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Rehabilitation that works - vocational outcomes following rehabilitation for occupational musculoskeletal pain


Taylor, W.; Simpson, R.; Gow, D. [u. a.]


British Medical Association - New Zealand Branch


The New Zealand medical journal, 2001, Volume 114 (Number 1130), Seite 185-187, Wellington: Eigenverlag, ISSN: 0028-8446





To describe the short term vocational outcome for accident compensation claimants with disabling musculoskeletal pain following a comprehensive, interdisciplinary rehabilitation programme.


A telephone follow-up audit of clients who had undertaken a rehabilitation programme characterised by a cognitive-behavioural approach with self-management, reconditioning, vocational rehabilitation and psychological pain management.


Of 62 clients who had undergone a rehabilitation programme, we obtained follow-up information on 49 (79%). These were predominantly male, aged in their mid 30s, manual workers with low back pain and a median sick leave of twelve months. At a median of five months a vocational success was achieved in 75%: working full time (47%), part time (12%) or actively looking for work (16%).
Of those in work, 48% went back to the same job, 7% went back to the same job but with a different employer and 15% went to a different job that used the same skills. Logistic regression analysis showed that duration of work disability was the major predictor of vocational success (OR 0.36, 95% CI 0.18 to 0.78, for a difference of twelve months).


Despite the uncontrolled nature of these results, it is likely that the rehabilitation programme had a significant impact in getting compensation claimants back to work. Only a minority require substantive retraining and early intervention is associated with a better outcome.

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Informationsstand: 03.03.2004

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