A COMPARISON OF TWO MULTIDISCIPLINARY INPATIENT REHABILITATION PROGRAMMES FOR FIBROMYALGIA: A REGISTER LINKAGE STUDY ON WORK DISABILITY

作者：Suoyrjo Heikki^*; Oksanen Tuula; Hinkka Katariina; Pentti Jaana; Kivimaki Mika; Klaukka Timo; Vahtera Jussi

来源：Journal of Rehabilitation Medicine, 2009, 41(1): 66-72.

DOI：10.2340/16501977-0278

• fibromyalgia
• rehabilitation
• sick-leave
• disability pension

Background: Patients with fibromyalgia have a high risk of temporary and permanent work disability. Little is known about the effects of fibromyalgia rehabilitation on work disability.
Objective: To determine whether a specific fibromyalgia rehabilitation programme is superior to a non-specific musculoskeletal rehabilitation of patients with fibromyalgia in terms of work disability.
Methods: A prospective observational study of 215 local government employees with a 6-year post-intervention follow-up to monitor the occurrence of long sick-leave and disability pensions among the participants of two different fibromyalgia rehabilitation programmes.
Results: Specific fibromyalgia rehabilitation was not superior to a non-specific musculoskeletal rehabilitation, with the corresponding hazard ratios (95% confidence intervals) after adjustments being 1.02 (0.75-1.40) for long sick-leave, 1.18 (0.75-1.87) for very long sick-leave, and 1.07 (0.63-1.83) for disability pension.
Conclusion: The results suggest that in reducing work disability among patients with fibromyalgia a specific multidisciplinary fibromyalgia rehabilitation programme practised in Finland provides no benefit compared with non-specific multidisciplinary musculoskeletal rehabilitation. Further research is needed to develop an optimal programme (or several different programmes) to control the burden of work disability related to fibromyalgia.

• 出版日期2009-1