Functional Rehabilitation for Optimal Gain (FROG)

FROG programmes (Functional Rehabilitation for Optimal Gain)

Significantly reduce your organisation's absence, healthcare, treatment, legal and insurance costs

What are FROG programmes?

It is now well recognised that the assessment and treatment of chronic pain problems can be improved by an integrated approach which addresses both the physical and psychological aspects of pain. The management of ill health and injury is strongly linked with the management of associated social and lifestyle issues.

Healthcare RM FROG programmes are multidisciplinary, evidence-based rehabilitation programmes designed to assist people to manage their chronic pain problems and regain function, following an episode of musculoskeletal pain. In many cases these people will have been through a number of medical investigations and treatments, but have been unable to return to their previous levels of activity. FROG programmes form part of our integrated case management service.

Based on cognitive behavioural therapy (CBT) principles, FROG programmes entail supervised exercise within a gym environment (behavioural component) and an education-based information programme which helps people to understand and manage their pain more effectively (cognitive component).

What is the Process?

Participants undergo an initial clinical assessment to help identify their suitability for the programme. FROG programmes can be individual or group based. There are two main programmes dependent on the needs of the participant:

Short Programme

  • Education and exercise-based sessions over approximately 20 hours over 2 weeks

Long Programme

  • Education and exercise-based sessions over approximately 40 hours over 4 weeks

Programmes are delivered by a highly experienced multidisciplinary team including an orthopaedic physician, a physiotherapist specialising in pain management, a cognitive behavioural therapist specialising in pain management and a fitness instructor specialising in rehabilitation. Healthcare RM also has a team of case managers who are skilled in managing the clinical, psychosocial and occupational issues associated with FROG cases.

Our functional rehabilitation programmes have delivered the following significant benefits:

  • An 80% success rate in returning employees to work who were absent due to chronic low back pain
  • As effective as spinal surgery in dealing with chronic low back pain
  • Rated the most effective treatment for persistent back pain by the Arthritis and Musculoskeletal Alliance (ARMA)
  • More effective than single-discipline treatments for chronic pain in general
  • A reduction in the number of lost working days when compared to other treatments
  • Reduced cost for: sickness absence, healthcare treatments, legal claims and associated insurance costs
  • Circa 35% reduction in sickness absence
  • Circa 40% reduction in cost of musculoskeletal claims
  • Circa 50% reduction in cost of psychological claims

The benefits to patients are:

  • Substantial reduction in pain and any associated disability
  • Substantial reduction in future problems
  • Increased mobility and quality of life
  • Improved management of pain problems

The benefits to occupational health departments are:

  • Ability to manage the physical and psychological barriers to recovery and return to work
  • Rehabilitation for specific tasks
  • Reduced need for modified duties in short and long term

The benefit to insurance companies:

  • A substantial reduction in claims costs especially permanent health, motor and EL

The benefits to GPs:

  • Solution for patients to manage their own chronic pain
  • Patients may be able to access treatment via insurance or their employer
  • Will help manage other conditions and reduce GP consultations

Further Information

For further information on details and dates of the programmes, or the clinical research please contact:

Tim Heard, Liz Dobbs or David Rogers on
0871 200 5060 or frog@healthcare-rm.com

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