Practical management guidelines for occupational health physicians are needed for the individual support of employees with low-back pain.
In this study the level of evidence regarding the efficacy of intervention with vocational outcome parameters was assessed.
In a systematic literature search, 40 randomized clinical trials on different types of intervention were retrieved.
Their internal validity and statistical power criteria were assessed.
The randomization procedure, blinding of patients, and sample size were problematic in most studies.
For patients with acute low-back pain limited or moderate evidence was found for the efficacy of no bed rest, a short period of bed rest, and spinal manipulation.
For chronic patients limited evidence was found for the efficacy of antidepressants.
For the other types of intervention, studies with sufficient statistical power were lacking.
Such studies are needed before more-detailed evidence-based guidelines can be formulated for occupational health care.
Mots-clés Pascal : Médecine travail, Médecin, Conduite à tenir, Lombalgie, Recommandation, Absentéisme, Traitement, Article synthèse, Revue bibliographique, Homme, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Occupational medicine, Physician, Clinical management, Low back pain, Recommendation, Absenteeism, Treatment, Review, Bibliographic review, Human, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0391589
Code Inist : 002B15F. Création : 12/09/1997.