the IDEA included the different tools of the multiprofes...

show abstract

Section: Shs Web Of Conferencesmentioning

confidence: 73%

Section: Shs Web Of Conferencesmentioning

confidence: 79%

“…Pain reduction was experienced by 58% of the patients (p < 0.001), 16% reporting no pain at all (Norrefalk et al, 2007).…”

Section: Shs Web Of Conferencesmentioning

confidence: 99%

Section: Shs Web Of Conferencesmentioning

confidence: 99%

Section: Shs Web Of Conferencesmentioning

confidence: 99%

See 3 more Smart Citations

Pain rehabilitation – outcome of an 8-week rehabilitation program

Norrefalk

Borg

2012

SHS Web of Conferences

View full text Add to dashboard Cite

show abstract

Return-to-work coordination programmes for improving return to work in workers on sick leave

Vogel

Schandelmaier

Zumbrunn

et al. 2017

Cochrane Database of Systematic Reviews

112

103

View full text Add to dashboard Cite

Offering return-to-work coordination programmes for workers on sick leave for at least four weeks results in no benefits when compared to usual practice. We found no significant differences for the outcomes time to return to work, cumulative sickness absence, the proportion of participants at work at end of the follow-up or the proportion of participants who had ever returned to work at short-term, long-term or very long-term follow-up. For patient-reported outcomes, we found only marginal effects below the MID. The quality of the evidence ranged from very low to moderate across all outcomes.

show abstract

Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Volker

Vree

Wolterbeek

et al. 2016

Musculoskeletal Care

View full text Add to dashboard Cite

Improvements in pain and functioning seen directly after a 15-week multidisciplinary treatment programme for patients with CMP were maintained, health care usage decreased and the number of working hours among working patients increased at 24 months' follow-up. Future studies are needed to examine if additional interventions after discharge can enhance further the favourable results. Copyright © 2016 John Wiley & Sons, Ltd.

show abstract

A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain

Cited by 20 publications

References 32 publications

Pain rehabilitation – outcome of an 8-week rehabilitation program

Pain rehabilitation – outcome of an 8-week rehabilitation program

Return-to-work coordination programmes for improving return to work in workers on sick leave

Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Contact Info

Product

Resources

About