Low Back Pain Clinical Trial
Official title:
Retention in Physically Demanding Jobs With Low Back Pain: A Randomised Controlled Trial (GoBack)
Low back pain (LBP) is a recognized public health problem with high life time prevalence.
Medical treatment may reduce the physical and mental discomfort, while it has not been able
to improve the possibilities for retaining or return patients with LBP to work.
This is an occupational intervention study for patients with LBP and physically demanding
work, who are at risk of drop out of labour; a randomized controlled trial designed to test
the effectiveness of an early intervention for retaining subjects with LBP attached to the
labour marked. A work place modification intervention combined with moderate physical
activity is given in the intervention group additional to LBP treatments according to best
practice recommendations for general practice.
The study population consists of patients in self-reported physically demanding, who are
sick listed or at risk of sick leave due to LBP. Outcome will continually be collected
during the intervention as well as 6 and additionally at 12 months follow up.
The primary aim is to evaluate if an occupational intervention with focus on early workplace
orientated counselling and work place intervention can retain subjects with physically
demanding work and LBP in gainful employment to prevent/reduce the sick leave due to LBP.
The secondary aims are to identify prognostic factors of an occupational intervention using
the baseline and follow-up participant-rated outcomes: pain, physically function, generic
health status, fear avoidance behaviours, job satisfaction, work-ability, satisfaction with
intervention, clinical examination and MRI findings. Among these variables, we also aim to
identify subjects, who will benefit from such an occupational intervention, and the
subjects, who already have a good prognosis and therefore have no need for a larger scale
intervention.
Eligible participants are: 1) 18-65 years of age; 2) current episode of 2-4 weeks of LBP; 3)
self-reported physically demanding work; 4) express concerns about the ability to maintain
their current job.
The exclusion criteria are: 1) pregnancy; 2) server somatic or psychiatric diseases; 3)
cancer or metastatic disease
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