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1176 records – page 1 of 118.

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

https://arctichealth.org/en/permalink/ahliterature61395
Source
Pain. 2005 Jun;115(3):273-83
Publication Type
Article
Date
Jun-2005
Author
Jensen IB
Bergström G
Ljungquist T
Bodin L
Author Affiliation
Section for Personal Injury Prevention, Karolinska Institutet, Box 127 18, 112 94 Stockholm, Sweden. irene.jensen@cns.ki.se
Source
Pain. 2005 Jun;115(3):273-83
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Back Pain - economics - rehabilitation
Cognitive Therapy
Comparative Study
Cost-Benefit Analysis
Delivery of Health Care - utilization
Employment
Female
Follow-Up Studies
Health Care Costs
Humans
Male
Middle Aged
Neck Pain - economics - rehabilitation
Pensions
Physical Therapy (Specialty) - economics - organization & administration
Program Evaluation
Quality of Life
Rehabilitation - economics - organization & administration
Research Support, Non-U.S. Gov't
Sick Leave
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.
PubMed ID
15911154 View in PubMed
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A 7-year follow-up of multidisciplinary rehabilitation among chronic neck and back pain patients. Is sick leave outcome dependent on psychologically derived patient groups?

https://arctichealth.org/en/permalink/ahliterature149098
Source
Eur J Pain. 2010 Apr;14(4):426-33
Publication Type
Article
Date
Apr-2010
Author
Gunnar Bergström
Cecilia Bergström
Jan Hagberg
Lennart Bodin
Irene Jensen
Author Affiliation
Karolinska Institutet, Division of Intervention and Implementation Research, Department of Public Health Sciences, Stockholm, Sweden.
Source
Eur J Pain. 2010 Apr;14(4):426-33
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Back Pain - classification - psychology - rehabilitation
Cost-Benefit Analysis
Costs and Cost Analysis
Disability Evaluation
Female
Follow-Up Studies
Humans
Income
Male
Middle Aged
Neck Pain - classification - psychology - rehabilitation
Pain Measurement
Patient care team
Pensions
Prognosis
Risk
Sick Leave - economics - statistics & numerical data
Sweden - epidemiology
Treatment Outcome
Abstract
A valid method for classifying chronic pain patients into more homogenous groups could be useful for treatment planning, that is, which treatment is effective for which patient, and as a marker when evaluating treatment outcome. One instrument that has been used to derive subgroups of patients is the Multidimensional Pain Inventory (MPI). The primary aim of this study was to evaluate a classification method based on the Swedish version of the MPI, the MPI-S, to predict sick leave among chronic neck and back pain patients for a period of 7 years after vocational rehabilitation. As hypothesized, dysfunctional patients (DYS), according to the MPI-S, showed a higher amount of sickness absence and disability pension expressed in days than adaptive copers (AC) during the 7-years follow-up period, even when adjusting for sickness absence prior to rehabilitation (355.8days, 95% confidence interval, 71.7; 639.9). Forty percent of DYS patients and 26.7% of AC patients received disability pension during the follow-up period. However, this difference was not statistically significant. Further analyses showed that the difference between patient groups was most pronounced among patients with more than 60days of sickness absence prior to rehabilitation. Cost-effectiveness calculations indicated that the DYS patients showed an increase in production loss compared to AC patients. The present study yields support for the prognostic value of this subgroup classification method concerning long-term outcome on sick leave following this type of vocational rehabilitation.
PubMed ID
19683950 View in PubMed
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[11 million sick-leave days for back problems].

https://arctichealth.org/en/permalink/ahliterature249518
Source
Vardfacket. 1977 Oct 6;1(18):49
Publication Type
Article
Date
Oct-6-1977
Author
G. Lundblad
Source
Vardfacket. 1977 Oct 6;1(18):49
Date
Oct-6-1977
Language
Swedish
Publication Type
Article
Keywords
Absenteeism
Back Pain
Humans
Occupational Medicine
Sweden
PubMed ID
145132 View in PubMed
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A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses.

