Department of Occupational and Social Medicine, Holbæk Hospital, part of Copenhagen University Hospital, Smedelundsgade 60, 4300, Holbæk, Denmark.
Section of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, Copenhagen K, Denmark.
BMC Musculoskelet Disord. 2022 Sep 10;23(1):854. doi: 10.1186/s12891-022-05807-7.
Multidisciplinary rehabilitation is recommended to reduce sickness absence and disability in patients with subacute or chronic low back pain (LBP). This study aimed to investigate whether a 12-week coordinated work oriented multidisciplinary rehabilitation intervention was effective on return to work and number of days off work during one-year follow-up when compared to usual care.
This study is a randomized controlled trial comparing the effectiveness of a 12-week multidisciplinary vocational rehabilitation program in addition to usual treatment. 770 patients with LBP, who were sick-listed, or at risk of being sick-listed were included in the study. The primary outcome was number of days off work due to LBP. The secondary outcomes were disability, health-related quality of life, pain, psychological distress and fear avoidance behavior. Data were collected at baseline, at the end of treatment, and at 6- and 12-months follow-up. Analyses were carried out according to the "intention-to-treat" principles.
A significant decrease in the number of patients who were on sick-leave was found in both groups at the end of treatment and at 6- and 12-months follow-up. Additionally, disability, pain, health related quality of life, psychological distress, and fear avoidance beliefs improved in both groups. No statistically significant differences were found between the groups on any of the outcomes.
The coordinated multidisciplinary intervention had no additional effect on sickness absence, disability, pain, or health related quality of life as compared with that of usual care.
This study was retrospectively registered in ClinicalTrials.gov (registration ID: NCT01690234). The study was approved by The Danish Regional Ethics Committee (file no: H-C-2008-112) as well as registered at and approved by the Danish Data Protection Agency.
多学科康复被推荐用于减少亚急性或慢性下背痛（LBP）患者的病假和残疾。本研究旨在调查与常规护理相比，12 周的协调工作导向的多学科康复干预在一年随访期间对重返工作岗位和病假天数的影响。
这是一项比较 12 周多学科职业康复计划加常规治疗效果的随机对照试验。共纳入 770 例患有 LBP、请病假或有请病假风险的患者。主要结局是因 LBP 而请病假的天数。次要结局是残疾、健康相关生活质量、疼痛、心理困扰和恐惧回避行为。数据在基线、治疗结束时以及 6 个月和 12 个月随访时收集。分析根据“意向治疗”原则进行。
两组患者在治疗结束时以及 6 个月和 12 个月随访时，因请病假而减少的患者人数均有显著下降。此外，两组患者的残疾、疼痛、健康相关生活质量、心理困扰和恐惧回避信念均有改善。两组在任何结局上均无统计学显著差异。
与常规护理相比，协调的多学科干预对病假、残疾、疼痛或健康相关生活质量没有额外的影响。
本研究在 ClinicalTrials.gov 上进行了回顾性注册（注册号：NCT01690234）。该研究得到了丹麦区域伦理委员会（档案号：H-C-2008-112）的批准，并在丹麦数据保护局进行了注册和批准。
