Outcome comparison of workers' compensation and noncompensation low back pain in a highly structured functional restoration program.
Low back pain is both common and costly. A paucity of information exists within the literature comparing workers' compensation and noncompensation back-injured individuals. The intent of this study was to examine differences between the two groups--individuals injured and seeking compensation, and injured individuals not pursuing a compensation claim. Sixty subjects referred to a functional restoration facility were identified and evaluated, and their progress was tracked. Demographic and return-to-employment data were collected. Of the 35 workers' compensation subjects, 23 (65.71%) were not working during therapy, while only one of 25 noncompensation individuals was not working throughout treatment. Thirty-two compensation individuals (91%) and all of the noncompensation group members made successful returns to employment (p < or = .05). The authors conclude that while some differences existed between the two groups, a high return-to-work frequency was achieved (91%) (p < or = .05). Results indicate high success outcomes as measured by return-to-work, increased function, and reduced pain. These outcomes were obtained through highly structured, medically supervised functional restoration programs.
Ambrosius
F M
FM
Professional Physical Therapy Services, Inc./NovaCare, Wyoming, MI 49509.
Kremer
A M
AM
Herkner
P B
PB
DeKraker
M
M
Bartz
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000191:economics / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012050:Rehabilitation, Vocational; D014937:Work; D014942:Workers' Compensation