Recovery expectations predict recovery in workers with back pain but not other musculoskeletal conditions.
METHODS
Prospective cohort study.


OBJECTIVE
We examined whether recovery expectations predict future return-to-work in workers filing injury claims for a variety of musculoskeletal conditions.


BACKGROUND
Recovery expectations seem to influence recovery and return-to-work after back pain, but their role in other compensable conditions is uncertain.


METHODS
All workers' compensation claimants receiving time-loss benefits for a musculoskeletal condition and undergoing return-to-work assessment were enrolled. Claimants completed a work-related recovery expectations questionnaire. Outcomes during the 1-year follow-up included surrogate indicators of timely return-to-work (days until suspension of time-loss benefits) and recovery (claim closure). Analysis included multivariable Cox regression.


RESULTS
The sample consisted of 1040 claimants of whom 298 (29%) had back pain, 461 (44%) had sprains, strains, or pain of other body parts besides the back, 234 (23%) had specific injuries such as fracture, dislocation, or amputation, and 47 (5%) had other compensable conditions such as carpal tunnel syndrome or knee internal derangement. The majority of participants had chronic conditions (mean duration >6 mo). Negative work-related recovery expectations were consistently associated with slower suspension of time-loss benefits (Hazard Ratio 0.83) and slower claim closure (Hazard Ratio 0.84) in claimants with back pain, but associations in other diagnostic groups were inconsistent and not statistically significant. Associations were slightly larger within the group of claimants with back pain of less than 3-month duration.


CONCLUSIONS
Recovery expectations provide some information for predicting future recovery in workers filing injury claims for back pain, but do not seem to predict recovery in claimants with other musculoskeletal conditions.
Gross
Douglas Paul
DP
Department of Physical Therapy, University of Alberta, Workers' Compensation Board Alberta/Millard Health, Edmonton, Alberta, Canada. dgross@ualberta.ca
Battié
Michele Crites
MC
D000328:Adult; D000416:Alberta; D001294:Attitude to Health; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology*; D010147:Pain Measurement; D011446:Prospective Studies; D020127:Recovery of Function; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014942:Workers' Compensation / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000523:psychology*