A comparison of two multidisciplinary inpatient rehabilitation programmes for fibromyalgia: a register linkage study on work disability

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. To determine whether a specific fibromyalgia rehabilitation programme is superior to a non-specific musculoskeletal rehabilitat...

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2009-01, Vol.41 (1), p.66-72
Main Authors: Suoyrjö, Heikki, Oksanen, Tuula, Hinkka, Katariina, Pentti, Jaana, Kivimäki, Mika, Klaukka, Timo, Vahtera, Jussi
Format: Article
Language:English
Subjects:
Adult
Disability
Disability Evaluation
Female
Fibromyalgia
Fibromyalgia - psychology
Fibromyalgia - rehabilitation
Humans
Life Style
Local government
Male
Middle Aged
Pensions
Prospective Studies
Rehabilitation
Sick Leave
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Summary: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. 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. 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. 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. 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.
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-0278