GuidelineJournal of occupational rehabilitation2022
The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients.
Guideline in Journal of occupational rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Global prevalence of hospital admissions for low back pain: a systematic review with meta-analysis.BMJ open · 2023Pooled it
- Bridging the Gap Between Rehabilitation and Return to Work: A Qualitative Evaluation of a Workplace Intervention for Low Back Pain.Journal of occupational rehabilitation · 2026Article
- Implementation status and barriers to multimodal management of low back pain among physical therapists: A cross-sectional study.Scientific reports · 2026Article
- SPINE20 recommendations 2025: Sustainable spine care for all.Brain & spine · 2026Article
- Tensions of Low-Back Pain and Lifting; Bridging Clinical Low-Back Pain and Occupational Lifting Guidelines.Journal of occupational rehabilitation · 2024Article
- What have we learned about risk assessment and interventions to prevent work-related musculoskeletal disorders and support work participation?Scandinavian journal of work, environment & health · 2024Review
- Manual traction is effective in alleviating lumbosacral spine pain: Evidence from a randomized controlled trial.Heliyon · 2024Article
- Management of Adults with Chronic Primary Low Back Pain: Introduction to the Special Series of Systematic Reviews to Inform a World Health Organization (WHO) Clinical Guideline.Journal of occupational rehabilitation · 2023Article
- Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study.Journal of occupational rehabilitation · 2023Article
- Occupational recovery of Dutch workers with low back pain.Occupational medicine (Oxford, England) · 2022Article
- Sciatica. Management for family physicians.Journal of family medicine and primary care · 2022Review
- Changing concepts in approaches to occupational low back pain.Industrial health · 2022Article
Corrections and comments
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Authors and funding
17 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with health care professionals, a patient representative and researchers developed the recommendations after systematic review of evidence about (1) Risk factors, (2) Prevention, (3) Prognostic factors and (4) Interventions. Certainty of the evidence was rated with GRADE and the Evidence to Decision (EtD) framework was used to formulate recommendations. High or moderate certainty resulted in a recommendation "to advise", low to very low in a recommendation "to consider", unless other factors in the framework decided differently. Results An inventory of risk factors should be considered and an assessment of prognostic factors is advised. For prevention, physical exercises and education are advised, besides application of the evidence-based practical guidelines "lifting" and "whole body vibration". The stepped-care approach to enhance work participation starts with the advice to stay active, facilitated by informing the worker, reducing workload, an action plan and a time-contingent increase of work participation for a defined amount of hours and tasks. If work participation has not improved within 6 weeks, additional treatments should be considered based on the present risk and prognostic factors: (1) physiotherapy or exercise therapy; (2) an intensive workplace-oriented program; or (3) cognitive behavioural therapy. After 12 weeks, multi-disciplinary (occupational) rehabilitation therapy need to be considered. Conclusions Based on systematic reviews and expert consensus, the good practice recommendations in this guideline focus on enhancing work participation among workers with LBP and LRS using a stepped-care approach to complement existing guidelines focusing on recovery and daily functioning.
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