• K Hafenbrack, M Heinrich, G Müller, U Marnitz, J Mallwitz, and R Klinger.
• Rückenzentrum Am Michel, Ludwig-Erhard-Str. 18, 20459, Hamburg, Deutschland, praxis.hafenbrack@t-online.de.
• Schmerz. 2013 Dec 1; 27 (6): 566-76.

IntroductionThe efficacy of functional restoration programs for the treatment of chronic back pain is well documented. Nevertheless, there are only a few such centres in Germany and few trials have been conducted in German-speaking regions to demonstrate that implementing such programs in everyday clinical settings with large numbers of patients is just as effective as in a research setting. The present study examined whether the positive effects of such programs can also be observed in the clinically relevant context of a standardized day clinic treatment regimen.Material And MethodsA total of 681 back pain patients in 2 German cities were examined at 4 measurement points (before and immediately after the program, as well as 6 and 12 months after treatment) using a comprehensive questionnaire on perceived pain and symptoms of anxiety and depression, as well as the work situation.ResultsIn both cities significant and long-term improvements in back pain, pain-related impairment and degree of chronification were observed, as well as a high return-to-work rate after treatment. Hence, the quality of such programs was also confirmed for a large patient population.

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