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Low back pain: program description and outcome in a case series

C Gill1, J Sanford, J Binkley

  • 1Department of Physiotherapy, St. Joseph's Hospital, Hamilton, Ontario, Canada.

The Journal of Orthopaedic and Sports Physical Therapy
|July 1, 1994
PubMed
Summary

A 4-week community clinic program significantly improved function and reduced pain for injured workers with low back pain. Most patients returned to work within six weeks post-treatment.

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Area of Science:

  • Rehabilitation Medicine
  • Occupational Health
  • Clinical Outcomes Research

Background:

  • Low back pain is a common cause of work-related disability.
  • Effective rehabilitation programs are crucial for improving functional outcomes in injured workers.
  • Standardized assessments are needed to evaluate program efficacy.

Purpose of the Study:

  • To describe a community-based multiprofessional rehabilitation program for injured workers with low back pain.
  • To report the functional outcomes of the initial 50 patients in the program.
  • To evaluate the program's impact on pain, function, and return-to-work rates.

Main Methods:

  • Retrospective chart review of 50 consecutive patients with low back pain.
  • Standardized assessment using the Toronto-Hamilton Lumbar Database at entry and discharge.

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  • Evaluation of pain and function using validated scales (Jan van Breemen scales, Sickness Impact Profile).

    • Main Results:

    • Statistically significant decrease in reported pain levels (p < 0.05).
    • Statistically significant increase in functional capabilities (p < 0.05).
    • Seventy-four percent of patients returned to work within 6 weeks post-discharge.

    Conclusions:

    • A 4-week community-based multiprofessional rehabilitation program is effective for injured workers with low back pain.
    • The program leads to significant improvements in pain reduction and functional restoration.
    • The program demonstrates high return-to-work rates, indicating successful occupational rehabilitation.