Evaluation of Functional Restoration Outcomes for Chronic Disabling Occupational Cervical Disorders

Objective: To systematically evaluate the effectiveness of an interdisciplinary functional restoration program (FRP) for treating chronic cervical disorders.
Methods: Consecutive chronic occupational lumbar disorder patients (n = 898) and chronic occupational cervical disorder patients (n = 215) were admitted to an FRP from 2001 to 2011. Patients were compared on demographics, work-related and psychosocial factors, and socioeconomic outcomes 1 year after discharge.
Results: Compared with lumbar patients, cervical patients were more likely to be female, have preadmission surgery, perform white-collar work, and have a longer time between injury and treatment admission. Cervical patients were similar to lumbar patients on most psychosocial self-report outcome measures. In addition, both groups exhibited high work return and work retention rates 1 year after FRP discharge.
Conclusions: An FRP seems to be equally efficacious for treating both chronic occupational cervical and lumbar disorders.

Source: Hartzell, Meredith M.; Mayer, Tom G.; Asih, Sali; Neblett, Randy; Gatchel, Robert J. Journal of Occupational & Environmental Medicine: September 2014, Volume 56, Issue 9, p 959–964.
http://dx.doi.org/10.1097/JOM.0000000000000204

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