Factors affecting RTW following acute low-back pain

Steenstra, Ivan et coll. (2012). Factors affecting RTW following acute low-back pain. Institute for Work & Health (IWH)

Sommaire d'une recension des écrits sur les déterminants du retour au travail chez les personnes souffrant de lombalgies aigues.

Although most workers with acute low-back pain (i.e. pain for up to six weeks) return to work following a relatively straightforward path, anywhere from one-fifth to one-third go on to suffer chronic low-back pain (i.e. pain for longer than three months). This results in potentially lengthy absences from work.

This systematic review set out to find what factors affect the length of time it takes before returning to work. The aim was to identify which workers with acute low-back pain are at high risk of long-term absences and, therefore, in need of extra attention to help them recover and return to work more quickly.

The review found strong evidence that the following factors predict the likelihood and timing of return to work among workers with acute low-back pain:

  • workers' recovery expectations
  • interactions with health-care providers
  • workers' self-reported pain and functional limitations
  • presence of radiating pain
  • work-related factors, including physical demands of the job, job satisfaction and the offer of modified work.

Source: http://www.iwh.on.ca/sbe/factors-affecting-rtw-following-acute-low-back-pain

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