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Effectiveness of fitness for work interventions for workers with low back pain: A systematic review

OBJECTIVES: Safety at work is important for workers with low back pain (LBP). This requires good job design that considers both worker capacities and work requirements, a concept called “Fitness for Work.” This systematic review aimed to evaluate the effects of fitness for work interventions on work...

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Autores principales: Ishimaru, Tomohiro, Chimed‐Ochir, Odgerel, Arphorn, Sara, Fujino, Yoshihisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8354578/
https://www.ncbi.nlm.nih.gov/pubmed/34375493
http://dx.doi.org/10.1002/1348-9585.12261
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author Ishimaru, Tomohiro
Chimed‐Ochir, Odgerel
Arphorn, Sara
Fujino, Yoshihisa
author_facet Ishimaru, Tomohiro
Chimed‐Ochir, Odgerel
Arphorn, Sara
Fujino, Yoshihisa
author_sort Ishimaru, Tomohiro
collection PubMed
description OBJECTIVES: Safety at work is important for workers with low back pain (LBP). This requires good job design that considers both worker capacities and work requirements, a concept called “Fitness for Work.” This systematic review aimed to evaluate the effects of fitness for work interventions on workers with LBP. METHODS: We searched PubMed, the Cochrane Library, and Scopus from 2000 through 2020, using relevant terms. RESULTS: We reviewed nine randomized controlled trials (RCTs) out of 3052 unique references. All studies were RCTs conducted in Western countries. Some RCTs reported positive findings that fitness for work interventions were effective for LBP in facilitating shorter return to work time and reducing short‐term sick leave. However, the results of the reviewed studies were inconsistent; therefore, there is insufficient evidence to draw firm conclusions about the effectiveness of fitness for work interventions. Furthermore, the interventions were not effective in reducing long‐term sick leave over a 24‐month period. There were consistent findings that fitness for work interventions were no more effective than control interventions on pain intensity, disability, and work ability of workers with LBP. CONCLUSIONS: These results suggest that fitness for work interventions may be somewhat effective in facilitating return to work and preventing short‐term recurrence in workers with LBP. However, workers need to carefully manage their condition to prevent long‐term recurrence.
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spelling pubmed-83545782021-08-15 Effectiveness of fitness for work interventions for workers with low back pain: A systematic review Ishimaru, Tomohiro Chimed‐Ochir, Odgerel Arphorn, Sara Fujino, Yoshihisa J Occup Health Review Articles OBJECTIVES: Safety at work is important for workers with low back pain (LBP). This requires good job design that considers both worker capacities and work requirements, a concept called “Fitness for Work.” This systematic review aimed to evaluate the effects of fitness for work interventions on workers with LBP. METHODS: We searched PubMed, the Cochrane Library, and Scopus from 2000 through 2020, using relevant terms. RESULTS: We reviewed nine randomized controlled trials (RCTs) out of 3052 unique references. All studies were RCTs conducted in Western countries. Some RCTs reported positive findings that fitness for work interventions were effective for LBP in facilitating shorter return to work time and reducing short‐term sick leave. However, the results of the reviewed studies were inconsistent; therefore, there is insufficient evidence to draw firm conclusions about the effectiveness of fitness for work interventions. Furthermore, the interventions were not effective in reducing long‐term sick leave over a 24‐month period. There were consistent findings that fitness for work interventions were no more effective than control interventions on pain intensity, disability, and work ability of workers with LBP. CONCLUSIONS: These results suggest that fitness for work interventions may be somewhat effective in facilitating return to work and preventing short‐term recurrence in workers with LBP. However, workers need to carefully manage their condition to prevent long‐term recurrence. John Wiley and Sons Inc. 2021-08-10 /pmc/articles/PMC8354578/ /pubmed/34375493 http://dx.doi.org/10.1002/1348-9585.12261 Text en © 2021 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Ishimaru, Tomohiro
Chimed‐Ochir, Odgerel
Arphorn, Sara
Fujino, Yoshihisa
Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title_full Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title_fullStr Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title_full_unstemmed Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title_short Effectiveness of fitness for work interventions for workers with low back pain: A systematic review
title_sort effectiveness of fitness for work interventions for workers with low back pain: a systematic review
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8354578/
https://www.ncbi.nlm.nih.gov/pubmed/34375493
http://dx.doi.org/10.1002/1348-9585.12261
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