Effect of a multidisciplinary program for the prevention of low back pain in hospital employees

A randomized controlled trial
BACKGROUND: Hospital workers with physically demanding jobs are at risk for developing recurrent LBP. There is a lack of studies evaluating multidisciplinary prevention of low back pain (LBP) in hospital workers.
OBJECTIVE: This randomized controlled trial evaluates the effect of a multidisciplinary prevention program, focusing on a client-centred approach, on hospital workers at risk for developing LBP.
METHODS: Caregiving hospital workers were allocated to an experimental (12-week lasting multidisciplinary prevention program) or control group (no intervention). They were evaluated prior to the intervention and after a 6 months follow-up period. Primary outcome measures included incidence of LBP, work absenteeism and general health. Secondary outcomes included daily physical activity, job satisfaction and coping strategies.
RESULTS: A significant improvement was seen for passive coping after 6 months follow-up, but no significant differences were observed between groups in primary or other secondary outcome measures (p> 0.05).
CONCLUSIONS: A multidisciplinary prevention program fitting into a bio-psychosocial context may not have been intensive enough to promote a change in daily habitudes, and had no effect on work absenteeism, incidence of LBP or general health. Further research should determine whether prevention of LBP is possible in caregiving personnel.

Source: Roussel, Nathalie, Kos, Daphne, Demeure, Isaline, Heyman, Annette, De Clerck, Marleen, Zinzen, Evert, Struyf, Filip, Nijs, Jo. (2014). Journal of Back and Musculoskeletal Rehabilitation.
http://dx.doi.org/10.3233/BMR-140554

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