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The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis
Open accessAbstract
This systematic review and meta-analysis aimed to analyze the effects of workplace interventions (WI) on clinical outcomes related to low back pain (LBP) in a worker population, and to assess socio-economic parameters as participants on sick leave, days of sick leave, and return to work following WI. A systematic literature search was performed to select randomized clinical trials that investigated the effectiveness of WI on return to work, sick leave, and working capacity of workers affected by nonspecific LBP. Fourteen articles were included in the review and meta-analysis. The meta-analysis showed improvements in pain (p = 0.004), disability (p = 0.0008), fear-avoidance for psychical activity (p = 0.004), and quality of life (p = 0.001 for physical scale and p = 0.03 for mental scale) for patients who underwent WI compared to controls. Moreover, the pain reduction following WI was statistically significant in the healthcare workers’ group (p = 0.005), but not in the other workers’ group. The participants on sick leave and the number of days of sick leave decreased in the WI group without statistical significance (p = 0.85 and p = 0.10, respectively). Finally, LBP recurrence was significantly reduced in the WI group (p = 0.006). WI led to a significant improvement of clinical outcomes in a workers’ population affected by LBP.
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“One review, with evidence described as moderate to high quality, reported that workplace interventions can be effective in improving fear avoidance beliefs and other psychological outcomes.107”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [107]
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Metadata
- Authors
- Russo, F., Papalia, G. F., Vadalà, G., Fontana, L., Iavicoli, S., Papalia, R., & Denaro, V.
- Affiliations
- Università Campus Bio-Medico (IT)
- University of Naples Federico II (IT)
- Istituto Nazionale per l'Assicurazione Contro gli Infortuni sul Lavoro (IT)
- Corresponding author
- Russo, Fabrizio
- Papalia, Giuseppe Francesco
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-11-30
- Volume
- 18
- Issue
- 23
- Pages
- 12614
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8657220
- OpenAlex
- W3215031467
- Cited by
- 63
- References
- 35
- Citations by year
- 2026: 13 · 2025: 15 · 2024: 13 · 2023: 12 · 2022: 9 · 2021: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Istituto Nazionale per l'Assicurazione Contro gli Infortuni sul Lavoro (BRiC-2018 ID3)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Safety in Workplaces
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- low back pain, workplace interventions, non-specific low back pain, return to work, sick leave, fear-avoidance beliefs, quality of life, disability, healthcare workers, occupational health
- MeSH terms
- Back Pain, Humans, Quality of Life, Low Back Pain, Workplace, Sick Leave
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