Evaluation of a multidisciplinary treatment for patients with chronic non-specific upper-limb musculoskeletal disorders: a pilot study

Occup Med (Lond). 2004 Dec;54(8):576-8. doi: 10.1093/occmed/kqh105.

Abstract

Background: Upper-limb musculoskeletal disorders (ULMSDs) are considered a major health and socio-economic problem. However, knowledge about the effect of treatment programmes is scarce. Objective To evaluate the effect of a multidisciplinary treatment programme on well-being, disability and return to work in patients with chronic non-specific upper-limb disorders.

Methods: A longitudinal and uncontrolled design with pre-post measurements was used. Forty-one patients on long-term sick leave attended for multidisciplinary treatment aimed at training in personal coping strategies and improving activities of daily living. Outcome measures were generic well-being (SF-36), disability (DASH) and return to work (working hours).

Results: General well-being improved significantly between pre-treatment and post-treatment. Level of disability declined significantly between pre-treatment and post-treatment. In 63% of the patients, return to own work was complete at follow up, 4 months post-treatment.

Conclusion: The results of this uncontrolled intervention study suggest that multidisciplinary treatment programmes improve general well-being, reduce disability and facilitate return to work in patients with chronic non-specific ULMSDs.

MeSH terms

  • Adult
  • Arm
  • Chronic Disease
  • Disability Evaluation
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Musculoskeletal Diseases / rehabilitation
  • Musculoskeletal Diseases / therapy*
  • Occupational Diseases / rehabilitation
  • Occupational Diseases / therapy*
  • Patient Care Team*
  • Pilot Projects