MULTIMODAL REHABILITATION STRATEGIES FOR OCCUPATIONALLY INDUCED NONSPECIFIC DORSALGIA: A BIOPSYCHOSOCIAL APPROACH

Abstract

This study evaluates the clinical effectiveness of a structured, multimodal rehabilitation protocol for patients with nonspecific back pain (NSBP), incorporating occupational risk profiling within a biopsychosocial framework. A total of 333 patients aged 18–60 years were stratified into three occupational groups—military personnel, industrial workers, and sedentary individuals—and
underwent a 6-week therapeutic program consisting of pharmacological treatment, physical therapy, cognitive behavioral therapy (CBT), and ergonomic interventions. Clinical outcomes were assessed using validated tools (VAS, HAM-A, BDI-II, SF-36). Post-treatment results demonstrated significant reductions in pain intensity (VAS: from 6.4–6.1 to 2.4–2.8), anxiety (HAM-A: from 19.5–16.7 to 7.5–6.5), and depression (BDI-II: from 16.8–15.0 to 12.0–10.8), alongside marked improvements in quality of life (SF-36: from 39.0–43.0 to 66.0–74.0). Strong inverse correlations were identified between symptom severity and SF-36 scores (r = –0.66 to
0.72; p < 0.01), while physical and emotional functioning components exhibited nearly perfect positive correlations with quality of life (r > 0.99; p < 0.001). These findings highlight the effectiveness of CBT-enhanced, multimodal rehabilitation, particularly in high-risk occupational subgroups, and support the implementation of personalized, stratified care models in the management of chronic NSBP.