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Are Work Demand, Support and Control Associated with Work Ability and Disability during Back Pain Treatment? A Prospective Explorative Study

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  • Monica Unsgaard-Tøndel

    (Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, N-7491 Trondheim, Norway
    Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, N-7491 Trondheim, Norway
    Trondheim Municipality, Department of Physiotherapy, N-7004 Trondheim, Norway)

  • Anne Lovise Nordstoga

    (Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, N-7491 Trondheim, Norway
    Department of Physical Medicine and Rehabilitation, St Olavs Hospital, Trondheim University Hospital, N-7006 Trondheim, Norway)

Abstract

Background: Low back pain is a multifactorial disease with consequences for work ability and social participation. Improved integration of the work domain in health care management is needed. The aim of this study was to explore the relation between working conditions with outcome of low back pain treatment. Methods: Observational study of 41 patients attending physiotherapy for low back pain. Work demands, support and control were registered at baseline and work ability and disability also at baseline, with follow up after three and nine months. We used mixed-effects models to estimate the longitudinal associations between working conditions and outcome. Results: Higher work demands were related to reduced work ability (−1.1 points, 95% CI: −2.1 to −0.1) and slightly increased disability (5.6 points, 95% CI: 0.5 to 10.7). Lack of social support from colleagues was associated with reduced work ability (−2.7 points, 95% CI: −0.2 to 1.5) and disability (14.0 points, 95% CI: 4.9 to 23.1). Conclusions: This explorative study found associations between work demands and support, and work ability and disability outcome. Screening for psychosocial working conditions may influence the work ability and disability treatment outcome. The results need replication in larger samples and may indicate that patients seeking primary care management for low back pain should be screened for work demands, support and control.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3154-:d:766184
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    References listed on IDEAS

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    1. 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.
    2. Takahiko Yoshimoto & Hiroyuki Oka & Junji Katsuhira & Tomoko Fujii & Katsuhiko Masuda & Sakae Tanaka & Ko Matsudaira, 2017. "Prognostic psychosocial factors for disabling low back pain in Japanese hospital workers," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-12, May.
    3. Ella Näsi & Mikko Perkiö & Lauri Kokkinen, 2021. "The Complexity of Decreased Work Ability: Individuals’ Perceptions of Factors That Affect Returning to Work after Sickness Absence," IJERPH, MDPI, vol. 19(1), pages 1-22, December.
    4. Juhani Ilmarinen, 2019. "From Work Ability Research to Implementation," IJERPH, MDPI, vol. 16(16), pages 1-7, August.
    5. Anne Richter & Marta Roczniewska & Carina Loeb & Christiane R. Stempel & Thomas Rigotti, 2021. "The Cross-Level Moderation Effect of Resource-Providing Leadership on the Demands—Work Ability Relationship," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    6. Yasmín Ezzatvar & Joaquín Calatayud & Lars Louis Andersen & Edgar Ramos Vieira & Rubén López-Bueno & José Casaña, 2021. "Muscular Fitness and Work Ability among Physical Therapists," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
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