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What factors predict full or partial return to work among sickness absentees with spinal pain participating in rehabilitation?
Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
University of Gävle, Centre for Musculoskeletal Research.
Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Institute of Biomedicine, Department of Physiology/Ergonomics, University of Kuopio, Kuopio, Finland.
Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
2009 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, no 16, p. 1318-1327Article in journal (Refereed) Published
Abstract [en]

Purpose. To identify the factors that predict full or partial return to work among long-term (>= 90 days) sickness absentees due to spinal pain who begin a multidisciplinary rehabilitation programme. Method. In a prospective cohort study, 312 patients with neck, thoracic and/or lumbar pain, aged 20-64, participated in a 4-week multidisciplinary rehabilitation programme in Sweden. Questionnaire data at inclusion were used. Factors included in logistic regressions were as follows: age, gender, type of work, pain location, pain intensity (visual analogue scale), activity limitations [Disability Rating Index (DRI)], health-related quality of life (SF-36), pain-related fear of movement (Tampa Scale of Kinesiophobia), motivation (Self Motivation Inventory), sickness absence at baseline and number of sick-leave days during the previous 2 years. Outcome factor was increased versus not increased working time at follow-up 6 months later. Results. Most patients (68%) reported two or three pain locations. At baseline, 56% were full-time sickness absent and 23% at follow-up; 61% had increased their working time. Predictors for increased working time were age below 40 years, low activity limitation (DRI < 50), low SF-36 bodily pain (>30) and high SF-36 social functioning (>60). Number of sick-leave days during the previous 2 years (md 360; range 90-730) had no influence. Conclusions. Even patients with long previous sick leave can increase working time after a multidisciplinary rehabilitation programme, especially if they are younger, have lower levels of activity limitations and pain and better social functioning. To include information on part-time work is useful when evaluating work ability following rehabilitation programmes.

Place, publisher, year, edition, pages
2009. Vol. 31, no 16, p. 1318-1327
Keywords [en]
Sick leave, sickness absence, return to work, low back pain, neck pain, predictor variables, activity, participation, health-related quality of life
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-10290DOI: 10.1080/09638280802572965ISI: 000268663000003Scopus ID: 2-s2.0-70449723250OAI: oai:DiVA.org:hig-10290DiVA, id: diva2:442557
Available from: 2011-09-21 Created: 2011-09-21 Last updated: 2018-01-12Bibliographically approved

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