Impact of a Functional Restoration Program on Pain and Health‐Related Quality of Life in Patients with Chronic Low Back Pain

Pain Medicine (Impact Factor: 2.3). 10/2006; 7(6):501 - 508. DOI: 10.1111/j.1526-4637.2006.00238.x


Objective. Functional restoration programs for chronic low back pain (CLBP) have been shown to be successful in improving function and, to a lesser extent, in reducing pain. The Munich Functional Restoration Program (MFRP) is a 4-week outpatient program designed to reduce pain and to improve health-related quality of life in patients with a long history of CLBP.
Design. In a retrospective matched concurrent-controls therapeutic study, 44 patients with CLBP, who had either undergone MFRP or received an outpatient standard treatment (control) after initial evaluation at the pain center, completed questionnaires 1 year after the respective therapy (t1). The following parameters were assessed: health-related quality of life with Short Form-36 (SF-36), Pain Disability Index (PDI), Numeric Rating Scale (NRS) for pain, depression with the Center for Epidemiological Studies Depression Test (CES-D), and occupational situation. These data were compared with baseline values assessed by a questionnaire completed before starting the respective treatment (baseline, t0).
Results. Compared with control, NRS and PDI were significantly better in patients completing the MFRP. Patients of the MFRP group showed also a significant reduction in CES-D as well as an improvement in three of eight SF-36 subscales. No changes were detected in the control group receiving standard treatment.
Conclusions. Compared with standard treatment, a functional restoration program for CLBP significantly improves some aspects of health-related quality of life. It results in a decrease of pain and pain-related disability even in patients with a long history of CLBP.

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Available from: Antje Beyer, Sep 16, 2014
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    • "The psychotherapeutic intervention included in various rehabilitation (returning to work) program are widely used to help employees to make positive changes as regards their working life [14,15]. It is established that intensive physical training (workouts for the whole body) and psychosocial support for patients with chronic pain significantly improved some aspects of health-related quality of life in addition to pain relief and renewal of functions [16-18]. "
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    • "Individuals with improved levels of self-esteem and good psychological wellbeing are more likely to report better perceived health states [38]. Consistent with this study’s findings, other studies have also reported that a combination of behaviour therapy and supervised exercise programs is effective in improving the perceived health state of patients with musculoskeletal type pain [15,39,40]. In the study by Dahl and Nillson (2001) the cognitive behaviour therapy sessions were administered by a physiotherapist and registered nurse on an individual basis, twice a week for four weeks [15]. "
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