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Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up.


- candidate number0
- NTR NumberNTR76
- ISRCTNISRCTN88676585
- Date ISRCTN created12-sep-2005
- date ISRCTN requested15-aug-2005
- Date Registered NTR5-aug-2005
- Secondary IDsZonMw number: 3140.0006 
- Public TitleCost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up.
- Scientific TitleCost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up.
- ACRONYMN/A
- hypothesisN/A
- Healt Condition(s) or Problem(s) studiedUpper extremity, Non-specific, Musculoskeletal complaints
- Inclusion criteriaBank employees in the Netherlands or workers at one of the two universities in Amsterdam, with non-specific upper extremity musculoskeletal disorders, employment on a contract of at least 50% of full-time working hours and sick-leave for over 50% of the contractual hours during a period between 4 and 20 weeks.
Participants ranged between 18 and 65 years and were required to comprehend and have communication skills in Dutch.
- Exclusion criteriaN/A
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-nov-2001
- planned closingdate1-jan-2005
- Target number of participants38
- Interventions1. Multidisciplinary treatment program of 13 full-time days, carried out by a commercial rehabilitation centre. Each day’s schedule consisted of four (1.5 hour) sessions: one session was dedicated to personal effectiveness (psychologist), one to return-to-work (reintegration expert) and two sessions enclosed physical training (physical therapist), including activities outside the building and individual counselling sessions. Patients were treated in groups of about eight individuals;
2. Usual care: supervision by occupational health services: Usual care was coordinated by the occupational physician at the occupational health services. Usual care could include treatment at the workplace and in the regular health care system, initiated by a general practitioner, or medical specialist.
- Primary outcomeReturn to regular work and costs.
- Secondary outcomePain, other complaints such as paraesthesia, stiffness, coldness.


Process evaluation:
grip strength, disability, physical functioning and kinesiophobia.
- TimepointsN/A
- Trial web siteN/A
- statusstopped: trial finished
- CONTACT FOR PUBLIC QUERIES Eline M. Meijer
- CONTACT for SCIENTIFIC QUERIESProf. PhD Monique Frings-Dresen
- Sponsor/Initiator Academic Medical Center (AMC), Coronel Institute for Occupational and Environmental Health
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- Publications1. Int Arch Occup Environ Health. 2006 Sep;79(8):654-64. Epub 2006 Feb 28.
- Brief summaryFrom a population of 160,000 workers, the aim was to include 50 patients in the intervention group and 50 patients in the usual care group. Finally, 52 patients have been referred and 38 patients have been included in this RCT.
- Main changes (audit trail)
- RECORD9-aug-2005 - 23-jun-2008


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