Rehabilitation of sick-listed LBP patients in occupational health with collaboration of the workplace

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

Abstracts

EN

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 low back pain (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, 8 met the inclusion criteria. Three studies had OH and 5 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 work ability meetings (WAMs) between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP. Based on the study results, the authors suggest utilizing these co-operative interventions with workplaces in OH. High quality research investigating only the effect of WAMs in OH setting is needed in future.

Keywords

EN

low back pain; rehabilitation; intervention; workplace; return to work; sick leave

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2024
• Volume: 37
• Issue: 1
• Pages: 3-17

Dates

published

2024

Contributors

author

Valtteri Kokkonen

• University of Helsinki, Helsinki, Finland (Faculty of Medicine, Department of Public Health, Occupational Health)
• Suomen Terveystalo Oy, Tampere, Finland (Occupational Health Department)

author

Anne Lamminpää

• University of Helsinki, Helsinki, Finland (Faculty of Medicine, Department of Public Health, Occupational Health)

author

Kari Reijula

• University of Helsinki, Helsinki, Finland (Faculty of Medicine, Department of Public Health, Occupational Health)

author

Fabrizio Russo

• Bio-Medico Campus University Hospital, Rome, Italy (Research Unit of Orthopaedic and Trauma Surgery)
• Campus Bio Medico University of Rome, Rome, Italy (Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery)

author

Sergio Iavicoli

• General for European and International Relations, Ministry of Health, Rome, Italy (General for Communication and International Affairs)

author

Vincenzo Denaro

• Bio-Medico Campus University Hospital, Rome, Italy (Research Unit of Orthopaedic and Trauma Surgery)

author

Jaana Kuoppala

• University of Helsinki, Helsinki, Finland (Faculty of Medicine, Department of Public Health, Occupational Health)

