A limited functional restoration program for injured workers: A randomized trial

Abstract

Worker's Compensation Board (WCB) claimants suffering from soft tissue injuries were treated in a limited functional restoration program (FRP) and compared to a randomized group of claimants referred back to their family doctors for "usual care." The FRP consisted of exercise, work conditioning, group education and behavioral counseling designed to maximize function, improve pain coping strategies, and ultimately return claimants to work. Results showed that treated claimants were significantly more likely to be back at work or "work ready" (in a job search, in retraining or school) 18 months posttreatment than claimants left to the "usual care" of their attending physicians. They also reported lower pain levels and improved sleep on follow-up. Claimants with low back pain were more successful in returning to work than those with nonback pain or multiple complaints. Results are discussed in terms of the need for better coordination of care to ensure positive outcomes, ideal features of a successful FRP and the need to better understand who will benefit from this intervention.