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Karjalainen, K., Malmivaara, A., van Tulder, M., Roine, R., Jauhiainen, M., Hurri, H., & Koes, B. (2003). Multidisciplinary biopsychosocial rehabilitation for subacute low back pain among working age adults. Cochrane Database of Systematic Reviews, CD002193. 31.
has been cited by the following article:
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TITLE:
Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up
AUTHORS:
Annalisa Gison, Loredana Bruti, Valentina Dall’armi, Enzo Palma, Salvatore Giaquinto
KEYWORDS:
Low Back Pain; Postural Rehabilitation; Work
JOURNAL NAME:
Advances in Applied Sociology,
Vol.3 No.2,
May
29,
2013
ABSTRACT: The study was aimed at evaluating the outcome after 2 years in a population of outpatients suffering from Low Back Pain (LBP) who were treated with a multi-disciplinary approach. The end-points were: 1) the rate of return to work (RTW); 2) the frequency of painkiller medication; 3) the frequency of unavoidable surgical operation; 4) the rate of relapses. Eighty consecutive subjects (75% women) were enrolled. They were referred by general physicians and completed the rehabilitation program at our centre. We followed an open, prospective design. The main results were: RTW: 92.5% positive cases; 7.5% failure. Job cohort settlement: 93.1% the same; 6.9% change. Time interval between discharge and RTW: 76.8% few days after discharge. Painkillers: At follow-up 46 participants (57.5%) could stop the medication. Surgical operations: At admission 39 participants presented with lumbar root involvement (48.7%). Only 4 of them had a surgical intervention (10.2%). In a third of cases of the all sample relapses did not occur. In conclusion, a multi-disciplinary model of intervention led to a high rate of RTW, a reduction of painkiller medication, a low rate of surgical interventions and of relapses as well. Further controlled studies are warranted for assessing the cost/benefit ratio. The clear prevalence of LBP in women recommends measures of preventing Medicine.