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Coping with low-back pain: Remaining disabilities 5 years after multidisciplinary rehabilitation

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Abstract

The health status of 106 persons once affected with a chronic low back pain episode was compared to that of 115 referent subjects, category matched on sex, age, and time of episode about 5 years after their admission to a multidisciplinary treatment program in rehabilitation. The current health status of both groups was assessed with the Sickness Impact Profile (SIP). Results show that cases reported significantly more functional limitations in areas related to ambulation, body care and movements, home management activities, and employment. These limitations increased with age. The current distress of cases seemed comparable to that of patients with severely restricting diseases such as end-stage renal disease. This study underlines the duration and burden of personal suffering among workers with chronic low back pain.

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References

  1. Andersson GBJ. Epidemiologic aspects on low-back pain in industry.Spine 1981; 6: 53–60.

    PubMed  Google Scholar 

  2. Cypress BK. Characteristics of physician visits for back symptoms: A national perspective.Am J Public Health 1983; 73: 379–385.

    PubMed  Google Scholar 

  3. Deyo RA, Tsui-Wu YJ. Descriptive epidemiology of low-back pain and its related medical care in the United States.Spine 1987; 12: 264–268.

    PubMed  Google Scholar 

  4. Gervais M, Hébert F. Profil statistique des lésions au dos. Montréal, Québec: Institut de Recherche en Santé et en Sécurité du Travail du Québec, 1987; Études/Bilan des Connaissances.

  5. Kelsey JL, White AA. Epidemiology and impact of low-back pain.Spine 1980; 5: 133–141.

    PubMed  Google Scholar 

  6. Spengler DM, Bigos SJ, Martin NA, Zeh J, Fisher L, Nachemson A. Back injuries in industry: A retrospective study.Spine 1986; 11; 241–245.

    PubMed  Google Scholar 

  7. Spitzer WO.Rapport du groupe de travail québécois sur les aspects cliniques des affections vertébrales chez les travailleurs. Montréal, Québec: Institut de Recherche en Santé et en Sécurité du Travail du Québec, 1986.

    Google Scholar 

  8. Steinberg GG. Epidemiology of low back pain. In Stanton-Hicks M, Boas R, eds.Chronic low back pain. New-York: Raven Press, 1982, pp. 1–13.

    Google Scholar 

  9. Turk DC, Genest M. Regulation of pain: The application of cognitive and behavioral techniques for prevention and remediation. In Kendall P, Hollon S, eds.Cognitive-behavioral interventions: Theory, research and procedures. New-York: Academic Press, 1979, pp. 287–318.

    Google Scholar 

  10. Nachemson A. Work for all (for those with low back pain as well).Clin Orthop 1983; 1979: 77–82.

    Google Scholar 

  11. Bigos SJ, Crites-Battié M. Acute care to prevent back disability: Ten years of progress.Clin Orthop 1987; 221: 121–130.

    PubMed  Google Scholar 

  12. Frymoyer JW, Cats-Baril W. Predictors of low back pain disability.Clin Orthop 1987; 221: 89–98.

    PubMed  Google Scholar 

  13. Waddell G. A new clinical model for the treatment of low-back pain.Spine 1987; 12: 632–634.

    PubMed  Google Scholar 

  14. Bonica JJ. The nature of the problem. In Carron H, McLaughlin RE, eds.Management of low back pain. Boston: John Wright PSG, 1982, pp. 1–15.

    Google Scholar 

  15. Bonica JJ. Basic principles in managing chronic pain.Arch Surg 1977; 112: 783–788.

    PubMed  Google Scholar 

  16. Cairns D, Mooney V, Crane P. Spinal pain rehabilitation: Inpatient and outpatient treatment results and development of predictors for outcome.Spine 1984; 9: 91–95.

    PubMed  Google Scholar 

  17. Hallett EC, Pilowsky I. The response to treatment in a multidisciplinary pain clinic.Pain 1982; 12: 365–374.

    PubMed  Google Scholar 

  18. Ng LK. New approaches to treatment of chronic pain: A review of multidisciplinary pain clinics and pain centers. Rockville, Maryland: NIDA, 1981; research monograph no. 36.

