Evidence map›Paper›PMID 33676471›Full record

ArticleBMC musculoskeletal disorders2021

Multidisciplinary programme for rehabilitation of chronic low back pain - factors predicting successful return to work.

Gabriel Ching Ngai Leung, Prudence Wing Hang Cheung, Gareth Lau, Sin Ting Lau, Keith Dip Kei Luk, Yat Wa Wong, Kenneth Man Chee Cheung, Paul Aarne Koljonen, Jason Pui Yin Cheung

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Gabriel Ching Ngai LeungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Prudence Wing Hang CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Gareth LauDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Sin Ting LauDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Keith Dip Kei LukDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Yat Wa WongDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Kenneth Man Chee CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Paul Aarne KoljonenDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Jason Pui Yin CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, 5th Floor, Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China. cheungjp@hku.hk.ORCID https://orcid.org/0000-0002-7052-0875
Queen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no clear indicators for predicting return to work for patients with chronic low back pain (LBP). We aim to report the outcomes of a 14-week multidisciplinary programme targeting patients with chronic LBP who failed conventional physiotherapy to provide functional rehabilitation. Also, this study will identify factors predicting successful return to work (RTW).

methodsA collected cohort of patients with chronic LBP was consecutively enrolled into the programme from 1996 to 2014. All recruited patients failed to RTW despite at least 3 months of conservative treatment. Patient underwent weekly multidisciplinary sessions with physiotherapists, occupational therapists and clinical psychologists. Patient perceived function was considered the primary outcome of the programme. Patients were assessed for their sitting, standing and walking tolerance. Oswestry Disability Index (ODI) and Spinal Function Sort Score (SFSS) were used to assess patient perceived disability.

resultsOne hundred and fifty-eight patients were recruited. After the programme, statistically significant improvement was found in ODI (47.5 to 45.0, p = 0.01) and SFSS (98.0 to 109.5, p <  0.001). There was statistically significant improvement (p <  0.01) in sitting, standing, walking tolerance and straight leg raise tests. 47.4% of the patients were able to meet their work demand. Multivariate logistic regression model (R

conclusionThe results of this study may support the use of this multidisciplinary programme to improve patient function and return to work.

Indexed as

Low Back PainHumansPain MeasurementPhysical Therapy ModalitiesReturn to WorkTreatment OutcomeConservative treatmentLogistic modelsLow Back painReturn to workSpine

Identifiers

PMID33676471
PMCPMC7937227
OpenAlexW3135522394

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.