Abstract:
PURPOSE:To evaluate the two year outcome of multidisciplinary rehabilitation for patients with prolonged musculoskeletal disorders (MSDs), in terms of health-related quality of life (HRQL) and working ability. In addition, predictors of outcome were examined. METHODS:The rehabilitation group and the matched control group comprised 122 and 114 patients respectively. Baseline data were compared with two year follow-up data within and between the groups. The variables that were measured were: HRQL (Nottingham Health Profile), motivation, body awareness, pain, pain-related medicine consumption, psychosomatic symptoms, working environment and working ability. RESULTS:Variables which improved significantly for the rehabilitation group compared with the control group were: HRQL (p = 0.049), emotional reactions (p = 0.043), pain related to movements (p = 0.028) and need for pain-related medicines (p = 0.009). Multivariate regression analysis including all patients revealed that motivation was a predictor of change in HRQL (p = 0.001) and working ability (p < 0.001). CONCLUSION:The rehabilitation programme appeared to improve HRQL to a greater extent than ordinary treatment available within primary care. The patient's level of motivation could be an important predictor of outcome.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Grahn B,Ekdahl C,Borgquist Ldoi
10.1080/096382800445443subject
Has Abstractpub_date
2000-10-15 00:00:00pages
639-54issue
15eissn
0963-8288issn
1464-5165journal_volume
22pub_type
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