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

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@article{bdf4a425780a4c0c8e3359ccb2aa3a94,
title = "Early Occupational Intervention for People with low back pain in Physically Demanding jobs: 1-year Follow-up Results of the Randomized Controlled GOBACK Trial",
abstract = "STUDY DESIGN: Randomized controlled trial with 1-year follow up.OBJECTIVE: The aim of this study was 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 a magnetic resonance imaging, 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 were 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 (short-form 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 1 year. The positive effects found at 6 months in both groups, remained at 1-year follow-up.CONCLUSION: 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.",
keywords = "Adult, Female, Follow-Up Studies, Humans, Low Back Pain/diagnostic imaging, Magnetic Resonance Imaging/trends, Male, Middle Aged, Occupational Exposure/prevention & control, Occupational Health/trends, Occupational Medicine/methods, Quality of Life, Self Report, Single-Blind Method, Surveys and Questionnaires, mental health-related quality of life, disability, low back pain, physical health-related quality of life, workplace intervention, 1-year follow-up, fear avoidance beliefs, pain, neuropathic pain, physically demanding jobs, workplace visits, occupational medicine",
author = "Rosenberg, {Naomi Rebecca} and Petersen, {Sesilje Bondo} and Begtrup, {Luise Moelenberg} and Flachs, {Esben Meulengracht} and Petersen, {Jonathan Aavang} and Hansen, {Bjarke Brandt} and Lilli Kirkeskov and Henning Bliddal and Robin Christensen and Kristensen, {Lars Erik} and Fournier, {Gilles Ludger} and Kryger, {Ann Isabel}",
year = "2021",
month = mar,
day = "15",
doi = "10.1097/BRS.0000000000003793",
language = "English",
volume = "46",
pages = "347--355",
journal = "Spine (Philadelphia, 1976)",
issn = "0362-2436",
publisher = "Lippincott Williams & Wilkins",
number = "6",

}

RIS

TY - JOUR

T1 - Early Occupational Intervention for People with low back pain in Physically Demanding jobs

T2 - 1-year Follow-up Results of the Randomized Controlled GOBACK Trial

AU - Rosenberg, Naomi Rebecca

AU - Petersen, Sesilje Bondo

AU - Begtrup, Luise Moelenberg

AU - Flachs, Esben Meulengracht

AU - Petersen, Jonathan Aavang

AU - Hansen, Bjarke Brandt

AU - Kirkeskov, Lilli

AU - Bliddal, Henning

AU - Christensen, Robin

AU - Kristensen, Lars Erik

AU - Fournier, Gilles Ludger

AU - Kryger, Ann Isabel

PY - 2021/3/15

Y1 - 2021/3/15

N2 - STUDY DESIGN: Randomized controlled trial with 1-year follow up.OBJECTIVE: The aim of this study was 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 a magnetic resonance imaging, 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 were 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 (short-form 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 1 year. The positive effects found at 6 months in both groups, remained at 1-year follow-up.CONCLUSION: 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.

AB - STUDY DESIGN: Randomized controlled trial with 1-year follow up.OBJECTIVE: The aim of this study was 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 a magnetic resonance imaging, 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 were 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 (short-form 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 1 year. The positive effects found at 6 months in both groups, remained at 1-year follow-up.CONCLUSION: 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.

KW - Adult

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Low Back Pain/diagnostic imaging

KW - Magnetic Resonance Imaging/trends

KW - Male

KW - Middle Aged

KW - Occupational Exposure/prevention & control

KW - Occupational Health/trends

KW - Occupational Medicine/methods

KW - Quality of Life

KW - Self Report

KW - Single-Blind Method

KW - Surveys and Questionnaires

KW - mental health-related quality of life

KW - disability

KW - low back pain

KW - physical health-related quality of life

KW - workplace intervention

KW - 1-year follow-up

KW - fear avoidance beliefs

KW - pain

KW - neuropathic pain

KW - physically demanding jobs

KW - workplace visits

KW - occupational medicine

UR - http://www.scopus.com/inward/record.url?scp=85102221533&partnerID=8YFLogxK

U2 - 10.1097/BRS.0000000000003793

DO - 10.1097/BRS.0000000000003793

M3 - Journal article

C2 - 33181779

VL - 46

SP - 347

EP - 355

JO - Spine (Philadelphia, 1976)

JF - Spine (Philadelphia, 1976)

SN - 0362-2436

IS - 6

ER -

ID: 61374434