https://arctichealth.org/en/permalink/ahliterature71946
Source
Physiother Res Int. 2001;6(1):52-63
Publication Type
Article
Date
2001
Author
G. Kjellman
B. Oberg
G. Hensing
K. Alexanderson
Author Affiliation
Department of Neuroscience and Locomotion, Linköping University, Sweden.
Source
Physiother Res Int. 2001;6(1):52-63
Date
2001
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Attitude to Health
Chronic Disease
Cohort Studies
Employment
Female
Follow-Up Studies
Health status
Humans
Low Back Pain - physiopathology
Male
Neck Pain - physiopathology
Questionnaires
Recurrence
Research Support, Non-U.S. Gov't
Risk factors
Shoulder Pain - physiopathology
Sick Leave
Abstract
BACKGROUND AND PURPOSE: Neck/shoulder and low back pain are common in the Western world and can cause great personal and economic consequences, but so far there are few long term follow-up studies of the consequences of back pain, especially studies that separate the location of back pain. More knowledge is needed about different patterns of risk factors and prognoses for neck/shoulder and low back pain, respectively, and they should not be treated as similar conditions. The aim of the present study was to investigate possible long-term differences in neck/shoulder and low back symptoms, experienced over a 12-year period, with regard to work status, present health, discomfort and influence on daily activities. METHOD: A retrospective cohort study of individuals sicklisted with neck/shoulder or low back diagnoses 12 years ago was undertaken. Included were all 213 people who, in 1985, lived in the municipality of Linköping, Sweden, were aged 25-34 years and who had taken at least one new period of sickleave lasting > 28 days with a neck/shoulder or low back diagnosis. In 1996, a questionnaire was mailed to the 204 people who were still resident in Sweden (response rate 73%). RESULTS: Those initially absent with neck/shoulder diagnoses rated their present state of discomfort as worse than those sicklisted with low back diagnoses. Only 4% of the neck/shoulder group reported no present discomfort compared with 25% of the low back group. Notably, both groups reported the same duration of low back discomfort during the last year, which may indicate a higher risk for symptoms in more than one location for subjects with neck/shoulder problems. CONCLUSIONS: Individuals with sickness absence of more than 28 days with neck/shoulder or low back diagnoses appear to be at high risk of developing long-standing symptoms significantly more so for those initially having neck/shoulder diagnoses.
PubMed ID
11379256 View in PubMed
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Source
Sygeplejersken. 1988 Aug 10;88(32):13
Publication Type
Article
Date
Aug-10-1988

[A bowed back will become straight and the Winter's back will become bowed].

https://arctichealth.org/en/permalink/ahliterature192223
Source
Duodecim. 1998;114(23):2498-501
Publication Type
Article
Date
1998
Author
H. Alaranta
Author Affiliation
Invalidiliiton Käpylän kuntoutuskeskus, Koskelantie 22, 00160 Helsinki. hannu.alaranta@invalidiliitto.fi
Source
Duodecim. 1998;114(23):2498-501
Date
1998
Language
Finnish
Publication Type
Article
Keywords
Back
Back Pain - psychology
Finland
Humans
Language
Symbolism
PubMed ID
11757151 View in PubMed
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Absenteeism screening questionnaire (ASQ): a new tool for predicting long-term absenteeism among workers with low back pain.

