Journal of Occupational Rehabilitation

, Volume 7, Issue 2, pp 107–117 | Cite as

Aggressive early intervention after occupational back injury: Some preliminary observations

  • Leonard N. Matheson
  • Richard G. Brophy


An interdisciplinary team managed care intervention model that emphasizes aggressive immediate intervention and early return to work in transitional light duty work is presented. This case study focuses on the application of this model for 281 workers with occupational back injuries. Historically, these injuries have been found to be disproportionately expensive. Outcomes such as cost of treatment, return to work, attorney involvement, and need for subsequent vocational rehabilitation are presented in this study. Findings indicate that a structured early return to the workplace immediately after a soft-tissue spinal injury is a viable strategy. The return-to-work rate for this sample is presented and is found to be more rapid and more complete than other studies which describe the return to work history of workers who suffer occupational back injury.

Key words

workers’ compensation return to work work injury costs medical care costs managed care 


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Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Leonard N. Matheson
    • 1
  • Richard G. Brophy
    • 2
  1. 1.Occupational Therapy ProgramWashington University School of MedicineSt. Louis
  2. 2.Comprehensive Managed CareWestlake Village

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