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The outcome of a functional restoration programme for chronic low back pain

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Abstract

Background

Multidisciplinary rehabilitation programmes have been successfully advocated for chronic low back pain.

Aim

The aim of the study was to establish the functional and vocational outcome of a 3-week functional restoration programme.

Level of evidence

IV, Uncontrolled clinical series.

Methods

One hundred and eighteen chronic low back pain patients underwent a 100-h programme consisting of back exercises, hydrotherapy, gymnasium work education and cognitive behavioural therapy.

Outcome measures

Oswestry Disability Index (ODI), Roland Morris (RM), ‘patient global assessment tool’ and work status scores were completed pre-programme and at least 1 year post programme.

Results

The ODI score improved by 15.6% (95% CI 11.8–19.4) and RM score by 4.6 points (95% CI 3.6–5.6). The proportion of patients who were seriously affected in the workplace had dropped from 59 to 22%. More than 85% of patients were satisfied with the outcome.

Conclusion

Functional restoration programme improves the functional activity and vocational status of patients with chronic low back pain.

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Conflict of interest statement

None.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK

    M. Sivan & P. Sell

  2. Sketchley Hall Rehabilitation Centre, Priory Centre, Burbage, Leicestershire, UK

    B. Sell

  3. 15, Asket Gardens, Roundhay, Leeds, LS8 2NW, UK

    M. Sivan

Authors
  1. M. Sivan
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  2. B. Sell
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  3. P. Sell
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Correspondence to M. Sivan.

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Sivan, M., Sell, B. & Sell, P. The outcome of a functional restoration programme for chronic low back pain. Ir J Med Sci 178, 461–467 (2009). https://doi.org/10.1007/s11845-008-0246-8

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