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Physical conditioning as part of a return to work strategy to reduce sickness absence for workers with back pain

  1. Frederieke G Schaafsma1,*,
  2. Karyn Whelan2,
  3. Allard J van der Beek3,
  4. Ludeke C van der Es-Lambeek4,
  5. Anneli Ojajärvi5,
  6. Jos H Verbeek6

Editorial Group: Cochrane Back and Neck Group

Published Online: 30 AUG 2013

Assessed as up-to-date: 26 FEB 2013

DOI: 10.1002/14651858.CD001822.pub3


How to Cite

Schaafsma FG, Whelan K, van der Beek AJ, van der Es-Lambeek LC, Ojajärvi A, Verbeek JH. Physical conditioning as part of a return to work strategy to reduce sickness absence for workers with back pain. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD001822. DOI: 10.1002/14651858.CD001822.pub3.

Author Information

  1. 1

    VU University Medical Center, EMGO+ Institute, Department of Public and Occupational Health, Amsterdam, Netherlands

  2. 2

    Australian Catholic University, School of Physiotherapy, Faculty of Health Sciences, North Sydney, Australia

  3. 3

    VU University Medical Center, Department of Public and Occupational Health, EMGO Institute, Amsterdam, Netherlands

  4. 4

    CBO, Utrecht, Netherlands

  5. 5

    Finnish Institute of Occupational Health, Helsinki, Finland

  6. 6

    Finnish Institute of Occupational Health, Cochrane Occupational Safety and Health Review Group, Kuopio, Finland

*Frederieke G Schaafsma, Department of Public and Occupational Health, VU University Medical Center, EMGO+ Institute, Van der Boechorststraat 7 - room A524, Postbus 7057, Amsterdam, 1007 MB, Netherlands. f.schaafsma@vumc.nl.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 30 AUG 2013

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[Figure 1]
Figure 1.
[Figure 2]
Figure 2. Forest plot of comparison: 7 Intense PC + CaU versus CaU only, subacute pain, outcome: 7.3 Time to return-to-work.
[Figure 3]
Figure 3. Forest plot of comparison: 11 Intense PC versus multidisciplinary exercise treatment, subacute pain, outcome: 11.1 Proportion off work short-term follow-up.
[Figure 4]
Figure 4. Forest plot of comparison: Intense PCP versus care as usual for workers with chronic back pain, outcome: Time to return-to-work at long-term follow-up
[Figure 5]
Figure 5. Forest plot of comparison: Intense PCP versus exercise programme for workers with chronic back pain, outcome: Time to return-to-work at intermediate-term follow-up.
[Figure 6]
Figure 6. Forest plot of comparison: Intense PCP versus intense PCP with CBT for workers with chronic back pain, outcome: Time to return-to-work at long-term follow-up.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Light physical conditioning programme (PCP) + backbook versus backbook intervention only, acute pain, Outcome 1 Proportion off work.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Light physical conditioning programme (PCP) versus care as usual (CaU), acute pain, Outcome 1 Time to return to work long term follow up.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Intense physical conditioning programme (PCP) versus care as usual (CaU), acute pain, Outcome 1 Proportion off work long term follow up.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Light physical conditioning programme (PCP) + care as usual (CaU) versus CaU, subacute pain, Outcome 1 Time to return to work.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Light physical conditioning programme (PCP) + brief clinical intervention (CI) versus brief CI only, subacute pain, Outcome 1 Time to return to work.
[Analysis 6.1]
Analysis 6.1. Comparison 6 Intense physical conditioning programme (PCP) + care as usual (CaU) versus CaU only, subacute pain, Outcome 1 Time to return to work.
[Analysis 6.2]
Analysis 6.2. Comparison 6 Intense physical conditioning programme (PCP) + care as usual (CaU) versus CaU only, subacute pain, Outcome 2 Time to return to work very long term follow up.
[Analysis 7.1]
Analysis 7.1. Comparison 7 Intense physical conditioning programme (PCP) versus light PCP, subacute pain, Outcome 1 Time to return to work.
[Analysis 8.1]
Analysis 8.1. Comparison 8 Intense physical conditioning programme (PCP) versus cognitive intervention, subacute pain, Outcome 1 Time to return to work short term follow up.
[Analysis 9.1]
Analysis 9.1. Comparison 9 Intense physical conditioning programme (PCP) versus care as usual (CaU), subacute pain, Outcome 1 Time to return to work.
[Analysis 10.1]
Analysis 10.1. Comparison 10 Intense physical conditioning programme (PCP) versus multidisciplinary exercise treatment, subacute pain, Outcome 1 Proportion off work short term follow up.
[Analysis 11.1]
Analysis 11.1. Comparison 11 Light physical conditioning programme (PCP) versus care as usual (CaU), chronic pain, Outcome 1 Time to return to work.
[Analysis 12.1]
Analysis 12.1. Comparison 12 Intense physical conditioning programme (PCP) + care as usual (CaU) versus CaU only, chronic pain, Outcome 1 Time to Return to Work.
[Analysis 13.1]
Analysis 13.1. Comparison 13 Intense physical conditioning programme (PCP) versus care as usual (CaU), chronic pain, Outcome 1 Time to return to work.
[Analysis 14.1]
Analysis 14.1. Comparison 14 Intense physical conditioning programme (PCP) versus exercise program, chronic pain, Outcome 1 Proportion off work short term follow up.
[Analysis 14.2]
Analysis 14.2. Comparison 14 Intense physical conditioning programme (PCP) versus exercise program, chronic pain, Outcome 2 Time to return to work.
[Analysis 15.1]
Analysis 15.1. Comparison 15 Intense physical conditioning programme (PCP) versus intense PCP + cognitive behavioural therapy (CBT), chronic pain, Outcome 1 Time to return to work.
[Analysis 16.1]
Analysis 16.1. Comparison 16 Intense physical conditioning programme (PCP) versus cognitive behavioural therapy (CBT) for workers with chronic back pain, Outcome 1 Time to return to work.
[Analysis 17.1]
Analysis 17.1. Comparison 17 Intense physical conditioning programme (PCP) versus light PCP, chronic back pain, Outcome 1 Time to return to work.