References

• Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. https://doi.org/10. 1016/S0140-6736(15)60692-4.
• GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(6):e316-29. https://doi.org/10.1016/S2 665-9913(23)00098-X.
• Oliveira C, Maher C, Pinto R, Traeger A, Lin C, Chenot J-F, et al. Clinical practice guidelines for the management of nonspecific low back pain in primary care: an updated overview. Eur Spine J. 2018;27(11):2791-803. https://doi.org/10.1007/ s00586-018-5673-2.
• Steffens D, Maher C, Pereira L, Stevens M, Oliveira V, Chapple M, et al. Prevention of Low Back Pain: A Systematic Review and Meta-analysis. Jama Intern Med. 2016;176(2): 199-208. https://doi.org/10.1001/jamainternmed.2015.7431.
• Hayden J, van Tulder M, Malmivaara A, Koes B. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005;2005(3):CD000335. https:// doi.org/10.1002/14651858.CD000335.pub2.
• Heymans M, van Tulder M, Esmail R, Bombardier C, Koes B. Back schools for non‐specific low‐back pain. Cochrane Database Syst Rev. 2004;18(4):CD000261. https://doi.org/10. 1002/14651858.CD000261.pub2.
• Straube S, Harden M, Schröder H, Arendacka B, Fan X, Moore R, et al. Back schools for the treatment of chronic lowback pain: possibility of benefit but no convincing evidence after 47 years of research – systematic review and metaanalysis. Pain. 2016;157(10):2160-72. https://doi.org/10. 1097/j.pain.0000000000000640.
• World Health Organization [Internet]. Rehabilitation [cited 2023 April 7]. Available from: https://www.who.int/newsroom/fact-sheets/detail/rehabilitation.
• King P. Participatory Ergonomics A Group Dynamics Perspective. Work. 1994;4(3):195-200. https://doi.org/10.3233/WOR-1994-4307.
• Lindstöm I, Ohlund C, Eek C, Wallin L, Peterson L, Fordyce W, et al. The Effect of Graded Activity on Patients with Subacute Low Back Pain: A Randomized Prospective Clinical Study with an Operant-Conditioning Behavioral Approach. Phys Ther. 1992;72(4):279-90. https://doi.org/10.1093/ptj/72.4.279.
• Lambeek L, Anema J, van Royen B, Buijs P, Wuisman P, van Tulder M, et al. Multidisciplinary outpatient care program for patients with chronic low back pain: design of a randomized controlled trial and cost-effectiveness study. BMJ Public Health 2007;7:254. https://doi.org/10.1186/1471-2458-7-254.
• Kamper S, Apeldoorn A, Chiarotto A, Smeets R, Ostelo R, Guzman J, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ 2015;350:1-11. https://doi.org/10.1136/bmj.h444.
• Teufer B, Ebenberger A, Affengruber L, Kien C, Klerings I, Szelag M, et al. Evidence-based occupational health and safety interventions: a comprehensive overview of reviews. BMJ Open 2019;9(12):1-9. https://doi.org/10.1136/bmjopen2019-032528.
• Loisel P, Durand P, Abenhaim L, Gosselin L, Simard R, Turcotte J, et al. Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study, Occup Environ Med. 1994;51(9):597-602. https://doi.org/10.1136/oem.51.9.597.
• Loisel P, Abenhaim L, Durand P, Esdaile J, Suissa S, Gosselin L, et al. A population-based, randomized clinical trial on back pain management, Spine. 1997;22(24):2911-8. https:// doi.org/10.1097/00007632-199712150-00014.
• Durand M-J, Loisel P. Therapeutic Return to Work: Rehabilitation in the workplace. Work. 2001;17(1):57-63.
• Loisel P, Lemaire J, Poitras S, Durand M-J, Champagne F, Stock S, et al. Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study. Occup Environ Med. 2002;59(12): 807-15. https://doi.org/10.1136/oem.59.12.807.
• Kuoppala J, Lamminpää A. Rehabilitation and work ability: a systematic literature review. J Rehabil Med. 2008; 40(10):796-804. https://doi.org/10.2340/16501977-0270.
• Honkonen N, Liira J, Lamminpää A, Liira H. Work ability meetings – a survey of Finnish occupational physicians. Occup Med. 2018;68(8):551-4. https://doi.org/10.1093/occmed/kqy115.
• Moher D, Liberati A, Tetzlaff J, Altman D; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;3(3):e123-30.
• Karjalainen K, Malmivaara A, Pohjolainen T, Hurri H, Mutanen P, Rissanen P, et al. Mini-intervention for subacute low back pain: a randomized controlled trial. Spine. 2003; 28(6):533-40. https://doi.org/10.1097/01.BRS.0000049928.52520.69.
• Lambeek L, van Mechelen W, Knol D, Loisel P, Anema J. Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life. BMJ. 2010;340:1-7. https://doi.org/10.1136/bmj.c1035.
• Jensen C, Jensen O, Christiansen D, Nielsen C. One-year follow-up in employees sick-listed because of low back pain: randomized clinical trial comparing multidisciplinary and brief intervention. Spine. 2011;36(15):1180-9. https://doi.org/10.1097/BRS.0b013e3181eba711.
• Jensen C, Jensen O, Nielsen C. Sustainability of return to work in sick-listed employees with low-back pain. Two-year follow-up in a randomized clinical trial comparing multidisciplinary and brief intervention. BMC Musculoskelet Disord. 2012;13:156. https://doi.org/10.1186/1471- 2474-13-156.
• Pedersen P, Nielsen C, Jensen O, Jensen C, Labriola M. Employment status five years after a randomised controlled trial comparing multidisciplinary and brief intervention in employees on sick leave due to low back pain. Scand J Public Health. 2018;46(3):383-8. https://doi.org/10.1177/14034 94817722290.
• Langagergaard V, Jensen O, Nielsen C, Jensen C, Labriola M, Sørensen V, et al. The comparative effects of brief or multidisciplinary intervention on return to work at 1 year in employees on sick leave due to low back pain: A randomized controlled trial. Clin Rehab. 2021;35(9):1290-304. https:// doi.org/10.1177/02692155211005387.
• Pedersen K, Langagergaard V, Jensen O, Nielsen C, Sørensen V, Pedersen P. Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain. J Occup Rehab. 2022;32(4): 697-704. https://doi.org/10.1007/s10926-022-10030-1.
• Steenstra I, Anema J, Bongers B, de Vet H, Knol D, van Mechelen W. The effectiveness of graded activity for low back pain in occupational healthcare. Occup Environ Med. 2006; 63(11):718-25. https://doi.org/10.1136/oem.2005.021675.
• Lambeek L, van Mechelen W, Buijs B, Loisel P, Anema J. An integrated care program to prevent work disability due to chronic low back pain: a process evaluation within a randomized controlled trial. BMC Musculoskeletal Disorders. 2009;10:147. https://doi.org/10.1186/1471-2474-10-147.
• World Health Organization [Internet]. Good practice in occupational health services: a contribution to workplace health. 2002, Regional Office for Europe. P. 3. Available from: https://apps.who.int/iris/handle/10665/107448.
• Ministry of Social Affairs and Health, Finland [Internet]. Occupational Healthcare Act [cited 2023 April 19]. Available from: https://finlex.fi/fi/laki/kaannokset/2001/en20011383.pdf.
• Russo F, Papalia G, Gianluca V, Fontana L, Iavicoli S, Papalia R, et al The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021;18(23):12614. https://doi.org/10.3390/ijerph182312614.
• Lappalainen L, Liira J, Lamminpää A, Rokkanen T. Work disability negotiations: supervisors’ view of work disability and collaboration with occupational health services. Disability Rehab. 2019;41(17):2015-25. https://doi.org/10.108 0/09638288.2018.1455112.
• Lappalainen L, Liira J, Lamminpää A. Work disability negotiations between supervisors and occupational health services: factors that support supervisors in work disability management. Intl Arch Occup Environ Health. 2021;94(4):689–697. https://doi.org/10.1007/s00420-020-01623-5.
• Faber B, Wind H, Frings-Dresen M. An interview guide for clinicians to identify a young disabled person’s motivation to work. Work. 2016;54(3):577-90. https://doi.org/10.3233/WOR-162337.
• Park J, Gross D, Rayani F, Norris C, Roberts M, James C, et al. Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation. Work. 2019;62(4):629-41. https://doi.org/10.3233/WOR-192895.
• Tansey TN, Iwanaga K, Bezyak J, Ditchman N. Testing an integrated self-determined work motivation model for people with disabilities: A path analysis. Rehab Psychol. 2017;62(4):534-544. https://doi.org/10.1037/rep0000141.

Identifiers

DOI

10.13075/ijomeh.1896.02263

Biblioteka Nauki

28761977