Rehabilitation of Sick-listed Lbp Patients in Occupational Health with Collaboration of the Workplace

Valtteri Kokkonen, Anne Lamminpää, Kari Reijula, Fabrizio Russo, Sergio Iavicoli, Vincenzo Denaro, Jaana Kuoppala

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review


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.
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.
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.
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
TidskriftInternational Journal of Occupational Medicine and Environmental Health
Sidor (från-till)3-17
Antal sidor15
StatusPublicerad - 2024
MoE-publikationstypA1 Tidskriftsartikel-refererad


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