Effect of Interventions in Return to Work for Patients With Neck and Low Back Pain
Facilitating and Inhibiting Factors and Effect of Interventions in Return to Work for Patients With Neck and Low Back Pain
1 other identifier
interventional
400
1 country
1
Brief Summary
Low back pain is a usual condition in the western countries and several treatments available for patients with "non-specific low back pain". According to the European guidelines both Brief intervention and exercise/cognitive intervention are effective treatments with regard to pain and function (www.backpaineurope.org), but none have documented effect on return to work. The challenges for health personnel is not cure of the patients back pain, but to build up rehabilitation programs which focus on disability and work incapacity, in patients which are at risk of loosing their work. Dr. P. Loisel, Montreal, Canada", has since 1995 treated patients with back pain according to the "The PREVICAP model - (PREVention of work handICAP)", where the main purpose with work-related program is to prevent prolonged disability and to help patients back to work. Loisel demonstrated that the PREVICAP models accelerated the "return to work" factor by a factor 2.4 (p=0.01). The PREVICAP model had also been evaluated in Amsterdam, by Dr. Anema with the same results. At the Back Clinic, Ullevål University Hospital we are presently involved in a randomized controlled trial after the PREVICAP model, where patients are randomized to Brief intervention including a work-related intervention or usual care. All included patients in both groups, will have a clinical examination by specialist in Physical Medicine and Rehabilitation and advice from a physiotherapist. The current study replaces Brief intervention with an exercise - and a work-related program, so patients with non-specific LBP will be randomized to an exercise and work-related program or usual care. The main purpose of this study
- to investigate if rehabilitation programs specifically focusing on the return to work process will reduce sickness absence and disability pension in patients with neck and low back pain.
- to assess the work-, individual- and health factors and their interrelationship predicting sickness absence and work disability.
- to compare results from the rehabilitation program with results from rehabilitation program in Toronto
- to which extent are the patients met by actions from employers and employment services, and does is influence sickness absence and disability.
- do these actions represent favourable cost benefit for the work places and the society
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable low-back-pain
Started Aug 2009
Longer than P75 for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 9, 2009
CompletedFirst Posted
Study publicly available on registry
February 10, 2009
CompletedStudy Start
First participant enrolled
August 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2013
CompletedJune 27, 2011
May 1, 2011
2 years
February 9, 2009
June 24, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
return to work rate
week
Secondary Outcomes (1)
Cost benefit, predictors (work, individual and health factors) of poor return to work rate,
year
Study Arms (3)
Work related rehabilitation
ACTIVE COMPARATORwork related rehabilitation and exercises The workplace intervention includes two steps: Evaluations of the work site: The occupational ergonomists task is to identify conditions at the work site, as for instance ergonomic, work demand and relations to the employer and colleagues. Therapeutic Return to work: The occupational ergonomists will organize contacts and meetings between the employer and the patients and make a schedule for return to work. The therapeutic return-to-work-process will take place at the work place, with progressively more days at work and progressively increasing tasks. Exercises comprises of treatment in groups. The treatment includes exercises, both strength and fitness, in addition to cognitive intervention of how to manage pain and work.
Brief intervention
ACTIVE COMPARATOR1 consultation at the physiotherapist, which give advise and a summary talk with the physician
Multidisciplinary exercise group
ACTIVE COMPARATOR10 days of exercise and cognitive treatment group
Interventions
Treatment in groups, twice a week for 3 weeks. The treatment includes exercises, cognitive intervention and work related rehabilitation. The exercises include fitness, strength and stretching
1 consultation at the physiotherapist, which give advice Summary talk with the physician about activity and work when having neck- and low back pain
10 days during 3 weeks. Treatment in groups, exercise and cognitive treatment
Eligibility Criteria
You may qualify if:
- Patients with low back pain, sick listed for less than 1 year and who are permanently employed
You may not qualify if:
- Patients with infection, tumors, osteoporosis, fracture, structural deformity, inflammatory disorder, radicular syndrome or cauda equina syndrome, spinal stenosis or spondylolysis/listesis, serious somatic disease and/or psychic disease and patients with with poor proficiency in Norwegian
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ullevaal University Hospitallead
- The Research Council of Norwaycollaborator
Study Sites (1)
Ullevaal University Hospital
Oslo, 0407, Norway
Related Publications (1)
Marchand GH, Myhre K, Leivseth G, Sandvik L, Lau B, Bautz-Holter E, Roe C. Change in pain, disability and influence of fear-avoidance in a work-focused intervention on neck and back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2015 Apr 21;16:94. doi: 10.1186/s12891-015-0553-y.
PMID: 25896785DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Erik Bautz-Holter, Professor
Ullevaal University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 9, 2009
First Posted
February 10, 2009
Study Start
August 1, 2009
Primary Completion
August 1, 2011
Study Completion
August 1, 2013
Last Updated
June 27, 2011
Record last verified: 2011-05