Functional Restoration Programs are recommended by the American College of Environmental and Occupational Medicine (ACOEM) Chronic Pain Guidelines.

ACOEM recommends Functional Restoration Programs for patients who have been unsuccessful with conventional treatments and remain significantly injured.

To read the full guidelines please follow the link below:

The effectiveness of Functional Restoration Programs has been shown through well established evidence-based research that supports the use of Functional Restoration Programs for patients with chronic pain.

There have been multiple research articles published over many years that confirm the effectiveness of Functional Restoration Programs.

Please find a selection of research articles below with links to the article sources.


The Functional Restoration Program is an effective, evidence-based program.

  • Research Article 1

    Multidisciplinary rehabilitation for chronic low back pain: systematic review Jaime Guzmán, Rosmin Esmail, Kaija Karjalainen, Antti Malmivaara, Emma Irvin, Claire Bombardier. BMJ 2001; 322 doi: (Published 23 June 2001) BMJ 2001;322:1511

    Abstract Objective: To assess the effect of multidisciplinary biopsychosocial rehabilitation on clinically relevant outcomes…

  • Research Article 2

    Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Roger Chou, MD, and Laurie Hoyt Huffman, MS Annals of Internal Medicine. 2007 Oct 2;147(7):492-504.

    Abstract Background: Many nonpharmacologic therapies are available for treatment of low back pain…

  • Research Article 3

    Impact of a functional restoration program on pain and health-related quality of life in patients with chronic low back pain. Huge V, Schloderer U, Steinberger M, Wuenschmann B, Schöps P, Beyer A, Azad SC. Pain Med. 2006 Nov-Dec;7(6):501-8.

    Abstract Objective: Functional restoration programs for chronic low back pain (CLBP) have been shown to be successful in improving function…

  • Research Article 4

    Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. Robert J. Gatchel and Akiko Okifuji The Journal of Pain, Vol 7, No 11 (November), 2006: pp 779-793 Available online at

    Abstract: Chronic pain is one of the most prevalent and costly problems in the United States today…

  • Research Article 5

    A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France. Isabelle Caby, Nicolas Olivier, Frédérick Janik, Jacques Vanvelcenaher, and Patrick Pelayo Healthcare (Basel). 2016 Jun; 4(2): 23. Published online 2016 Apr 27. doi: 10.3390/healthcare4020023

    Abstract Study Design: A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France…

  • Research Article 6

    Efficacy of a functional restoration program for chronic low back pain: prospective 1-year study. Beaudreuil J, Kone H, Lasbleiz S, Vicaut E, Richette P, Cohen-Solal M, Lioté F, de Vernejoul MC, Nizard R, Yelnik A, Bardin T, Orcel P. Joint Bone Spine. 2010 Oct;77(5):435-9. doi: 10.1016/j.jbspin.2010.03.003. Epub 2010 Aug 21.

    Abstract Objective: To evaluate the efficacy of a functional restoration program for patients with chronic low back pain, using overall disability and work ability…

  • Research Article 7

    Long-term return to work after a functional restoration program for chronic low-back pain patients: a prospective study. Cécile Poulain, Solen Kernéis, Sylvie Rozenberg, Bruno Fautrel, Pierre Bourgeois, and Violaine Foltz Eur Spine J. 2010 Jul; 19(7): 1153–1161. Published online 2010 Mar 12. doi: 10.1007/s00586-010-1361-6

    Abstract: Low-back pain is a major health and socio economic problem. Functional restoration programs (FRP) have been developed to promote the socio-professional reintegration of patients with important work absenteeism…

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