How to manage musculoskeletal conditions: when is 'rehabilitation' appropriate?
Multidisciplinary rehabilitation has established efficacy in few musculoskeletal conditions. It is likely to be effective in the context of chronic back pain and possibly other types of chronic pain, and in frail older people with hip fractures. The principles of multidisciplinary rehabilitation, which include time-limited and goal-directed interventions, can be used in other musculoskeletal interventions but there have not yet been sufficient randomized trials to determine its effectiveness. Multidisciplinary rehabilitation is relatively costly and therefore is not likely to be cost effective unless it achieves return to work in people in the working-age group, or averts the need for residential care in frail older people.
Cameron
Ian D
ID
Rehabilitation Studies Unit, University of Sydney, P.O. Box 6, Ryde, NSW 1680, Australia. ianc@mail.usyd.edu.au
D000203:Activities of Daily Living; D000368:Aged; D004185:Disability Evaluation; D006801:Humans; D009140:Musculoskeletal Diseases / Q000145:classification / Q000503:physiopathology / Q000534:rehabilitation*; D016896:Treatment Outcome