Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up

International Archives of Occupational and Environmental Health
Eline M MeijerMonique H W Frings-Dresen

Abstract

To determine the effectiveness and cost-effectiveness of a return-to-work outpatient multidisciplinary treatment programme for sick-listed workers with non-specific upper extremity musculoskeletal complaints. A randomized controlled trial with a 1-year follow-up was carried out. Thirty-eight subjects were allocated to multidisciplinary treatment (intervention, n=23), or to usual care provided by occupational health services (n=15). The intervention consisted of psychological and physical sessions provided by a medical specialist, a psychologist, a physiotherapist and an occupational therapist. It aims at reconditioning, "de-medicalizing", unrestrained moving and return-to-work. The intervention process was evaluated on compliance to the protocol and the effectiveness of its components. The individual outcome variable was the severity of complaints. The societal outcomes included return-to-work and costs. Measurements were performed at baseline and after 2, 6 and 12 months. Mixed model analyses were used for analysis. The intervention achieves its aims: physical disabilities (P=0.039), kinesiophobia (P<0.001) and physical functioning (P=0.016) improved significantly as compared to usual care. In addition, the intervention was si...Continue Reading

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Citations

Jul 20, 2007·International Archives of Occupational and Environmental Health·Judith K Sluiter, Monique H W Frings-Dresen
Dec 3, 2011·International Journal of Behavioral Medicine·Margot C W JoosenJudith K Sluiter
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Aug 1, 2020·Journal of Public Health·Fizzah AliNick Baillie
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Aug 3, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Deirdre DaleyReuben Escorpizo

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