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||Williams, R. M., Westmorland, M. G., Lin, C. A., Schmuck, G., & Creen, M. (2007). Effectiveness of workplace rehabilitation interventions in the treatment of work-related low back pain: A systematic review. Disability and Rehabilitation, 29(8), 607-624. doi:10.1080/09638280600841513
||low back pain, injured worker, workplace accommodation, return to work, rehabilitation, systematic review
||Background: Individuals with low back pain (LBP) encounter high health care expenses, loss of function, and adverse effects on employment. There are many treatment strategies for LBP; however, it is unclear if the treatments are effective.
Objectives: To conduct a systematic review of available evidence on workplace-based rehabilitation interventions for injured workers with LBP.
Search strategy: The authors identified studies by conducting a search of electronic databases (MEDLINE, CINAHL, EMBASE and AMED) from January 1982 to April 2005. Published and unpublished studies were included in the search. A variety of key words related to back pain, function, and rehabilitation were used.
Selection criteria: Studies that meet the following criteria were included in this review: (a) the intervention was given at the workplace; (b) the population consisted of individuals with work-related musculoskeletal LBP injuries; (c) the intervention involved secondary prevention; (d) the study was published in English; (e) the study involved primary research on one or more patient groups; and (f) the study was prospective or cross-sectional.
Data collection and analysis: Five reviewers with a mixture of academic, research, and clinical expertise independently assessed the abstracts. The reviewers used the Evaluation Guidelines for Rating the Quality of an Intervention Study to assess the quality of studies and level of evidence. Disagreements were resolved by consensus.
Main results: Ten studies met the inclusion criteria. The authors report quality scores and characteristics of included articles. The best evidence reported clinical interventions with occupational interventions effective in facilitating return to work for individuals with LBP. Additional findings on ergonomics and workplace adaptation are also reported.
Conclusions: The review indicates positive findings for medium to high quality interventions studies; however, there is a need to improve the methodological quality of future research.
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|Link to Full Text:||http://www.tandfonline.com/doi/abs/10.1080/09638280600841513|