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Edorium Journal of

Disability and Rehabilitation

 
     
Original Article
 
Predictors for return to work after multimodal rehabilitation in persons with persistent musculoskeletal pain
Sviridova Olga1, Gunvor Gard2, Peter Michaelson3
1Msc, Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden
2Professor, Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden
3Assistant Professor, Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden

Article ID: 100038D05SO2018
doi: 10.5348/100038D05SO2018OA

Corresponding Author:
Gunvor Gard,
Division of Health and Rehabilitation,
Department of Health Sciences, Luleå University of Technology,
97187 Luleå, Sweden

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How to cite this article
Olga S, Gard G, Michaelson P. Predictors for return to work after multimodal rehabilitation in persons with persistent musculoskeletal pain. Edorium J Disabil Rehabil 2018;4:100038D05SO2018.


ABSTRACT

Aims: To identify factors explaining return to work (RTW) 12 months after a multimodal rehabilitation (MMR) intervention in the REHSAM II project.

Methods: The present study is a secondary assessment of the data from the randomized controlled trial REHSAM II. A total of 97 participants with persistent musculoskeletal pain were randomly allocated to MMR + web-based education or only MMR. The subjects were followed from baseline to 12 months. The baseline variables from the outcome measures were used to identify predictors. The associations between the dependent variable (i.e., RTW) and independent variables (i.e., baseline variables) were analyzed with univariate and multiple logistic regression models.

Results: The univariate regression analyses showed that pain and disability level, the capacity to perform a task in relation to pain, hospital and psychiatric care, medication for insomnia, catastrophizing, self-assessed work ability compared with lifetime best, satisfaction with life, ability for coping and controlling work situation, ability for coping with life outside work, and sense of responsibility for managing health condition were significantly associated with RTW. In the final multiple regression model, RTW was predicted by the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ score) (p=0.003, OR=0.961) and EuroQol (EQ-5D index) (p=0.017, OR=7.283)

Conclusion: Psychosocially related pain and health-related quality of life predicted RTW in the final model. The results confirm that RTW is a multidimensional problem involving a complex interaction of many factors.

Keywords: Musculoskeletal pain, Multimodal rehabilitation, Predictors, Return to work


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Author Contributions
Olga Sviridova – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Gunvor Gard – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Peter Michaelson – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this study.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Sviridova Olga et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

About the Authors

Sviridova Olga is a Physiotherapist working in primary health care in Lessebo health center, Sweden. She earned the undergraduate degree in physiotherapy from Riga Stradins University in Riga, Lettland and postgraduate degree form Master of Science in physiotherapy from Luleå University of Technology in Luleå, Sweden. Her research interests include return to work processes as well as phantom limb pain rehabilitation. She intends to pursue return to work processes and phantom limb pain rehabilitation in future. Email: schumixa@inbox.lv



Gunvor Gard is Professor at Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology,Luleå,Sweden (parttime) and at the Department of Health Sciences, Lund University, Lund, Sweden. She earned the undergraduate degree (Physiotherapist) from (Karolinska Institute in Stockholm, Sweden and postgraduate degree (PhD) from (Department of Health Sciences, Luleå University of Technology, Luleå, Sweden. She has published 125 research papers in national and international academic journals and authored (4) books. Her research interests include physical and psychosocial health promotion and rehabilitation in different contexts and musculoskeletal pain rehabilitation. She intends to pursue Physical and psychosocial health promotion and rehabilitation in future. Email: Gunvor.Gard@ltu.se



Peter Michaelson is Associate Professor at Division of Health and Rehabilitation at the Department of Health Science at Luleå University of Technology in Luleå, Sweden. He earned the undergraduate degree in physiotherapy from Umeå university, Umeå, Sweden and doctoral degree form from Sportsmedicine at Umeå University, Umeå, Sweden. He has published 16 research papers in national and international academic journals. His research interests include rehabilitation of musculoskeletal disorders and pain management. He intends to pursue musculoskeletal disorders and pain management in future. Email: Peter.michaelson@ltu.se





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