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8 9 10 11 As surgical procedures should be evaluated against non-surgical methods, 12 13 we compared the efficacy of disc prosthesis and a multidisciplinary rehabilitation programme.
3 Brox et al and Fairbank et al compared fusion with a multidisciplinary rehabilitation programme focusing on cognitive intervention and supervised exercise.
The study sample consisted of 143 (N = 143) individuals, aged 20 67 (mean age = 45.7/SD = 8.9), with chronic (> 3 month) musculoskeletal pain, who participated in a 57-week long multidisciplinary rehabilitation programme at a rehabilitation centre in central-Norway.
Here, we present data from the first RCT to investigate a multidisciplinary rehabilitation programme comparing usual care with psychosocial support from nurses and counselling in pelvic floor exercises primarily to reduce urinary irritative problems and secondarily to increase overall QoL.
The effect on work equates to a person having roughly double the odds of being at work after 12 months if they received a multidisciplinary rehabilitation programme rather than a physical treatment.
Table 3 show the long-term improvements (trend over time) of the multidisciplinary rehabilitation programme with a significant improvement in cognitive- (p < 0.001), physiological-, (p < 0.001), and psychological (p < 0.01) capacity, measured by VAS, in the pain sample during the 57-week rehabilitation period.
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On the other hand, multidisciplinary rehabilitation programmes can be costly, time consuming, and resource intensive.
Randomised controlled trials that tested multidisciplinary rehabilitation programmes versus any other treatment were eligible for inclusion.
We recognise that access to dedicated centres that offer quality multidisciplinary rehabilitation programmes is limited in many healthcare settings.
These modest effects should be weighed against the monetary costs and time commitments associated with multidisciplinary rehabilitation programmes.
Multidisciplinary rehabilitation programmes, incorporating exercise training and education, have been shown to reduce breathlessness and improve exercise capacity in COPD [ 11], heart failure [ 12], and cancer [ 13].
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