Abstrakti
Background
Chronic low back pain (LBP) is one of the leading disorders causing disability worldwide. In persistent LBP, medical and vocational rehabilitation are important. However, active involvement of workplace in rehabilitation procedures is uncommon.
Methods
The aim was to evaluate if rehabilitation procedures including occupational health (OH) and workplace participation increase return to work (RTW) rates among patients with subacute and chronic LBP. A systematic review of randomized controlled trials was conducted using the PUBMED and Cochrane databases. Main outcomes were RTW and days of sick leave. Interventions needed to be multidisciplinary including both OH and active workplace involvement in rehabilitation.
Results
Out of 1073 potentially eligible references, eight met the inclusion criteria. Three studies had OH and five case managers involved in rehabilitation. Rehabilitation involving both OH and workplace improved RTW and decreased the number of sick leave days among LBP patients. Having case managers involved had no effect in RTW.
Conclusions
In order to improve RTW, workplace visits - and workability meetings between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP.
Keywords: Low back pain, rehabilitation, workplace, return to work
Chronic low back pain (LBP) is one of the leading disorders causing disability worldwide. In persistent LBP, medical and vocational rehabilitation are important. However, active involvement of workplace in rehabilitation procedures is uncommon.
Methods
The aim was to evaluate if rehabilitation procedures including occupational health (OH) and workplace participation increase return to work (RTW) rates among patients with subacute and chronic LBP. A systematic review of randomized controlled trials was conducted using the PUBMED and Cochrane databases. Main outcomes were RTW and days of sick leave. Interventions needed to be multidisciplinary including both OH and active workplace involvement in rehabilitation.
Results
Out of 1073 potentially eligible references, eight met the inclusion criteria. Three studies had OH and five case managers involved in rehabilitation. Rehabilitation involving both OH and workplace improved RTW and decreased the number of sick leave days among LBP patients. Having case managers involved had no effect in RTW.
Conclusions
In order to improve RTW, workplace visits - and workability meetings between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP.
Keywords: Low back pain, rehabilitation, workplace, return to work
| Alkuperäiskieli | englanti |
|---|---|
| Lehti | International Journal of Occupational Medicine and Environmental Health |
| Vuosikerta | 37 |
| Numero | 1 |
| Sivut | 3-17 |
| Sivumäärä | 15 |
| ISSN | 1232-1087 |
| DOI - pysyväislinkit | |
| Tila | Julkaistu - 2024 |
| OKM-julkaisutyyppi | A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu |
Tieteenalat
- Intervention
- Low back pain
- Rehabilitation
- Return to work
- Sick leave
- Workplace
- 3142 Kansanterveystiede, ympäristö ja työterveys