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Occupational low back disability: effective strategies for reducing lost work time

L Cleary, D L Thombs, E L Daniel

    AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses
    |February 1, 1995
    PubMed
    Summary
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    Lost work time due to low back pain is complex, influenced by diagnosis, surgery history, job satisfaction, and reporting reluctance. A holistic approach addressing physical, emotional, and environmental factors is crucial for management.

    Area of Science:

    • Occupational Health
    • Rehabilitation Medicine
    • Health Services Research

    Background:

    • Low back pain is a leading cause of lost work time globally.
    • Factors influencing lost work time are multifactorial, extending beyond physical diagnosis.
    • Current management strategies may not fully address the complexity of low back disability.

    Purpose of the Study:

    • To identify key variables associated with lost work time in individuals with low back pain.
    • To emphasize the need for a comprehensive approach to managing low back disability.
    • To recommend collaborative strategies for developing effective low back care guidelines.

    Main Methods:

    • Analysis of variables including back diagnosis (lumbar disc displacement), prior back surgery history, job satisfaction, and employee reporting behavior.

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  • Exploration of the multifaceted nature of low back disability.
  • Literature review on current best practices and gaps in low back pain management.

    • Main Results:

    • Key predictors of lost work time include lumbar disc displacement, history of back surgery, job satisfaction, and reluctance to report pain.
    • Low back disability is a complex condition requiring consideration of physical, emotional, and environmental dimensions.
    • A holistic management approach is supported by the findings.

    Conclusions:

    • Effective management of lost work time necessitates a holistic strategy addressing the whole person.
    • Occupational health providers should collaborate with other disciplines in community task forces.
    • Development of integrated guidelines and standards of care is essential for minimizing low back disability.