Clinical trial NCT06749509: Effects of Musculoskeletal Rehabilitation Courses on Work Ability
Official title: Effects of Musculoskeletal Rehabilitation Courses on Work Ability (Tules-kurssit Ja Työkyky)
Study type: OBSERVATIONAL
Overall status: ENROLLING_BY_INVITATION
Conditions: Musculoskeletal Diseases or Conditions
Musculoskeletal Disorders
Keywords: Musculoskeletal Diseases
Musculoskeletal Disorders
Work Ability
Rehabilitation
Telerehabilitation
Quality of Life
Pain
Chronic Pain
Musculoskeletal Pain
Lead sponsor: Social Insurance Institution, Finland
Sponsor class: OTHER
Collaborators: name: Finnish Institute of Occupational Health
First posted: 2024-12-27
Enrollment: 480
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Those starting in either of the following services between January 2025 and January 2026:

* Kela's face-to-face musculoskeletal rehabilitation (A)
* Kela's musculoskeletal telerehabilitation (B).

Persons with MSD who contacted their occupational health care between January 2025 and January 2026 because of musculoskeletal symptoms, but will not participate in Kela's musculoskeletal rehabilitation. Two private companies offering occupational health care services nationally are involved.

Brief summary: The goal of this observational study is to learn about the effects of two different musculoskeletal rehabilitation programs in working-age people with musculoskeletal disorders. The main question it aims to answer is:

Do musculoskeletal rehabilitation programs A or B improve work ability in people with musculoskeletal disorders?

Participants starting in rehabilitation programs A and B will answer survey questions about their work ability and related factors three times: when starting, immediately after the rehabilitation ends, and 4 months after ending the rehabilitation. Participants in study group C will answer the same questions during the same time period.

Researchers will compare participants in rehabilitation programs A and B to participants in group C, who have musculoskeletal disorders but will not participate in rehabilitation programs. The comparison is done to see if there are differences in the changes in work ability and related factors, such as pain or quality of life.


Eligibility criteria: Inclusion Criteria:

Groups 1 ja 2:

* diagnosed musculoskeletal disorder
* 18 years or older
* in employment, returning to work, studying, or receives rehabilitation subsidy
* participating in either of the following:

  * Kela's face-to-face musculoskeletal rehabilitation (A)
  * Kela's musculoskeletal telerehabilitation (B)
* willingness to participate in the study

Group 3 (Controls):

* diagnosed musculoskeletal disorder
* 18 years or older
* in employment, returning to work, studying, or receives rehabilitation subsidy
* musculoskeletal symptoms have lasted at least 3 months and the person has participated in physiotherapy or self-rehabilitation without satisfactory results
* willingness to participate in the study

Exclusion Criteria:

Group 3 (Controls):

* Current rehabilitation needs are related to post-treatment care or post-discharge rehabilitation.
* acute or untreated substance use disorder
* participating in or apply for Kela's musculoskeletal rehabilitation services (A or B) during the next few months

Primary outcomes:
measure: Change from Baseline in Work Ability at 4-6 Months and 8-10 Months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention), 8-10 months (4-month follow-up)
Secondary outcomes:
measure: Change from Baseline in Mood at 4-6 months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention)
measure: Change from Baseline in Quality of Life at 4-6 months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention)
measure: Change from Baseline in Functional Ability at 4-6 months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention)
measure: Change from Baseline in Pain at 4-6 months and 8-10 months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention), 8-10 months (4-month follow-up)
measure: Change from Baseline in Return-to-Work Self Efficacy at 4-6 months
timeFrame: Baseline (pre-intervention), 4-6 months (after the intervention)
measure: Invidual Goal Achievement
timeFrame: 4-6 months (after intervention)
measure: Days Lost Through Sickness
timeFrame: Between January 1, 2024 and June 30, 2026
Other outcomes:
Locations:
city: Helsinki
country: Finland
facility: The Social Insurance Institution of Finland
Study officials:
References: