The quality of life of individuals with chronic lower back pain after the completion of a work hardening programme in Cape Town, South Africa: A Pilot study

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It is a well-known fact in vocational rehabilitation that low back pain is a cause of absenteeism in the workplace [1]. Mngoma indicates that 80% of adults in Canada and the United Kingdom experience lower back pain at least once during their lives. The average life-time prevalence of adolescents with lower back pain is 36% and adults are 62% in South Africa [1]. Research conducted by Loisel [2] indicated that lower back pain is more prevalent amongst Africans than other western communities. Chronic lower back pain could result in physical, emotional, and psychological impairment and require specific rehabilitative interventions due to the social-economic impact on individuals. The factors contributing to medical and occupationrelated lower back pain include clinical history, socio-demographics, and work factors. Work-hardening rehabilitation programmes are used to address these issues. The benefits of an intensive workhardening rehabilitation programme are often critiqued due to a lack of evidence-based practice related to work hardening [3]. Occupational Therapists are involved in the vocational rehabilitation of individuals with low back pain. Some of the tasks include educating clients on back hygiene principles, energy conservation methods and life-skills aimed at enhancing their ability to resume work