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Rehabilitation in musculoskeletal diseases

Hammond, A 2008, 'Rehabilitation in musculoskeletal diseases' , Best Practice & Research Clinical Rheumatology, 22 (3) , pp. 435-449.

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Abstract

Occupational therapy and vocational rehabilitation are increasingly available for people with musculoskeletal diseases. Occupational therapy aims to improve or maintain function in work, leisure, self-care and domestic activities, social roles, and psychological status. A wide range of interventions is provided, including joint protection, assistive devices and splints. Vocational rehabilitation aims to improve ability to stay in or return to work. Comprehensive occupational therapy and some interventions (joint protection, assistive devices and splints), as well as vocational rehabilitation, are reviewed. There is moderate to good evidence for effectiveness of comprehensive occupational therapy in rheumatoid arthritis, and for joint protection and splints in rheumatoid arthritis and osteoarthritis. However, evidence for other aspects of occupational therapy is still scarce, and better-quality trials are needed. Vocational rehabilitation to prevent job losses in rheumatic diseases is effective, but once people are unemployed, return-to-work interventions are less successful. Evidence is moderate to good for work conditioning programmes using a cognitive behavioural approach in chronic low-back pain, and also for early return-to-work interventions in subacute low-back pain.

Item Type: Article
Uncontrolled Keywords: rehabilitation; vocational rehabilitation; work rehabilitation; occupational therapy; splints; assistive devices
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Best Practice & Research Clinical Rheumatology
Publisher: Elsevier
Refereed: Yes
ISSN: 1521-6942
Depositing User: Users 29196 not found.
Date Deposited: 07 Jun 2010 15:41
Last Modified: 20 Aug 2013 17:18
URI: http://usir.salford.ac.uk/id/eprint/9345

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