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Determinants of Occupational Disability Following a Low Back Injury: A Critical Review of the Literature
Abstract
The aim of this research was to determine prognostic indicators of work disability in occupational back pain as reported in the literature, by systematically searching the research literature, assessing the methodological quality of the research, and synthesizing the findings into a concise summary. An article was considered eligible for review if research participants had an injury of the back, the article was based on original research, published in English, and involved a cohort with back pain less than 6 months post injury with at least one follow up assessment. Each article was independently reviewed by two "blinded" reviewers using 19 appraisal criteria for methodological quality of prognostic studies. Nineteen studies met the methodological standard to be included. Time since onset, demographic factors, functional disability, psychological distress, pain reports, previous episodes, and work environment were identified as important prognostic factors. Most studies compartmentalized the factors they considered. What is needed is a comprehensive multivariate biopsychosocial job-related model of work disability.
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“there is considerable evidence that individuals with a psychiatric history, with depressed mood, with major life adversity, or reporting high levels of stress are at greater risk of transitioning to chronic and disabling LBP.24,32,59,60”
From Impact of psychological factors in the experience of pain (2011) · cites this paper as [59]
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References 67 · Cited by 226
Research works printed but not linked: 5
- Tunks E. Is there a chronic pain syndrome? In: Lipton S, Tunks E, Zoppi M, eds. Advances in pain research and therapy. New York: Raven Press, 1990, pp. 247-266.
- Linton SJ, Halldén K. Risk factors and the natural course of acute and recurrent musculoskeletal pain: Developing a screening instrument. In: Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Proceedings of the 8th World Congress on pain, progress in pain research and management, Vol. 8. Seattle, WA: IASP Press, 1997, pp. 527-536.
- Turk DC. The role of demographic and psychosocial factors in transition from acute to chronic pain. In: Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Proceedings of the 8th World Congress on pain, progress in pain research and management, Vol. 8. Seattle, WA: IASP Press, 1997, pp. 185-213.
- Feinstein AR. Clinical biostatistics. St. Louis, MO: CV Mosby, 1977.
- Kendall NAS, Linton SJ, Main CJ. Guide to assessing psychosocial yellow flags in acute low back pain: Risk factors for long-term disability and work loss. Wellington, NZ: Enigma Publishing, 1997.
Metadata
- Authors
- Crook, J., Milner, R., Schultz, I. Z., & Stringer, B.
- Affiliations
- McMaster University (CA)
- University of British Columbia (CA)
- Western University (CA)
- Corresponding author
- Crook, Joan
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2002-12
- Volume
- 12
- Issue
- 4
- Pages
- 277-295
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W67592489
- Cited by
- 226
- References
- 67
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 12 · 2015: 7 · 2014: 13 · 2013: 21 · 2012: 16
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- occupational back pain, low back injury, work disability, prognostic factors, functional disability, psychological distress, pain reports, work environment, biopsychosocial model, return to work
- MeSH terms
- Disability Evaluation, Female, Humans, Male, Occupational Diseases, Prognosis, Rehabilitation, Vocational, Sensitivity and Specificity, Injury Severity Score, Low Back Pain, Sickness Impact Profile, Back Injuries, Physical Therapy Modalities
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- CoChat. (2026). Citation check: Determinants of Occupational Disability Following a Low Back Injury: A Critical Review of the Literature. https://app.cochat.ai/papers/10.1023/a:1020278708861
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- Crook, J., Milner, R., Schultz, I. Z., & Stringer, B. (2002). Determinants of Occupational Disability Following a Low Back Injury: A Critical Review of the Literature. Journal of Occupational Rehabilitation. https://doi.org/10.1023/a%3A1020278708861
