Abstract
It is well known that the human and financial costs related to sick leave due to Low-Back Pain (LBP) are substantial in a small percentage of workers. A better understanding of the predictive factors for chronic disability would allow interventions to be adapted and costs to be reduced. This paper is a critical review of recent prospective studies on the biopsychosocial factors predictive of nonreturn to work due to LBP. A sample of 18 prospective studies were systematically analyzed. Despite the limited number of prospective studies and their differences, some factors are promising indicators. These include a previous history of LBP, results of certain clinical tests, a subjective negative appraisal of one's ability to work, and job dissatisfaction. The role of certain psychological variables, including attitudes and beliefs, as well as coping strategies, is also emerging. Additional studies are necessary to confirm the importance of these factors, to specify the nature of the interrelationships among them, and to integrate them into a conceptual framework.
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Truchon, M., Fillion, L. Biopsychosocial Determinants of Chronic Disability and Low-Back Pain: A Review. J Occup Rehabil 10, 117–142 (2000). https://doi.org/10.1023/A:1009452019715
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DOI: https://doi.org/10.1023/A:1009452019715