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Quality of life and...
Quality of life and maintenance of improvements after early multimodal rehabilitation : a 5-year follow-up
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- Westman, Anders, 1946- (författare)
- Uppsala universitet,Örebro universitet,Institutionen för klinisk medicin,Centre for Health and Medical Psychology (CHAMP), Örebro, Centre for Clinical Research, Västerås,Centrum för klinisk forskning, Västerås
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- Linton, Steven J. (författare)
- Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap,Centre for Health and Medical Psychology (CHAMP), Örebro
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- Theorell, Töres (författare)
- Karolinska Institutet,Stressforskninginsinstitutet, Stockholms universitet
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- Öhrvik, J (författare)
- Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning, Västerås,Centrum för klinisk forskning, Västerås,Inst för medicin, Enh för kardiologi, Karolinska institutet, Stockholm
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- Wahlén, Petra (författare)
- Centre for Clinical Research,Uppsala University-Västerås Hospital
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- Leppert, Jerzy (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- 2009-07-07
- 2006
- Engelska.
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Ingår i: Disability and Rehabilitation. - London : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 28:7, s. 437-446
- Relaterad länk:
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Purpose. There is a paucity of long-term evaluations on rehabilitation of musculoskeletal disorders, e.g., neck, shoulder or back pain. The aim of this study was to assess quality of life and the effect of early multimodal rehabilitation on 91 patients with musculoskeletal pain and disability at a 5-year follow-up. Method. The follow-up assessment, which included questions on pain, function, quality of life, perceived health, sick leave and psychosomatic symptoms, was performed 5 years after the assessment of baseline status. Results. Improvements in pain, perceived health and psychosomatic symptoms were maintained at the 5-year follow-up. In addition, improvements in function, quality of life, and level of acceptable pain were significant in comparison to baseline. At the time of the baseline assessment all patients were on sick leave (13% were on partial sick leave). At the 5-year follow-up, 58% of the patients were at work part or full time. The results show that those working differed significantly from those not working at the 5-year follow-up on almost all variables, indicating that those working enjoy better health. The most salient prognostic factors for return to work were perceived health and educational level at the time of the baseline evaluation. Conclusions. These results show that treatment improved quality of life and the effects were basically maintained at 5 years. Work capacity as reflected in return to work increased greatly (81%) at a 1-year follow-up and was substantial (58%) at the 5-year follow-up. Moreover, perceived health and educational levels were important prognostic factors. Finally, the fact that patients working reported better health underscores the probable importance of return to work. Our results imply that it may be feasible to obtain long-term benefits from such a primary care-based intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- musculoskeletal pain
- comprehensive treatment
- return to work
- quality of life
- rehabilitation
- sick leave
- Family medicine
- Allmänmedicin
- Rehabilitation Medicine
- Rehabiliteringsmedicin
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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