TY - JOUR
T1 - Vocational outcome of intervention for low-back pain
AU - Van Der Weide, Willeke E.
AU - Verbeek, Jos H.A.M.
AU - Van Tulder, Maurits W.
PY - 1997/1/1
Y1 - 1997/1/1
N2 - Practical management guidelines for occupational health physicians are needed for the individual support of employees with low-back pain. In this study the level of evidence regarding the efficacy of intervention with vocational outcome parameters was assessed. In a systematic literature search, 40 randomized clinical trials on different types of intervention were retrieved. Their internal validity and statistical power criteria were assessed. The randomization procedure, blinding of patients, and sample size were problematic in most studies. For patients with acute low-back pain limited or moderate evidence was found for the efficacy of no bed rest, a short period of bed rest, and spinal manipulation. For chronic patients limited evidence was found for the efficacy of antidepressants. For the other types of intervention, studies with sufficient statistical power were lacking. Such studies are needed before more-detailed evidence-based guidelines can be formulated for occupational health care.
AB - Practical management guidelines for occupational health physicians are needed for the individual support of employees with low-back pain. In this study the level of evidence regarding the efficacy of intervention with vocational outcome parameters was assessed. In a systematic literature search, 40 randomized clinical trials on different types of intervention were retrieved. Their internal validity and statistical power criteria were assessed. The randomization procedure, blinding of patients, and sample size were problematic in most studies. For patients with acute low-back pain limited or moderate evidence was found for the efficacy of no bed rest, a short period of bed rest, and spinal manipulation. For chronic patients limited evidence was found for the efficacy of antidepressants. For the other types of intervention, studies with sufficient statistical power were lacking. Such studies are needed before more-detailed evidence-based guidelines can be formulated for occupational health care.
KW - Absenteeism from work
KW - Evidence-based guidelines
KW - Guidance
KW - Intervention methods
KW - Sick leave
UR - http://www.scopus.com/inward/record.url?scp=0030857903&partnerID=8YFLogxK
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U2 - 10.5271/sjweh.195
DO - 10.5271/sjweh.195
M3 - Article
C2 - 9243726
AN - SCOPUS:0030857903
SN - 0355-3140
VL - 23
SP - 165
EP - 178
JO - Scandinavian Journal of Work, Environment and Health
JF - Scandinavian Journal of Work, Environment and Health
IS - 3
ER -