Effectiveness of a return-to-work Intervention for Subacute low-back Pain

Hynek Hlobil ； J Bart Staal ； Maaike Spoelstra ； Geertje AM Ariëns ； Tjabe Smid ； Willem van Mechelen

《Scandinavian Journal of Work, Environment & Health》 31卷4期 (2005/07) Pp. 249-257

並列摘要

The effectiveness of return-to-work intervention for subacute low-back pain on work absenteeism, pain severity, and functional status was examined by means of a systematic review of randomized controlled trials. Publications in English that met the selection criteria were identified in a computer-aided search and assessed for methodological quality. A best-evidence synthesis was performed instead of statistical data pooling, because of the heterogeneity of the interventions and study populations. Five of nine studies comparing return-to-work intervention with usual care were identified as methodologically high-quality studies. Strong evidence was found for the effectiveness of return to work intervention on the return-to-work rate after 6 months and for the effectiveness of return-to-work intervention on the reduction of days of absence from work after ≥12 months. It can be concluded that return-to-work interventions are equal or more effective regarding absence from work due to subacute low-back pain than usual care is.

並列關鍵字

back injury ； behavioral treatment ； ergonomic measures ； health education ； occupational health care ； physical exercises ； rehabilitation ； pain severity ； review ； work absenteeism