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Evaluation of functional restoration outcomes for chronic disabling occupational cervical disorders
Meredith M Hartzell1, Tom G Mayer, Sali Asih
1From the PRIDE Research Foundation (Ms Hartzell and Ms Asih and Ms Neblett), Dallas, Tex; Department of Orthopedic Surgery (Dr Mayer), The University of Texas Southwestern Medical Center at Dallas; and Department of Psychology (Dr Gatchel), College of Science, The University of Texas at Arlington.
Objective:
To systematically evaluate the effectiveness of an interdisciplinary functional restoration program (FRP) for treating chronic cervical disorders.
Methods:
Consecutive chronic occupational lumbar disorder patients (n = 898) and chronic occupational cervical disorder patients (n = 215) were admitted to an FRP from 2001 to 2011. Patients were compared on demographics, work-related and psychosocial factors, and socioeconomic outcomes 1 year after discharge.
Results:
Compared with lumbar patients, cervical patients were more likely to be female, have preadmission surgery, perform white-collar work, and have a longer time between injury and treatment admission. Cervical patients were similar to lumbar patients on most psychosocial self-report outcome measures. In addition, both groups exhibited high work return and work retention rates 1 year after FRP discharge.
Conclusions:
An FRP seems to be equally efficacious for treating both chronic occupational cervical and lumbar disorders.
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