title: A prospective study evaluating early rehabilitation in preventing back pain chronicity in mine workers.
abstract: METHODS
  This was a prospective study.
  
  
  OBJECTIVE
  To evaluate the results of education and early rehabilitation in the prevention of back pain chronicity in coal mine workers.
  
  
  BACKGROUND
  A new mine was established in central Queensland, Australia. Preventing chronicity is important in the treatment of back pain in the industrial setting, because back pain is often refractory to treatment. Back pain patients also constitute the majority of compensation claims.
  
  
  METHODS
  A back pain program was instituted that comprised work force education, early injury reporting, first aid at the mine, and changing workplace psychosocial perceptions. Management employees were actively involved. The time off work, number of claims per hundred workers, and costs per claim were compared with another mine in the area.
  
  
  RESULTS
  The median time to return to work was 10 days. In the study group the number of claims and costs per claim were significantly less (P < 0.01) as compared to the control group.
  
  
  CONCLUSIONS
  This was an easy to institute, inexpensive back pain program, which succeeded in preventing back pain chronicity in the studied group of mine workers, with no worker being off work for more than 60 days.
authors.affiliation: Department of Orthopaedic Surgery, Holy Spirit Hospital, Brisbane, Queensland, Australia.
authors.forename: W E
authors.initials: WE
authors.lastname: Ryan
authors.forename: M K
authors.initials: MK
authors.lastname: Krishna
authors.forename: C E
authors.initials: CE
authors.lastname: Swanson
mesh_terms: D001416:Back Pain / Q000517:prevention & control* / Q000534:rehabilitation*; D002908:Chronic Disease; D004777:Environment; D006801:Humans; D008906:Mining; D009784:Occupational Diseases / Q000517:prevention & control* / Q000534:rehabilitation*; D010353:Patient Education as Topic; D011446:Prospective Studies; D014937:Work