Organizational and functional model of a treatment and preventive program for the management of chronic back pain for industrial workers

Chronic back pain is one of the leading causes of temporary and permanent disability, especially among industrial workers, where up to 70 % of employees aged 35–55 experience pain episodes due to high workloads. According to the Russian Ministry of Health, more than 30 % of sick leaves in the industrial sector are related to musculoskeletal disorders, and the total economic losses for employers exceed 1.5 trillion rubles per year. Objectives. To develop an organizational and functional model for early detection, prevention, and rehabilitation of chronic back pain (CBP) in industrial workers based on a stratified approach and telemedicine monitoring. Material and methods. The study included an analysis of current clinical guidelines, screening data, and functional examinations of employees at industrial enterprises. Pain assessment scales, self-assessment questionnaires, mobility tests, and neurological status tests were used. A modular routing system was developed, including primary healthcare, clinical diagnostics, and rehabilitation levels, with the use of digital monitoring and telemedicine support. Results. The proposed model allows for the stratification of employees into three groups based on the severity of symptoms and functional impairments: Group 1, with predominantly muscular dysfunction; Group 2, with biomechanical impairments; and Group 3, with neurological symptoms. For each group, differentiated rehabilitation routes have been identified, including educational programs, remotely monitored physical therapy, and specialized medical care. The implementation of this program has the potential to reduce the frequency of temporary disability episodes, increase employee adherence to preventive measures, and improve health outcomes. Conclusion. The developed model of managing chronic back pain in employees of enterprises combines stratification, a personalized approach, digital technologies, and multidisciplinary support. The proposed organizational and methodological approach is aimed at reducing morbidity and temporary disability, as well as increasing production efficiency.