    Google Scholar 

  19. Block AR. Multidisciplinary treatment of chronic low back pain: A review.Rehab Psychol 1982; 27: 51–63.

    Google Scholar 

  20. Linton SJ. A critical review of behavioural treatments for chronic benign pain other than headache.Brit J Clin Psychol 1982; 21: 321–337.

    Google Scholar 

  21. Mayer TG, Gatchel RJ, Kishino N, et al. Objective assessment of spine function following industrial injury (a prospective study with comparison group and one-year follow-up).Spine 1985; 10: 482–493.

    PubMed  Google Scholar 

  22. Turk DC, Flor H. Etiological theories and treatment for chronic back pain. II. Psychological models and interventions.Pain 1984; 19: 209–233.

    PubMed  Google Scholar 

  23. Aronoff GM, McAlary PW, Witkower A, Berdell MS. Pain treatment programs: Do they return workers to the workplace?State Art Rev Occup Med 1988; 3: 123–136.

    Google Scholar 

  24. Aronoff GM, Evans, WO, Enders PL. A review of follow-up studies of multidisciplinary pain units.Pain 1983; 16: 1–11.

    PubMed  Google Scholar 

  25. McArthur DL, Cohen MJ, Gottlieb HJ, Naliboff BD, Schandler SL. Treating chronic low back pain. I. Admission to initial follow-up.Pain 1987; 29: 1–22.

    PubMed  Google Scholar 

  26. McArthur DL, Cohen MJ, Gottlieb HJ, Naliboff BD, Schandler SL. Treating chronic low back pain. II Long-term follow-up.Pain 1987; 29: 23–38.

    PubMed  Google Scholar 

  27. Tan SY. Cognitive and cognitive-behavioral methods for pain control: A selective review.Pain 1982; 12: 201–228.

    PubMed  Google Scholar 

  28. Turner JA, Chapman CR. Psychological interventions for chronic pain: A critical review. II. Operant conditioning, hypnosis, and cognitive-behavioral therapy.Pain 1982; 12: 23–46.

    PubMed  Google Scholar 

  29. Flor H, Turk DC. Etiological theories and treatments for chronic back pain. I. Somatic models and interventions.Pain 1984; 19: 105–121.

    PubMed  Google Scholar 

  30. Mayer TG, Gatchel RJ, Kishino N, et al. A prospective short-term study of chronic low back pain patients utilizing novel objective functional measurement.Pain 1986; 25: 53–68.

    PubMed  Google Scholar 

  31. Roberts AH, Reinhardt L. The behavioral management of chronic pain: Long-term follow-up with comparison groups.Pain 1980; 8: 151–162.

    PubMed  Google Scholar 

  32. Trief PM. Chronic back pain: A tripartite model of outcome.Arch Phys Med Rehab 1983; 64: 53–56.

    Google Scholar 

  33. Gallon RL. Perception of disability in chronic back pain patients: A long-term follow-up.Pain 1989; 37: 67–75.

    PubMed  Google Scholar 

  34. Guck TP, Meilman PW, Skultety FM, Dowd ET. Prediction of long-term outcome of multidisciplinary pain treatment.Arch Phys Med Rehab 1986; 67: 293–296.

    Google Scholar 

  35. Mayer TG, Gatchel RJ, Mayer H, et al. A prospective two-years study of functional restoration in industrial low back injury.JAMA 1987; 258: 1763–1767.

    PubMed  Google Scholar 

  36. Follick MJ, Smith TW, Ahern DK. The Sickness Impact Profile: A global measure of disability in chronic low back pain.Pain 1985; 21: 67–76.

    PubMed  Google Scholar 

  37. Bergner M, Bobitt RA, Carter WB, Gilson BS. The Sickness Impact Profile: Development and final revision of a health status measure.Med Care 1981; 19: 787–805.

    PubMed  Google Scholar 

  38. Lichter RL, Hewson JK, Radke, SJ, Blum M. Treatment of chronic low-back pain: A community-based comprehensive return-to-work physical rehabilitation program.Clin Orthop 1984; 190: 115–123.

