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The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis

Author

Listed:
  • Fabrizio Russo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Giuseppe Francesco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Gianluca Vadalà

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Luca Fontana

    (Department of Public Health, Section of Occupational Medicine, University of Naples Federico II, 80121 Naples, Italy)

  • Sergio Iavicoli

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Rome, Italy)

  • Rocco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Vincenzo Denaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

Abstract

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.

Suggested Citation

  • Fabrizio Russo & Giuseppe Francesco Papalia & Gianluca Vadalà & Luca Fontana & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2021. "The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(23), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12614-:d:691512
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    References listed on IDEAS

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    1. Fabrizio Russo & Sergio De Salvatore & Luca Ambrosio & Gianluca Vadalà & Luca Fontana & Rocco Papalia & Jorma Rantanen & Sergio Iavicoli & Vincenzo Denaro, 2021. "Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(11), pages 1-21, June.
    2. Bjarke Brandt Hansen & Lilli Kirkeskov & Luise Moelenberg Begtrup & Mikael Boesen & Henning Bliddal & Robin Christensen & Ditte Lundsgaard Andreasen & Lars Erik Kristensen & Esben Meulengracht Flachs , 2019. "Early occupational intervention for people with low back pain in physically demanding jobs: A randomized clinical trial," PLOS Medicine, Public Library of Science, vol. 16(8), pages 1-16, August.
    3. Tahereh Abdollahi & Shadan Pedram Razi & Daryoush Pahlevan & Mir Saeed Yekaninejad & Sara Amaniyan & Christina Leibold Sieloff & Mojtaba Vaismoradi, 2020. "Effect of an Ergonomics Educational Program on Musculoskeletal Disorders in Nursing Staff Working in the Operating Room: A Quasi-Randomized Controlled Clinical Trial," IJERPH, MDPI, vol. 17(19), pages 1-12, October.
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    Cited by:

    1. Monica Unsgaard-Tøndel & Anne Lovise Nordstoga, 2022. "Are Work Demand, Support and Control Associated with Work Ability and Disability during Back Pain Treatment? A Prospective Explorative Study," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    2. Giuseppe Francesco Papalia & Giorgia Petrucci & Fabrizio Russo & Luca Ambrosio & Gianluca Vadalà & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2022. "COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    3. Elizabeth Shaw & Michael Nunns & Stuart G. Spicer & Hassanat Lawal & Simon Briscoe & G. J. Melendez‐Torres & Ruth Garside & Kristin Liabo & Jo Thompson Coon, 2024. "What is the volume, quality and characteristics of evidence relating to the effectiveness and cost‐effectiveness of multi‐disciplinary occupational health interventions aiming to improve work‐related ," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    4. Giorgia Petrucci & Giuseppe Francesco Papalia & Fabrizio Russo & Gianluca Vadalà & Michela Piredda & Maria Grazia De Marinis & Rocco Papalia & Vincenzo Denaro, 2021. "Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    5. Mathilde Schwartz & Kévin Desbrosses & Jean Theurel & Guillaume Mornieux, 2023. "Biomechanical Consequences of Using Passive and Active Back-Support Exoskeletons during Different Manual Handling Tasks," IJERPH, MDPI, vol. 20(15), pages 1-15, July.
    6. Rami J. Anshasi & Adi Alsyouf & Fahad Nasser Alhazmi & Abeer Taha AbuZaitoun, 2022. "A Change Management Approach to Promoting and Endorsing Ergonomics within a Dental Setting," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    7. Anca Radauceanu & Michel Grzebyk & Stéphanie Boini & Mathieu Dziurla & Jean-Jacques Atain-Kouadio & Agnès Aublet-Cuvelier, 2023. "Low Back Pain and Upper-Extremity Musculoskeletal Disorders in French Postal Workers Driving Light-Duty Vehicles for Mail and Parcel Delivery," IJERPH, MDPI, vol. 20(3), pages 1-18, January.

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