Effectiveness of Interventions on Work Outcomes After Road Traffic Crash-Related Musculoskeletal Injuries: A Systematic Review and Meta-analysis

IF 2.1 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2024-04-05 DOI:10.1007/s10926-024-10185-z

Charlotte L. Brakenridge, Esther J. Smits, Elise M. Gane, Nicole E. Andrews, Gina Williams, Venerina Johnston

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引用次数: 0

Abstract

Background

Musculoskeletal injuries are common after road traffic crash (RTC) and can lead to poor work-related outcomes. This review evaluated the impact of interventions on work-related (e.g. sick leave), health, and functional outcomes in individuals with a RTC-related musculoskeletal injury, and explored what factors were associated with work-related outcomes.

Methods

Searches of seven databases were conducted up until 9/03/2023. Eligible interventions included adults with RTC-related musculoskeletal injuries, a comparison group, and a work-related outcome, and were in English. Meta-analyses were conducted using RevMan and meta-regressions in Stata.

Results

Studies (n = 27) were predominantly conducted in countries with third-party liability schemes (n = 26), by physiotherapists (n = 17), and in participants with whiplash injuries (94%). Pooled effects in favour of the intervention group were seen overall (SMD = − 0.14, 95% CI: − 0.29, 0.00), for time to return to work (− 17.84 days, 95% CI: − 24.94, − 10.74), likelihood of returning to full duties vs. partial duties (RR = 1.17, 95% CI: 1.01, 1.36), decreased pain intensity (− 6.17 units, 95% CI: − 11.96, − 0.39, 100-point scale), and neck disability (− 1.77 units, 95% CI: − 3.24, − 0.30, 50-point scale).

Discussion

Interventions after RTC can reduce time to return to work and increase the likelihood of returning to normal duties, but the results for these outcomes were based on a small number of studies with low-quality evidence. Further research is needed to evaluate a broader range of interventions, musculoskeletal injury types, and to include better quality work-related outcomes.

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干预措施对道路交通事故相关肌肉骨骼损伤后工作结果的影响：系统回顾与元分析

背景肌肉骨骼损伤在道路交通事故（RTC）后很常见，并可能导致不良的工作相关结果。本综述评估了干预措施对道路交通事故相关肌肉骨骼损伤患者的工作相关结果（如病假）、健康和功能性结果的影响，并探讨了哪些因素与工作相关结果有关。符合条件的干预措施包括与 RTC 相关的肌肉骨骼损伤成人、对比组和与工作相关的结果，并使用英语。使用RevMan和Stata中的元回归进行了元分析。结果研究（n = 27）主要是在有第三方责任计划的国家进行的（n = 26），由物理治疗师进行（n = 17），参与者中94%有鞭打损伤。总体而言，干预组的汇总效应（SMD = - 0.14，95% CI：- 0.29，0.00）、恢复工作时间（- 17.84 天，95% CI：- 24.94，- 10.74）、恢复全职与半职的可能性（RR = 1.17，95% CI：1.01，1.36）、疼痛强度降低（- 6.17 个单位，95% CI：- 11.讨论RTC后的干预措施可以缩短重返工作岗位的时间并增加重返正常工作岗位的可能性，但这些结果是基于少数证据质量较低的研究得出的。需要进一步开展研究，以评估更广泛的干预措施和肌肉骨骼损伤类型，并纳入质量更高的工作相关结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.