title: Back to work--evaluation of a multidisciplinary rehabilitation programme with emphasis on musculoskeletal disorders. A two-year follow-up.
abstract: OBJECTIVE
  The aim of this study was to evaluate the 2-year outcome of a multidisciplinary rehabilitation programme for working-age people, regarding sick leave and mental health.
  
  
  METHODS
  The test persons consisted of 40 women and 20 men (mean age 46.8 +/- SD 7.9) with musculoskeletal disorders, mainly neck and back pain. The rehabilitation programme was individually adapted and consisted of physical activity in several forms, relaxation, theoretical and practical education and individual guidance. Before, during and after the programme all participants were evaluated with the Global Self-Efficacy Index, Hospital Anxiety and Depression Scale, and stress test.
  
  
  RESULTS
  At the 2-year follow-up full-time sick leave had decreased by 37% (p < 0.0001) in the women, and by 25% (p < 0.05) in the men. Both women and men showed an increased quality of life (QoL) and decreased anxiety, depression and self-experienced stress at the 2-year follow-up compared with the start of the rehabilitation programme.
  
  
  CONCLUSIONS
  The most important conclusion was that the effects of the rehabilitation programme persisted for up to 2 years. At 2 years the majority of the participants were still physically active, their QoL was increased, and most participants had returned to work.
authors.affiliation: Strömsund Health Centre, Jämtland County Council, Strömsund, Sweden. rita.sjostrom@jll.se
authors.forename: Rita
authors.initials: R
authors.lastname: Sjöström
authors.forename: Marie
authors.initials: M
authors.lastname: Alricsson
authors.forename: Ragnar
authors.initials: R
authors.lastname: Asplund
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000523:psychology / Q000534:rehabilitation*; D015397:Program Evaluation; D011788:Quality of Life; D020377:Self Efficacy; D018582:Sick Leave