Code of Colorado Regulations
1100 - Department of Labor and Employment
1101 - Division of Workers' Compensation
7 CCR 1101-3 R17 Ex 08 - Rule 17, Exhibit 8 - CERVICAL SPINE INJURY MEDICAL TREATMENT GUIDELINES
Section 7 CCR 1101-3-17-08-10 - Interdisciplinary Rehabilitation Programs

Current through Register Vol. 47, No. 17, September 10, 2024

Introduction. These guidelines discuss an interdisciplinary approach to neck pain treatment in the acute and subacute timeframes. Interdisciplinary rehabilitation programs are the gold standard of treatment for individuals with chronic neck pain who have not responded to less intensive modes of treatment or individuals who require concurrent treatment for chemical dependency.

Appendix

Functional Tests

Name of Test

Body Part

Description

Oswestry Low Back Pain Disability Questionnaire (ODI)

Lumbar Spine

Functional questions with sleeping, lifting, walking, sitting, and standing

Quebec Back Pain Disability Scale

Spine

Functional and emotional questions

Neck Disability Index

Cervical Spine

10 questions addressing pain, personal care, headaches, and functional deficits

36-Item Short Form Survey (SF-36) and 12-Item Short Form Survey (SF-12)

Physical Health

Assesses activities of daily living (ADLs)

Dallas Pain Questionnaire

Spine

Chronic pain

Brief Pain Inventory

General

Sleep, walking, ADLs

Psychological Screens

Name of Test

Description

Brief Battery for Health Improvement, 2nd Edition (BBHI 2)

Measures pain, functioning, somatization, depression, anxiety, and defensiveness; brief measure of risk factors for delayed recovery

Distress and Risk Assessment Method (DRAM)

Measures depression and somatic symptoms of anxiety, risk factors commonly associated with chronic pain

Center for Epidemiological Studies Depression Scale (CES-D)

Measures depression, 20 items

Beck Depression Inventory-II (BDI-II)

Measures depression, 21 items

Primary Care Evaluation for Mental Disorders (PRIME-MD) Must be filled out by a provider

2 components: paper and pencil screen for patient and follow-up interview by physician. Assesses mood, anxiety, somatoform tendencies, and alcohol and eating disorders

Zung Depression Inventory

Measures depression, brief measure

Patient Health Questionnaire (PHQ) and PHQ-9

Self-administered version of the PRIME-MD. Assesses mood, anxiety, somatoform tendencies, and alcohol and eating disorders

Generalized Anxiety Disorder Scale (GAD-7)

Assesses generalized anxiety, 7 questions

Behavioral Health Index-Multimedia Version (BHI-MV)

Screens for addiction

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