Article

OBJECTIVE: To evaluate the longer term efficacy of the interventions Tailored
Physical Activity (TPA) and Chronic Pain Self-management Program (CPSMP) against
a reference group on return-to-work for sick-listed subjects with pain in the
back or upper body. DESIGN:
A randomized controlled trial. SUBJECTS: A total of
141 sick-listed subjects with pain in the back or upper body. METHODS: All
participants received health guidance for 1.5 h and were randomly assigned to TPA
(n = 47), CPSMP (n = 47) or a reference group (n = 47).
The primary end-point was
the proportion of participants returning to work and the co-primary end-point was
the duration of the sickness absence period retrieved 11 months after the first
day on sick leave. Secondary outcomes were pain level, body mass index, aerobic
capacity, work ability and kinesiophobia. RESULTS: TPA and CPSMP were no more
effective than the reference group as regards return-to-work. Compared with the
reference group no other benefits of TPA and CPSMP were evident regarding pain,
work ability, kinesiophobia or physical capacity.
CONCLUSION: After 11 months
TPA, the reference group, and CPSMP show similar patterns of facilitating
return-to-work. This is additional knowledge, compared with the
3-month findings
reported previously, showing that TPA seems to facilitate a faster
return-to-work.

Langue : ANGLAIS