Does multidisciplinary therapy improve pain, functionality and return to work in employed (sub)acute low back pain sufferers? A systematic review
Year: 2022
Type: conference-paper
Study design: Systematic Review
Abstract: Introduction Low back pain (LBP) is characterized with enormous costs originating from e.g. work absenteeism (1). This study examined the effectiveness of a multidisciplinary intervention, with or without additional workplace intervention (WPI), in improving pain, functionality and return to work in employed (sub)acute LBP sufferers. Methods A comprehensive search in six electronic databases was performed. The risk of bias (RoB) was assessed using the Cochrane RoB 2-tool and the ROBIS-tool. A level of evidence (LoE) and conclusion was determined according to the Dutch EBRO checklist. Results Twelve studies were included (one A1, seven A2, four B LoE studies). A multidisciplinary intervention has beneficial effects on pain intensity and functionality compared to usual care. Contradictory results exist when compared with another intervention or an additional WPI. Regarding work-related outcomes conflicting results were found when a multidisciplinary intervention was compared to usual care, and no superior effects were found in comparison to other types of interventions. Adding a WPI to usual care might result in earlier work resumption. Discussion A multidisciplinary intervention has favorable effects compared with usual care on pain and functionality. An additional WPI on top of usual care might be beneficial for RTW.
Authors: Cnockaert, Elise, Bernaers, Lisa, Braeckman, Lutgart, Mairiaux, Philippe, Poot, Olivier, Willems, Tine
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6981237579