Format

Send to

Choose Destination
J Occup Environ Med. 2011 Apr;53(4):396-404. doi: 10.1097/JOM.0b013e31820f3863.

Health maintenance care in work-related low back pain and its association with disability recurrence.

Author information

1
Center for Disability Research at the Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA. Manuel.Cifuentes@LibertyMutual.com

Abstract

OBJECTIVES:

To compare occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP).

METHOD:

A total of 894 cases followed 1 year using workers' compensation claims data. Provider types were defined for the initial episode of disability and subsequent episode of health maintenance care.

RESULTS:

Controlling for demographics and severity, the hazard ratio [HR] of disability recurrence for patients of physical therapists (HR = 2.0; 95% confidence interval [CI] = 1.0 to 3.9) or physicians (HR = 1.6; 95% CI = 0.9 to 6.2) was higher than that of chiropractor (referent, HR = 1.0), which was similar to that of the patients non-treated after return to work (HR = 1.2; 95% CI = 0.4 to 3.8).

CONCLUSIONS:

In work-related nonspecific LBP, the use of health maintenance care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment.

PMID:
21407100
DOI:
10.1097/JOM.0b013e31820f3863
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center