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Interventions for preventing back pain among office workers – a systematic review and network meta-analysis
OBJECTIVE: Back pain is common in the working population. This systematic review with network meta-analysis (NMA) aimed to compare the effects of interventions for preventing back pain among office workers. METHODS: We searched eight databases and additional sources up to March 2021. We included ran...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nordic Association of Occupational Safety and Health
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549919/ https://www.ncbi.nlm.nih.gov/pubmed/36382695 http://dx.doi.org/10.5271/sjweh.4070 |
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author | Eisele-Metzger, Angelika Schoser, Daria S Klein, Meik D Grummich, Kathrin Schwarzer, Guido Schwingshackl, Lukas Hermann, Robin Biallas, Bianca Wilke, Christiane Meerpohl, Joerg J Braun, Cordula |
author_facet | Eisele-Metzger, Angelika Schoser, Daria S Klein, Meik D Grummich, Kathrin Schwarzer, Guido Schwingshackl, Lukas Hermann, Robin Biallas, Bianca Wilke, Christiane Meerpohl, Joerg J Braun, Cordula |
author_sort | Eisele-Metzger, Angelika |
collection | PubMed |
description | OBJECTIVE: Back pain is common in the working population. This systematic review with network meta-analysis (NMA) aimed to compare the effects of interventions for preventing back pain among office workers. METHODS: We searched eight databases and additional sources up to March 2021. We included randomized controlled trials (RCT) and cluster RCT focusing on office workers, comparing work-related interventions aimed at preventing back pain (defined as pain in any part of the spine) to a control condition and assessing back pain and/or work absence. Further outcomes considered were adverse events and participants’ satisfaction. We performed both frequentist and component NMA. Risk of bias (RoB) was evaluated using RoB 2 and certainty of the evidence (CoE) was assessed using GRADE. RESULTS: We screened 9809 records and included 24 studies with a total of 7080 participants. RoB was assessed as “some concerns” or “high” for all studies and outcomes. Included studies investigated multicomponent interventions, ergonomics, physical activity, education, behavioral interventions and no/minimal interventions. Effects were mostly not statistically significant and based on low/very low CoE. Physical activity probably reduces days of work absence slightly [mean difference (MD) -1.10, 95% confidence interval (CI) -2.07– -0.13], and combining physical activity and ergonomics may reduce back pain intensity (standardized MD -0.41, 95% CI -0.80– -0.02) when compared to no/minimal intervention. A large proportion of participants were satisfied with the interventions, adverse events were rarely assessed. CONCLUSIONS: We observed mostly minor effects of interventions on back pain and work absence among office workers. The practical relevance of these effects is questionable. |
format | Online Article Text |
id | pubmed-10549919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nordic Association of Occupational Safety and Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-105499192023-10-07 Interventions for preventing back pain among office workers – a systematic review and network meta-analysis Eisele-Metzger, Angelika Schoser, Daria S Klein, Meik D Grummich, Kathrin Schwarzer, Guido Schwingshackl, Lukas Hermann, Robin Biallas, Bianca Wilke, Christiane Meerpohl, Joerg J Braun, Cordula Scand J Work Environ Health Review OBJECTIVE: Back pain is common in the working population. This systematic review with network meta-analysis (NMA) aimed to compare the effects of interventions for preventing back pain among office workers. METHODS: We searched eight databases and additional sources up to March 2021. We included randomized controlled trials (RCT) and cluster RCT focusing on office workers, comparing work-related interventions aimed at preventing back pain (defined as pain in any part of the spine) to a control condition and assessing back pain and/or work absence. Further outcomes considered were adverse events and participants’ satisfaction. We performed both frequentist and component NMA. Risk of bias (RoB) was evaluated using RoB 2 and certainty of the evidence (CoE) was assessed using GRADE. RESULTS: We screened 9809 records and included 24 studies with a total of 7080 participants. RoB was assessed as “some concerns” or “high” for all studies and outcomes. Included studies investigated multicomponent interventions, ergonomics, physical activity, education, behavioral interventions and no/minimal interventions. Effects were mostly not statistically significant and based on low/very low CoE. Physical activity probably reduces days of work absence slightly [mean difference (MD) -1.10, 95% confidence interval (CI) -2.07– -0.13], and combining physical activity and ergonomics may reduce back pain intensity (standardized MD -0.41, 95% CI -0.80– -0.02) when compared to no/minimal intervention. A large proportion of participants were satisfied with the interventions, adverse events were rarely assessed. CONCLUSIONS: We observed mostly minor effects of interventions on back pain and work absence among office workers. The practical relevance of these effects is questionable. Nordic Association of Occupational Safety and Health 2023-01-01 2022-12-30 /pmc/articles/PMC10549919/ /pubmed/36382695 http://dx.doi.org/10.5271/sjweh.4070 Text en Copyright: © Scandinavian Journal of Work, Environment & Health https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License. |
spellingShingle | Review Eisele-Metzger, Angelika Schoser, Daria S Klein, Meik D Grummich, Kathrin Schwarzer, Guido Schwingshackl, Lukas Hermann, Robin Biallas, Bianca Wilke, Christiane Meerpohl, Joerg J Braun, Cordula Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title | Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title_full | Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title_fullStr | Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title_full_unstemmed | Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title_short | Interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
title_sort | interventions for preventing back pain among office workers – a systematic review and network meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549919/ https://www.ncbi.nlm.nih.gov/pubmed/36382695 http://dx.doi.org/10.5271/sjweh.4070 |
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