Early Return to Work Has Benefits for Relief of Back Pain and Functional Recovery After Controlling for Multiple Confounds
| Autor: | Brittany Gaines, Susan Peters, Mary Jane Woiszwillo, Candace C. Nelson, William S. Shaw |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors functional recovery MEDLINE Return to work Risk Assessment patient education 03 medical and health sciences Return to Work 0302 clinical medicine Surveys and Questionnaires Back pain medicine Humans Longitudinal Studies acute low back pain 030212 general & internal medicine Pain Measurement pain recovery business.industry Therapeutic effect Confounding Public Health Environmental and Occupational Health Confounding Factors Epidemiologic Recovery of Function Original Articles Middle Aged sickness absence Functional recovery early return-to-work disability sickness certification Back Pain Physical therapy Female health benefits medicine.symptom business Risk assessment Psychosocial 030217 neurology & neurosurgery |
| Zdroj: | Journal of Occupational and Environmental Medicine |
| ISSN: | 1076-2752 |
| DOI: | 10.1097/jom.0000000000001380 |
| Popis: | Objective: The aim of the study was to evaluate the effect on health outcomes of an early or immediate return-to-work (RTW) after acute low back pain (LBP). Methods: A longitudinal cohort of workers (N = 557) consulting for uncomplicated LBP were assessed on demographic, pain, occupational, and psychosocial variables. Pain and function were assessed at 3-month postpain onset. We tested the longitudinal effects of an early RTW on 3-month outcomes. Results: Pain and function improved more rapidly for workers with an immediate (30.7%) or early (1 to 7 days) RTW (36.8%). Eleven demographic, health, or workplace variables were identified as potential confounds, but controlling for these factors only partially attenuated the benefits of an early RTW. Conclusions: An early RTW improves acute LBP and functional recovery, and alternate confounding explanations only partially eclipse this therapeutic effect. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|