What factors predict full or partial return to work among sickness absentees with spinal pain participating in rehabilitation?
PURPOSE: To identify the factors that predict full or partial return to work among long-term (> or =90 days) sickness absentees due to spinal pain who begin a multidisciplinary rehabilitation programme. METHOD: In a prospective cohort study, 312 patients with neck, thoracic and/or lumbar pain, aged 20-64, participated in a 4-week multidisciplinary rehabilitation programme in Sweden. Questionnaire data at inclusion were used. Factors included in logistic regressions were as follows: age, gender, type of work, pain location, pain intensity (visual analogue scale), activity limitations [Disability Rating Index (DRI)], health-related quality of life (SF-36), pain-related fear of movement (Tampa Scale of Kinesiophobia), motivation (Self Motivation Inventory), sickness absence at baseline and number of sick-leave days during the previous 2 years. Outcome factor was increased versus not increased working time at follow-up 6 months later. RESULTS: Most patients (68%) reported two or three pain