A Population-Based, Randomized Clinical Trial on Back Pain Management

Loisel, Patrick; Abenhaim, Lucien; Durand, Pierre; Esdaile, John M.; Suissa, Samy; Gosselin, Lise; Simard, Robert; Turcotte, Jean; Lemaire, Jácques

doi:10.1097/00007632-199712150-00014

Cited by 416 publications

(261 citation statements)

References 12 publications

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“…The absence of this information and the need for effective RTW measures has prompted the development of a new ''coordinated and tailored work rehabilitation'' (CTWR) approach, based on a Canadian multidisciplinary work rehabilitation program (i.e., the Sherbrooke model by Loisel et al) [7,[15][16][17]. Loisel et al [16] found that the combination of an occupational intervention and a clinical rehabilitation intervention was effective on disability and RTW. The Sherbrooke model has inspired other similar studies outside Canada, like the study on multidisciplinary rehabilitation for subacute low back pain in The Netherlands [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Coordinated and Tailored Work Rehabilitation: A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders

et al. 2009

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Introduction In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new ''coordinated and tailored work rehabilitation'' (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-towork of workers on sick leave due to musculoskeletal disorders (MSDs). Methods The study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries. Results For the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US $ 1,366 per person at 6 months follow-up and US $ 10,666 per person at 12 months follow-up. Conclusions Workers on sick leave for 4-12 weeks due to MSD who underwent ''CTWR'' by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society.

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Section: Introductionmentioning

confidence: 99%

Coordinated and Tailored Work Rehabilitation: A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders

et al. 2009

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“…A number of studies have shown how interventions at the workplace contribute to return to the original job [1][2][3][4]. These interventions are appropriate for many workers, and contribute to the fact that most people on sick leave resume work within a limited amount of time.…”

Section: Introductionmentioning

confidence: 99%

Is Mobility in the Labor Market a Solution to Sustainable Return to Work for Some Sick Listed Persons?

et al. 2011

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Aim: The study aims to identify characteristics associated with long-term expectations of professional stability or mobility among recently sick-listed workers, and to study whether expectations of professional mobility and turnover intentions were associated with duration of sick leave. Methods: A cross-sectional study was performed on baseline measures in a prospective cohort study of patients who were granted sick leave due to musculoskeletal (

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“…Daltroy et al 1997;Loisel et al 1997), there are few in office environments (for a review see Karsh et al 2001;NRC 2001). The small number of office intervention studies has focused on either ergonomic training (Brisson et al 1999;Hinman et al 1997;Kamwendo and Linton 1991), alternate input devices Tittiranonda et al 1999), or a broader set of office environment changes (Aaras et al 1999(Aaras et al , 2001Nelson and Silverstein 1998;Rudakewych et al 2001).…”

Section: Introductionmentioning

confidence: 99%

The Productivity Consequences of Two Ergonomic Interventions

DeRango

Amick

Robertson

et al. 2003

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Pre-and post-intervention data on health outcomes, absenteeism, and productivity from a longitudinal, quasi-experimental design field study of office workers was used to evaluate the economic consequences of two ergonomic interventions. Researchers assigned individuals in the study to three groups: a group that received an ergonomically designed chair and office ergonomics training; a group that received office ergonomics training only; and a control group. The results show that while training alone has neither a statistically significant effect on health nor productivity, the chair-with-training intervention substantially reduced pain and improved productivity. Neither intervention affected sick leave hours. Terms of use: Documents in

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A Population-Based, Randomized Clinical Trial on Back Pain Management

Abstract: Close association of occupational intervention with clinical care is of primary importance in impeding progression toward chronicity of low back pain.

Cited by 416 publications

References 12 publications

Coordinated and Tailored Work Rehabilitation: A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders

Coordinated and Tailored Work Rehabilitation: A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders

Is Mobility in the Labor Market a Solution to Sustainable Return to Work for Some Sick Listed Persons?

The Productivity Consequences of Two Ergonomic Interventions

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