Interventions for preventing back pain among office workers – a systematic review and network meta-analysis

Angelika Eisele-Metzger, Daria S Schoser, Meik D Klein, Kathrin Grummich, Guido Schwarzer, Lukas Schwingshackl, Robin Hermann, Bianca Biallas, Christiane Wilke, Joerg J Meerpohl, Cordula Braun

Publication: Contribution to journalJournal articlesResearchpeer-review

Abstract

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OBJECTIVE ': 'Back pain is common in the working population. This systematic review with network meta-analysis (NMA) aimed to compare the effects of interventions for preventing back pain among office workers.

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METHODS ': 'We searched eight databases and additional sources up to March 2021. We included randomized controlled trials (RCT) and cluster RCT focusing on office workers, comparing work-related interventions aimed at preventing back pain (defined as pain in any part of the spine) to a control condition and assessing back pain and/or work absence. Further outcomes considered were adverse events and participants’ satisfaction. We performed both frequentist and component NMA. Risk of bias (RoB) was evaluated using RoB 2 and certainty of the evidence (CoE) was assessed using GRADE.

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RESULTS ': 'We screened 9809 records and included 24 studies with a total of 7080 participants. RoB was assessed as “some concerns” or “high” for all studies and outcomes. Included studies investigated multicomponent interventions, ergonomics, physical activity, education, behavioral interventions and no/minimal interventions. Effects were mostly not statistically significant and based on low/very low CoE. Physical activity probably reduces days of work absence slightly [mean difference (MD) -1.10, 95% confidence interval (CI) -2.07– -0.13], and combining physical activity and ergonomics may reduce back pain intensity (standardized MD -0.41, 95% CI -0.80– -0.02) when compared to no/minimal intervention. A large proportion of participants were satisfied with the interventions, adverse events were rarely assessed.

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CONCLUSIONS ': 'We observed mostly minor effects of interventions on back pain and work absence among office workers. The practical relevance of these effects is questionable.

Original languageGerman
JournalScandinavian Journal of Work, Environment & Health
Volume49
Issue number1
Pages (from-to)5-22
Number of pages18
DOIs
Publication statusPublished - 16.11.2022

Citation