Effects of Musculoskeletal Rehabilitation Courses on Work Ability
1 other identifier
observational
480
1 country
1
Brief Summary
The goal of this observational study is to learn about the effects of two different musculoskeletal rehabilitation programs in working-age people with musculoskeletal disorders. The main question it aims to answer is: Do musculoskeletal rehabilitation programs A or B improve work ability in people with musculoskeletal disorders? Participants starting in rehabilitation programs A and B will answer survey questions about their work ability and related factors three times: when starting, immediately after the rehabilitation ends, and 4 months after ending the rehabilitation. Participants in study group C will answer the same questions during the same time period. Researchers will compare participants in rehabilitation programs A and B to participants in group C, who have musculoskeletal disorders but will not participate in rehabilitation programs. The comparison is done to see if there are differences in the changes in work ability and related factors, such as pain or quality of life.
Trial Health
Trial Health Score
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participants targeted
Target at P75+ for all trials
Started Jan 2025
1 active site
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 19, 2024
CompletedFirst Posted
Study publicly available on registry
December 27, 2024
CompletedStudy Start
First participant enrolled
January 13, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
February 12, 2025
February 1, 2025
1.6 years
December 19, 2024
February 10, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from Baseline in Work Ability at 4-6 Months and 8-10 Months
Work Ability Index questionnaire (7-49 points; the higher score indicates better work ability)
Baseline (pre-intervention), 4-6 months (after the intervention), 8-10 months (4-month follow-up)
Secondary Outcomes (7)
Change from Baseline in Mood at 4-6 months
Baseline (pre-intervention), 4-6 months (after the intervention)
Change from Baseline in Quality of Life at 4-6 months
Baseline (pre-intervention), 4-6 months (after the intervention)
Change from Baseline in Functional Ability at 4-6 months
Baseline (pre-intervention), 4-6 months (after the intervention)
Change from Baseline in Pain at 4-6 months and 8-10 months
Baseline (pre-intervention), 4-6 months (after the intervention), 8-10 months (4-month follow-up)
Change from Baseline in Return-to-Work Self Efficacy at 4-6 months
Baseline (pre-intervention), 4-6 months (after the intervention)
- +2 more secondary outcomes
Study Arms (3)
Face-to-face musculoskeletal rehabilitation (A)
Participation in a face-to-face rehabilitation course organized by the Social Insurance Institution of Finland (Kela) for those with musculoskeletal disorders (MSD) (A)
Musculoskeletal telerehabilitation (B)
Participation in a telerehabilitation course organized by Kela for those with MSD (B)
Controls (C)
Persons with MSD who had contacted their occupational health care because of musculoskeletal symptoms, and will not participate in Kela's musculoskeletal rehabilitation course during the study period
Interventions
Kela's rehabilitation course for those with MSD includes two 5-day periods and one 3-day period of face-to-face rehabilitation, which are carried out in a Finnish rehabilitation center over a 9-month period and implemented by a multidisciplinary team of rehabilitation experts. The rehabilitation course is group-based and provided free of charge. The 9-month rehabilitation period also includes calls to the participants before and after rehabilitation. The course is intended for persons over the age of 18 with diagnosed MSD and difficulties coping with work or studies. The course provides support, tools, and coaching to help manage daily life and work with MSD. Self-rehabilitation is an important component of the program. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation. A medical statement is required when applying for the rehabilitation course.
Kela´s MSD telerehabilitation course is arranged entirely as telerehabilitation, and it includes videoconferencing, online rehabilitation, and group-based rehabilitation days implemented by a multidisciplinary team of rehabilitation experts. Participation does not require particular IT skills, but appropriate equipment (e.g., mobile phone, laptop, tablet computer) is needed. The rehabilitation course is free of charge, and the total duration, including the calls before and after rehabilitation, is approximately 7 months. The course is intended for persons over the age of 18 with diagnosed MSD and difficulties coping with work or studies. The course provides support, tools, and coaching to help manage daily life and work with MSD. Self-rehabilitation is an important component of the program. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation. A physiotherapist's recommendation is required when applying for the telerehabilitation course
The control participants have an MSD diagnosis and musculoskeletal symptoms. Based on an occupational physiotherapist's brief evaluation they are eligible to apply for Kela's musculoskeletal rehabilitation (the interventions below). By them own choice, however, they will not participate in these rehabilitation programs in the near future. The controls are recruited via two occupational health care producers in the private sector.
Eligibility Criteria
Those starting in either of the following services between January 2025 and January 2026: * Kela's face-to-face musculoskeletal rehabilitation (A) * Kela's musculoskeletal telerehabilitation (B). Persons with MSD who contacted their occupational health care between January 2025 and January 2026 because of musculoskeletal symptoms, but will not participate in Kela's musculoskeletal rehabilitation. Two private companies offering occupational health care services nationally are involved.
You may qualify if:
- Groups 1 ja 2:
- diagnosed musculoskeletal disorder
- years or older
- in employment, returning to work, studying, or receives rehabilitation subsidy
- participating in either of the following:
- Kela's face-to-face musculoskeletal rehabilitation (A)
- Kela's musculoskeletal telerehabilitation (B)
- willingness to participate in the study
- Group 3 (Controls):
- diagnosed musculoskeletal disorder
- years or older
- in employment, returning to work, studying, or receives rehabilitation subsidy
- musculoskeletal symptoms have lasted at least 3 months and the person has participated in physiotherapy or self-rehabilitation without satisfactory results
- willingness to participate in the study
You may not qualify if:
- Group 3 (Controls):
- Current rehabilitation needs are related to post-treatment care or post-discharge rehabilitation.
- acute or untreated substance use disorder
- participating in or apply for Kela's musculoskeletal rehabilitation services (A or B) during the next few months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Social Insurance Institution of Finland
Helsinki, 00250, Finland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 19, 2024
First Posted
December 27, 2024
Study Start
January 13, 2025
Primary Completion (Estimated)
August 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
February 12, 2025
Record last verified: 2025-02
Data Sharing
- IPD Sharing
- Will not share