Prospective Study (2012-2017) of Occupational Low Back Pain Rehabilitation Outcomes in the Multidisciplinary Orthopaedics Rehabilitation Empowerment Programme
Refereed conference paper presented and published in conference proceedings


摘要Introduction: Occupational low back pain (OLBP) frequently results in disabilities, work absenteeism and psychosocial problem, and are difficult to manage. Although private resources from worker’s compensation system are available, many injured workers prefer to be managed in an impartial public system causing jeopardy of optimal utilisation of clinical resources. Multidisciplinary Orthopaedics Rehabilitation Empowerment (MORE) programme is a clinical pathway designed to align resources from worker compensation and public system through case management approach to accelerate the work rehabilitation process.

Methods: This prospective cohort study evaluated the effectiveness of MORE programme since its implementation in 2012. A total of 390 OLBP subjects were recruited (2012-2017) from specialist outpatient clinics waiting list into the MORE programme. Their time to return to work (RTW) from date of injury, sick leave duration, and time to medical assessment board (MAB) were analysed in comparison to a historical control group (n=151).

Results: Patients in the MORE programme had significantly shorter duration for RTW (MORE 8.5 months vs. control 15.9 months; p<0.01) and a higher percentage of successful RTW cases (n=220, 56.3%) compared with the control group (n=55, 36.4%). The MORE group also had much shorter waiting time to MAB referral (11.8 days) compared with control group (21.9 days, p<0.01).

Discussion and Conclusion: The MORE programme improves the outcome of injured workers with higher rate of RTW and reduced rate of chronic disability across the 5 years since launching. This study demonstrated that alignment of clinical resources from worker compensation system and public system helps to improve work injuries rehabilitation.
著者AWL Kwok, WW Chau, SY Ko, SW Law, G Szeto, JCY Cheng
會議名稱Hong Kong Orthopaedic Association 37th Annual Congress 2017
會議地點Hong Kong
會議論文集題名The Proceedings of the Hong Kong Orthopaedic Association 37th Annual Congress 2017
出版地Hong Kong
頁次29 - 29

上次更新時間 2018-08-06 於 14:47