Musculoskeletal Diseases or Conditions
Conditions
Brief summary
The objective of this observational study is to gain insight into a new approach to rehabilitation in Austria, with a particular focus on work-specific exercises that are dependent on the specific work-related needs of the patients. Two groups are being observed: one was referred to a three-week work-specific rehabilitation programme immediately upon arrival at the rehabilitation centre, while the other group underwent a three-week medical-focused rehabilitation programme before starting a four-week work-specific rehabilitation programme. Researchers will monitor for indications of improvement following completion of the rehabilitation program. As the two forms of rehabilitation are not directly comparable, they will be observed and analysed as two distinct entities. As part of their regular inpatient rehabilitation, participants will complete questionnaires at designated intervals (beginning and end of stay), with follow-up assessments scheduled at six and 12 months post-rehabilitation.
Interventions
The rehabilitation is based on the biopsychosocial ICF model of the WHO. Taking into account the physical and psychological condition of the patients, an individual therapy plan is created that is tailored to the needs of the patients.
Sponsors
Pensionsversicherungsanstalt
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* The study participants are regular patients in the rehabilitation centre Bad Hofgastein * Presence of a disease in the area of the musculoskeletal system * Sufficient motivation to maintain professional participation * Declaration of consent
Exclusion criteria
* No completion of all work-specific rehabilitation modules * Acute or decompensated disease states with severe functional limitations (i.e. not able to continue with the rehabilitation programme)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| IMBA - Profile comparison | 3 or 4 weeks of inpatient rehabilitation | IMBA is a profile comparison method for prevention and rehabilitation. Job requirements and human capabilities are described by standardised, defined characteristics and compared directly with each other. The respective profile sheets consist, among other things, of 70 function-, activity- and context-related main characteristics in which the extent of excessive demands for each characteristic is documented on a scale of 0 - 6 (Min. = 0, Max = 420). Lower values indicate less excessive demands. |
| Employment history | 6 and 12 months after finishing rehabilitation | The existence of gainful employment subject to social insurance contributions in a specific period allows conclusions to be drawn about the employment history of the rehabilitants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Work ability index (WAI) | 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation | The Work Ability Index (WAI) is an instrument for assessing work ability. (Min. = 7, Max = 49). Lower values indicate less subjective work ability. |
| Patient Health Questionnaire-4 (PHQ-4) | 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation | The Patient Health Questionnaire-4 (PHQ-4) operationalizes core criteria for anxiety and depression on a 4 point likert scale (Min. = 0, Max = 4). Lower values indicate less impairments. |
| European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L) | 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation | The EQ-5D-5L is a general instrument for measuring patient-reported outcomes (PROs), which can be used to assess the quality of life of patients on different dimensions (mobility, self-care, usual activities, pain/discomfort) on a 5-level scale (Min. = 0, Max. = 5). Lower values indicate less impairments in the respective dimensions. Moreover, the EQ-5D-5L assesses the patient's self-rated health on a 100 point visual analog scale (Min. = 0, Max. = 100). Lower values indicate less positive ratings of health. |
Countries
Austria
Contacts
STUDY_CHAIRDoreen Stöhr, Mag.
Pensionsversicherungsanstalt
Outcome results
None listed