https://arctichealth.org/en/permalink/ahliterature132639
Source
J Occup Rehabil. 2012 Mar;22(1):27-50
Publication Type
Article
Date
Mar-2012
Author
Manon Truchon
Marie-Ève Schmouth
Denis Côté
Lise Fillion
Michel Rossignol
Marie-José Durand
Author Affiliation
Département des Relations Industrielles, Université Laval, Québec, Canada. manon.truchon@rlt.ulaval.ca
Source
J Occup Rehabil. 2012 Mar;22(1):27-50
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Disability Evaluation
Disabled Persons
Fear - psychology
Female
Forecasting
Humans
Low Back Pain - diagnosis - psychology
Male
Psychometrics - instrumentation
Quebec
Questionnaires
ROC Curve
Reproducibility of Results
Work
Workplace
Abstract
Over the last decades, psychosocial factors were identified by many studies as significant predictive variables in the development of disability related to common low back disorders, which thus contributed to the development of biopsychosocial prevention interventions. Biopsychosocial interventions were supposed to be more effective than usual interventions in improving different outcomes. Unfortunately, most of these interventions show inconclusive results. The use of screening questionnaires was proposed as a solution to improve their efficacy. The aim of this study was to validate a new screening questionnaire to identify workers at risk of being absent from work for more than 182 cumulative days and who are more susceptible to benefit from prevention interventions.
Injured workers receiving income replacement benefits from the Quebec Compensation Board (n = 535) completed a 67-item questionnaire in the sub-acute stage of pain and provided information about work-related events 6 and 12 months later. Reliability and validity of the 67-item questionnaire were determined respectively by test-retest reliability and internal consistency analysis, as well as by construct validity analyses. The Cox regression model and the maximum likelihood method were used to fix a model allowing calculation of a probability of absence of more than 182 days. Criterion validity and discriminative capacity of this model were calculated.
Sub-sections from the 67-item questionnaire were moderately to highly correlated 2 weeks later (r = 0.52-0.80) and showed moderate to good internal consistency (0.70-0.94). Among the 67-item questionnaire, six sub-sections and variables (22 items) were predictive of long-term absence from work: fear-avoidance beliefs related to work, return to work expectations, annual family income before-taxes, last level of education attained, work schedule and work concerns. The area under the ROC curve was 73%.
The significant predictive variables of long-term absence from work were dominated by workplace conditions and individual perceptions about work. In association with individual psychosocial variables, these variables could contribute to identify potentially useful prevention interventions and to reduce the significant costs associated with LBP long-term absenteeism.
PubMed ID
21796374 View in PubMed
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[Accelerated development of spinal degenerative changes during low back pain in young people]

https://arctichealth.org/en/permalink/ahliterature31687
Source
Lik Sprava. 2001 Sep-Dec;(5-6):98-101
Publication Type
Article
Author
V V Gongal'skyi
R M Ambartsumov
Ie G Kopyl
Source
Lik Sprava. 2001 Sep-Dec;(5-6):98-101
Language
Ukrainian
Publication Type
Article
Keywords
Adolescent
Back Pain - complications - physiopathology - ultrasonography
Child
English Abstract
Female
Humans
Inflammation - physiopathology
Lumbar Vertebrae - physiopathology
Magnetic Resonance Imaging
Male
Spinal Diseases - etiology - physiopathology - ultrasonography
Tomography, X-Ray Computed
Ultrasonography
Abstract
A possibility has been explored of an accelerated development of degenerative changes in the vertebral column in those young people whose activity is connected with high physical loads on the lumbar spine. A comparative analysis was done of results of the ultrasound investigation and magnetic-resonance tomography of spinal soft tissues. Sonographic techniques permit the conclusion to be reached that there develop degenerative and inflammatory processes at the level of certain vertebral segments at the preX-ray stage when it is only the soft-tissue structures that are involved.
PubMed ID
11881396 View in PubMed
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Accumulation of psychosocial and lifestyle factors and risk of low back pain in adolescence: a cohort study.

