Specific LBP , higher disability levels , older age , female gender , more social dysfunction and more social isolation , heavier work , and receiving higher compensation were identified as predictors for a longer duration of sick leave .
A history of LBP , job satisfaction , educational level , marital status , number of dependants , smoking , working more than 8 hour shifts , occupation , and size of industry or company do not influence duration of sick leave due to LBP .
Many different constructs were measured to identify psychosocial predictors of long term sick leave , which made it impossible to determine the role of these factors
BACKGROUND The percentages of patients with acute low back pain ( LBP ) that go on to a chronic state varies between studies from 2 % to 34 % .
In some of these cases low back pain leads to great costs .
AIMS To evaluate the evidence for prognostic factors for return to work among workers sick listed with acute LBP .
Lack of effectiveness of bed rest for sciatica.
BACKGROUND AND METHODS Bed rest is widely advocated for sciatica , but its effectiveness has not been established . To study the effectiveness of bed rest in patients with a lumbosacral radicular syndrome of sufficient severity to justify treatment with bed rest for two weeks , we r and omly assigned 183 subjects to either bed rest or watchful waiting for this period . The primary outcome measures were the investigator 's and patient 's global assessment s of improvement after 2 and 12 weeks , and the secondary outcome measures were changes in functional status and in pain scores ( after 2 , 3 , and 12 weeks ) , absenteeism from work , and the need for surgical intervention . Neither the investigators who assessed the outcomes nor those involved in data entry and analysis were aware of the patients ' treatment assignments . RESULTS After two weeks , 64 of the 92 patients in the bed-rest group ( 70 percent ) reported improvement , as compared with 59 of the 91 patients in the control ( watchful-waiting ) group ( 65 percent ) ( adjusted odds ratio for improvement in the bed-rest group , 1.2 ; 95 percent confidence interval , 0.6 to 2.3 ) . After 12 weeks , 87 percent of the patients in both groups reported improvement . The results of assessment s of the intensity of pain , the bothersomeness of symptoms , and functional status revealed no significant differences between the two groups . The extent of absenteeism from work and rates of surgical intervention were similar in the two groups . CONCLUSIONS Among patients with symptoms and signs of a lumbosacral radicular syndrome , bed rest is not a more effective therapy than watchful waiting
Specific LBP , higher disability levels , older age , female gender , more social dysfunction and more social isolation , heavier work , and receiving higher compensation were identified as predictors for a longer duration of sick leave .
A history of LBP , job satisfaction , educational level , marital status , number of dependants , smoking , working more than 8 hour shifts , occupation , and size of industry or company do not influence duration of sick leave due to LBP .
Many different constructs were measured to identify psychosocial predictors of long term sick leave , which made it impossible to determine the role of these factors
BACKGROUND The percentages of patients with acute low back pain ( LBP ) that go on to a chronic state varies between studies from 2 % to 34 % .
In some of these cases low back pain leads to great costs .
AIMS To evaluate the evidence for prognostic factors for return to work among workers sick listed with acute LBP .