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- Title
Prevention of Work Absence Due to Back Pain: A Network Meta-Analysis.
- Authors
Ta, Kim-Ngan Thi; Bai, Chyi-Huey; Chuang, Kai-Jen
- Abstract
This paper reviewed the most effective strategies for preventing work absence due to back pain (BP) and BP episodes (the number of people reporting back pain). We searched randomized controlled trials (RCTs) of prevention strategies for BP from previous meta-analyses, PubMed, CENTRAL, and Embase and conducted a network meta-analysis. Thirteen RCTs (2033 participants) were included. Low- to high-quality evidence showed that exercise combined with ergonomics, education, back belts, and education combined with ergonomics did not prevent sickness absenteeism or BP episodes. There was moderate-quality evidence that exercise, especially resistance exercise, was the best prevention strategy to reduce the number of people reporting absenteeism due to BP (risk ratio [RR] = 0.10; 95% CI: 0.01 to 0.69). Moderate-quality evidence suggested that resistance and stretching exercises combined with education was the best prevention strategy to reduce pain (RR = 0.80; 95% CI: 0.67 to 0.96) and the number of absenteeism days for BP (standardized mean difference [SMD] = −0.39; 95% CI: −0.77 to −0.02). In conclusion, exercise, especially resistance and stretching exercises, and exercise combined with education were ranked as the best interventions to prevent sickness absenteeism and BP episodes.
- Subjects
BACKACHE; RESISTANCE training; STRETCH (Physiology); RANDOMIZED controlled trials; BACK exercises
- Publication
European Journal of Investigation in Health, Psychology & Education (EJIHPE), 2023, Vol 13, Issue 12, p2891
- ISSN
2174-8144
- Publication type
Article
- DOI
10.3390/ejihpe13120200