Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Early Occupational Intervention for People with low back pain in Physically Demanding jobs: 1-year Follow-up Results of the Randomized Controlled GOBACK Trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Impact of New Motor Deficit on HRQOL after Adult Spinal Deformity Surgery: Subanalysis from Scoli Risk 1 Prospective Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Modic Changes Are Not Associated With Long-term Pain and Disability: A Cohort Study With 13-year Follow-up

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. External Validation of the Adult Spinal Deformity (ASD) Frailty Index (ASD-FI) in the Scoli-RISK-1 Patient Database

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

STUDY DESIGN: Randomized controlled trial with 1-year follow up.

OBJECTIVE: To assess whether people with low back pain (LBP) and self-reported physically demanding jobs, benefit from an occupational medicine intervention, in addition to a single hospital consultation and an MRI, at 1 year of follow-up. Secondly, to examine whether the positive health effects, found in both groups at 6 months, persist at 1-year follow-up.

SUMMARY OF BACKGROUND DATA: The prevalence of LBP is high in the working population, resulting in a substantial social and economic burden. Although there are many guidelines available on the management of LBP, including multidisciplinary biopsychosocial rehabilitation, they provide limited guidance on the occupational medicine aspects.

METHODS: As reported previously, 305 participants with LBP and self-reported physically demanding jobs were enrolled in the randomized controlled study and randomly allocated to clinical care with additional occupational medicine intervention or clinical care alone. Data was collected at baseline, 6 months and 1 year. Outcomes included in the present 1-year follow up study are changes in neuropathic pain (painDETECT questionnaire), severity of pain (0-10 numerical rating scale), disability (Roland Morris Disability Questionnaire), fear-avoidance beliefs (FABQ), physical, and mental quality of life (SF-36).

RESULTS: The study showed no effect of an occupational intervention on neuropathic pain, fear-avoidance beliefs, physical and mental quality of life nor disability measured after one year. The positive effects found at 6 months in both groups, remained at 1-year follow-up.

CONCLUSIONS: The results suggest that a thorough clinical consultation, with focus on explaining the cause of pain and instructions to stay active, can promote long-lasting physical and mental health in individuals with LBP. Therefore, additional occupational interventions could focus on altering occupational obstacles on a structural level.

LEVEL OF EVIDENCE: 2.

OriginalsprogEngelsk
TidsskriftSpine
Vol/bind46
Udgave nummer6
Sider (fra-til)347-355
Antal sider9
ISSN0362-2436
DOI
StatusUdgivet - 15 mar. 2021

ID: 61374434