Cross-Disciplinary Workplace Intervention Strategy for Chronic Musculoskeletal Disorders

Inclusion Criteria: * Employees on sick leave because of non-specific back and/or neck/shoulder pain * actual unable to work and continuous or cumulative (totalized) work incapa- city in the past 6 monts * ≥ 20 working days 100% absence from work or * ≥ 40 working days 80 to 99% absence from work or * ≥ 60 working days 50 to 79% absence from work and * not older than 58 level of employment ≥ 50% * no longer than 6 monts absencer from work (100% unable to work) Exclusion Criteria: * Specific diagnosis such as infection, neoplasm, metastasis osteoporosis, rheumatoid arthritis, fracture and inflammatory process or other conditions for which valid diagnoses had been demonstrated either in the anamnesis, records or the clinical examination * Postoperative health condition with prohibited physical load * Major co-morbidity which may determine return to work in a clearly stronger way then the MSD itself such as a major depression, psychosis, heavy drug or alcohol disease or instable cardiac or pulmonary disease * Predominant specific shoulder pathology in "neck-shoulder pain"