    PubMed  Google Scholar 

  39. Mackenzie EJ, Shapiro S, Smith RT, Siegel JH, Moody M, Pitt A. Factors influencing return to work following hospitalization for traumatic injury.Am J Public Health 1987; 77: 329–334.

    PubMed  Google Scholar 

  40. Nichols PJR. Outcome measures in rehabilitation.Rheum Rehab 1976; 15: 170–173.

    Google Scholar 

  41. Deyo RA. Measuring functional outcomes in therapeutic trials for chronic disease.Controlled Clin Trials 1984; 5: 223–240.

    PubMed  Google Scholar 

  42. Deyo RA. Conservative therapy for low back pain: Distinguishing useful from useless therapy.JAMA 1983; 250: 1057–1062.

    PubMed  Google Scholar 

  43. Deyo RA, Diehl AK. Measuring physical and psychosocial function in patients with low back pain.Spine 1983; 8: 635–642.

    PubMed  Google Scholar 

  44. Bergner L, Bergner M, Hallstrom AP, Eisenberg M, Cobb LA. Health status of survivors of out-of-hospital cardiac arrest six months later.Am J Public Health 1984; 74: 508–510.

    PubMed  Google Scholar 

  45. Bergner M, Hudson LD, Conrad DA, et al. The cost and efficacy of home care for patients with chronic lung disease.Med Care 1988; 26: 566–579.

    PubMed  Google Scholar 

  46. Deyo RA, Inui TS, Leininger J, Overman S. Physical and psychosocial function in rheumatoid arthritis: Clinical use of a self-administered health status instrument.Arch Int Med 1982; 142: 879–882.

    Google Scholar 

  47. Hart LG, Evans RW. The functional status of ESRD patients as measured by the Sickness Impact Profile.J Chron Dis (Suppl.) 1987; 40: 117–130.

    Google Scholar 

  48. McSweeny AJ, Grant I, Heaton RK, Adams KM, Timms RM. Life quality of patients with chronic obstructive pulmonary disease.Arch Int Med 1982; 142: 473–478.

    Google Scholar 

  49. Dillman DA.Mail and telephone surveys: The total design method. New-York: John Wiley & Sons, 1978, p. 50.

    Google Scholar 

  50. Kleinbaum DG, Kupper LL, Morgenstern H.Epidemiologic research: Principles and quantitative methods. New York: Van Nostrand Reinhold, 1982, p. 351.

    Google Scholar 

  51. Corey DT, Etlin D, Miller PC. A home-based pain management and rehabilitation programme: An evaluation.Pain 1987; 29: 219–229.

    PubMed  Google Scholar 

  52. Dworkin RH, Handlin DS, Richlin DM, Brand L, Vannucci C. Unravelling the effects of compensation, litigation, and employment on treatment response in chronic pain.Pain 1985; 23: 49–59.

    PubMed  Google Scholar 

  53. Mendelson G. Chronic pain and compensation: A review.J Pain Sympt Management 1986; 1: 135–144.

    Google Scholar 

  54. Cassisi JE, Sypert GW, Salamon A, Kapel L. Independent evaluation of a multidisciplinary rehabilitation program for chronic low back pain.Neurosurgery 1989; 25: 877–883.

    PubMed  Google Scholar 

  55. Fredrickson BE, Trief PM, VanBeveren P, Yuan HA, Baum G. Rehabilitation of patient with chronic back pain: A search for outcome predictors.Spine 1988; 13: 351–353.

    PubMed  Google Scholar 

  56. Gallagher RM, Rauh V, Haugh LD, et al. Determinants of return-to-work among low back pain patients.Pain 1989; 39: 55–67.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Faculty of Medicine, Department of Occupational Therapy, Université Laval, Sainte-Foy, Qc, Canada

    Clermont Dionne

  2. Faculty of Medicine, Social and Preventive Medicine, Université Laval, Sainte-Foy, Qc, Canada

    Fernand Turcotte M.D.

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  1. Clermont Dionne
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Dionne, C., Turcotte, F. Coping with low-back pain: Remaining disabilities 5 years after multidisciplinary rehabilitation. J Occup Rehab 2, 73–88 (1992). https://doi.org/10.1007/BF01079014

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