The Effects of a Graded Activity Intervention for Low Back Pain in Occupational Health on Sick Leave, Functional Status and Pain: 12-Month Results of a Randomized Controlled Trial

Hlobil, Hynek, Staal, J. Bart, Twisk, Jos, Köke, Albere, Ariëns, Geertje, Smid, Tjabe and van Mechelen, Willem (2005) The Effects of a Graded Activity Intervention for Low Back Pain in Occupational Health on Sick Leave, Functional Status and Pain: 12-Month Results of a Randomized Controlled Trial. Journal of Occupational Rehabilitation, 15 4: 569-580. doi:10.1007/s10926-005-8035-y


Author Hlobil, Hynek
Staal, J. Bart
Twisk, Jos
Köke, Albere
Ariëns, Geertje
Smid, Tjabe
van Mechelen, Willem
Title The Effects of a Graded Activity Intervention for Low Back Pain in Occupational Health on Sick Leave, Functional Status and Pain: 12-Month Results of a Randomized Controlled Trial
Journal name Journal of Occupational Rehabilitation   Check publisher's open access policy
ISSN 1053-0487
1573-3688
Publication date 2005-12-01
Sub-type Article (original research)
DOI 10.1007/s10926-005-8035-y
Open Access Status Not yet assessed
Volume 15
Issue 4
Start page 569
End page 580
Total pages 12
Place of publication New York
Publisher Plenum Press
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Introduction: Behaviorally oriented graded activity interventions have been suggested for sick-listed workers with low back pain on return to work, but have not been extensively evaluated.

Methods: One hundred and thirty-four workers were randomly assigned to either a graded activity intervention (n = 67) or usual care (n = 67) and followed-up for 12 months.

Results: The graded activity group returned back to work faster with a median of 54 days compared to 67 days in the usual care group. The graded activity intervention was more effective after approximately 50 days post-randomization (HRR = 1.9, CI = 1.2–3.1, p = 0.01). Differences between the groups in number of recurrent episodes, total number of days of sick leave due to low back pain, and total number of days of sick leave due to all diagnoses, were in favor of the graded activity group, although not statistically significant. No effects of the graded activity intervention were found for functional status or pain.

Conclusion: Graded activity intervention is a valuable strategy to enhance short-term return to work outcomes.
Keyword Graded activity
Low back pain
Occupational Health
Return to work
Sick leave.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Thu, 02 Apr 2009, 23:30:48 EST by Jason Parr on behalf of School of Human Movement and Nutrition Sciences