Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands; Research Centre for Insurance Medicine, Collaboration Between AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands.
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands; Research Centre for Insurance Medicine, Collaboration Between AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands.
Best Pract Res Clin Rheumatol. 2015 Jun;29(3):483-94. doi: 10.1016/j.berh.2015.04.028. Epub 2015 May 31.
Despite all the efforts in studying work-related risk factors for low back pain (LBP), interventions targeting these risk factors to prevent LBP have no proven cost-effectiveness. Even with adequate implementation strategies for these interventions on group level, these did not result in the reduction of incident LBP. Physical exercise, however, does have a primary preventive effect on LBP. For secondary prevention, it seems that there are more opportunities to cost-effectively intervene in reducing the risk of long-term sickness absence due to LBP. Starting at the earliest moment possible with proper assessment of risk factors for long-term sickness absence related to the individual, the underlying mechanisms of the LBP, and also factors related to the workplace by a well-trained clinician, may increase the potential of effective return to work (RTW) management. More research on how to overcome barriers in the uptake of these effective interventions in relation to policy-specific environments, and with regard to proper financing of RTW management is necessary.
尽管在研究与下背痛 (LBP) 相关的工作相关风险因素方面付出了诸多努力，但针对这些风险因素的干预措施并不能证明其具有成本效益。即使在群体层面上对这些干预措施采取了充分的实施策略，也未能减少新发生的 LBP。然而，体育锻炼对 LBP 具有主要的预防作用。对于二级预防，似乎有更多机会通过成本效益干预来降低因 LBP 而长期缺勤的风险。从尽早开始，通过由训练有素的临床医生对与个体相关的、与 LBP 相关的长期缺勤的潜在风险因素、潜在机制以及与工作场所相关的因素进行适当评估，可能会增加有效重返工作岗位 (RTW) 管理的潜力。有必要针对特定政策环境以及 RTW 管理的适当融资，开展更多关于如何克服这些有效干预措施的障碍的研究。
