Effectiveness of a return-to-work intervention for subacute low-back pain
Hlobil, Hynek ; Staal, Bart J. ; Spoelstra, Maaike ; Ariëns, Geertje AM. ; Smid, Tjabe ; van Mechelen, Willem
Scandinavian Journal of Work, Environment and Health
2005
31
4
249-257
back disorders ; ergonomics ; medical treatment ; rehabilitation ; return to work ; sick leave
Occupational safety and health
English
Bibliogr.;Charts
"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."(Authors' abstract)
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