https://arctichealth.org/en/permalink/ahliterature276396
Source
Eur Spine J. 2016 Feb;25(2):635-42
Publication Type
Article
Date
Feb-2016
Author
Paula Mikkonen
Eveliina Heikkala
Markus Paananen
Jouko Remes
Simo Taimela
Juha Auvinen
Jaro Karppinen
Source
Eur Spine J. 2016 Feb;25(2):635-42
Date
Feb-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Cluster analysis
Cohort Studies
Female
Finland - epidemiology
Follow-Up Studies
Humans
Internal-External Control
Life Style
Low Back Pain - epidemiology - etiology - psychology
Male
Motor Activity
Obesity - complications - epidemiology
Prospective Studies
Risk factors
Sex Factors
Smoking - adverse effects - epidemiology
Surveys and Questionnaires
Abstract
Low back pain (LBP) is common already in adolescence, and many risk indicators including both psychosocial and lifestyle factors have been recognized. Our purpose was to assess whether the co-occurrence of psychosocial (externalizing and internalizing) problems and lifestyle factors (leisure time physical activity, sedentary behaviour, sleep, smoking, and overweight/obesity) associate with LBP at 16 years cross-sectionally or with new LBP at 18-year follow-up.
The study population, drawn from the Northern Finland Birth Cohort 1986, consisted of 1625 participants (712 boys and 913 girls) who completed a questionnaire on potential explanatory factors at 16 years and on LBP at 16 and 18 years. The outcome measure was 'reporting LBP' or 'consultation for LBP' during the past 6 months. Latent Class Analysis (LCA) was utilized to study the co-occurrence of the explanatory factors.
Among both genders, four clusters were found. Externalizing behaviour problems were associated with 'reporting LBP' (RR 1.5, boys 1.4, girls) and 'consultation for LBP' (RR 1.6 for both genders) at baseline among both genders. In addition, the cluster of multiple risk behaviours was associated with both 'reporting LBP' (RR 1.3) and 'consultation for LBP' (RR 2.5) and the obese cluster with 'consultation for LBP' (RR 1.7) among girls. Externalizing behaviour problems at 16 years predicted 'consultation for LBP' at 18 years among girls (RR 3.6).
Our results stress the role of psychosocial factors in reporting and seeking care for adolescent LBP.
PubMed ID
26070550 View in PubMed
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Acetabular dysplasia in the Sami population: a population study among Sami in north Norway.

https://arctichealth.org/en/permalink/ahliterature86462
Source
Int J Circumpolar Health. 2008 Feb;67(1):147-53
Publication Type
Article
Date
Feb-2008
Author
Johnsen Knut
Goll Rosmus
Reikerås Olav
Author Affiliation
Centre for Sami Health Research, Institute of Community Medicine, University of Tromsø, Norway. knut.johnsen@unn.no
Source
Int J Circumpolar Health. 2008 Feb;67(1):147-53
Date
Feb-2008
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Arctic Regions
Bone Diseases, Developmental - complications - ethnology
Continental Population Groups
Cross-Sectional Studies
Female
Hip Joint
Humans
Low Back Pain - complications - ethnology
Male
Middle Aged
Norway - epidemiology
Abstract
OBJECTIVES: The overall aim of this study was to evaluate the acetabular coverage of the femoral head as measured by the centre-edge (CE) angle of Wiberg and to evaluate any association between low back pain and hip dysplasia in a Sami-dominated area (the municipalities of Karasjok and Kautokeino) in north Norway. STUDY DESIGN: A cross-sectional population-based study, which included questionnaires and a radiographic examination of the hips. METHODS: A total of 1723 individuals were invited to participate in a general health survey. Of these, 78.2% attended the screening and filled out a questionnaire that included questions about ethnicity and symptoms of back problems; 836 participants returned the questionnaire. Back problems were reported by 210 participants, the rest had no complaints. All 210 participants with back problems and a random sample of 206 with no back pain were invited for a radiographic examination, 75% and 76%, respectively, showed up for the examination. RESULTS: The centre-edge (CE) angle of Wiberg was found to be 28 (+/-7) and 27 (+/-7) degrees for the left and right hip, respectively. Our results showed that 17% of the Sami had definite dysplasia, 21% had light dysplasia and 62% had normal hip joints. Thus, 38% of the Sami had more or less dysplastic hips. The oldest participants had a significantly smaller CE-angle than the younger ones. However, no associations were found between acetabular dysplasia and back complaints. CONCLUSIONS: A high prevalence of hip dysplasia was found in this Sami-dominant area. No significant association could be found between low back pain and dysplasia.
PubMed ID
18468266 View in PubMed
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1176 records – page 1 of 118.