A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain

Jensen, Irene B.; Bergström, Gunnar; Ljungquist, Therese; Bodin, Lennart

doi:10.1016/j.pain.2005.03.005

Cited by 188Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationWorkplace Health and Well-being

A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain

Jensen, Irene B., Bergström, Gunnar, Ljungquist, Therese, Bodin, Lennart·2005·Pain

DOI 10.1016/j.pain.2005.03.005

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Abstract

The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.

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Multidisciplinary treatment following a biopsychosocial model is widely accepted as the golden standard in treatment and rehabilitation offered to patients with chronic pain.
“Multidisciplinary treatment following a biopsychosocial model is widely accepted as the “golden standard” in the treatment and rehabilitation offered to patients with chronic pain [4,5]”
From Comparing the efficacy of multidisciplinary assessment and treatment, or acceptance and commitment therapy, with treatment as usual on health outcomes in women on long-term sick leave—a randomised controlled trial (2021) · cites this paper as [4]

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Authors: Jensen, I. B., Bergström, G., Ljungquist, T., & Bodin, L.
Affiliations: Karolinska Institutet (SE)
Örebro University Hospital (SE)
Corresponding author: Jensen, Irene B.
ORCID: Jensen, Irene B.
Bergström, Gunnar
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2005-06
Volume: 115
Issue: 3
Pages: 273-283
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2005.03.005
OpenAlex: W1991092998
Cited by: 188
References: 51
Citations by year: 2025: 3 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 11 · 2015: 17 · 2014: 12 · 2013: 11 · 2012: 19
FWCI: 4.88
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords: back pain, neck pain, multidisciplinary rehabilitation, behavioral medicine, cognitive behavioral therapy, sick leave, return to work, health-related quality of life, early retirement, cost-effectiveness, sex differences, blue-collar workers, care workers, occupational health
MeSH terms: Adult, Back Pain, Cost-Benefit Analysis, Delivery of Health Care, Employment, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pensions, Quality of Life, Rehabilitation, Program Evaluation, Cognitive Behavioral Therapy, Health Care Costs, Sick Leave, Neck Pain, Physical Therapy Specialty

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A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain

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