Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review
Objective: Patients with therapy-refractory chronic spinal pain after spinal surgery experience increased disability, resulting in substantial loss of employment and consequently lower quality of life. Despite findings that rehabilitation improves socio-economic outcomes in other chronic pain condit...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/25156 |
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| _version_ | 1841560989679484928 |
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| author | Jonas Callens Olivia Lavreysen Lisa Goudman Ann De Smedt Koen Putman Dominique Van de Velde Lode Godderis Dries Ceulemans Maarten Moens |
| author_facet | Jonas Callens Olivia Lavreysen Lisa Goudman Ann De Smedt Koen Putman Dominique Van de Velde Lode Godderis Dries Ceulemans Maarten Moens |
| author_sort | Jonas Callens |
| collection | DOAJ |
| description | Objective: Patients with therapy-refractory chronic spinal pain after spinal surgery experience increased disability, resulting in substantial loss of employment and consequently lower quality of life. Despite findings that rehabilitation improves socio-economic outcomes in other chronic pain conditions, evidence for patients with chronic spinal pain after spinal surgery is limited. A systematic review was conducted to provide an overview of rehabilitation interventions and their effectiveness to improve work participation for patients with chronic spinal pain after spinal surgery.
Methods: MEDLINE (via PubMed), Scopus, Embase, and Web of Science, were systematically searched. Risk of bias was assessed using the modified Downs and Black checklist and GRADE was used to assess certainty of evidence. The review protocol was prospectively registered on PROSPERO (CRD42022346091).
Results: The search yielded 1,289 publications. Full-text screening of 48 articles resulted in the inclusion of 6 publications. The included interventions comprised multiple treatment components, consisting of back school, self-care, functional restoration, multidisciplinary rehabilitation, physiotherapy, and digital care programmes to improve work participation.
Conclusion: Rehabilitation to improve return to work for patients with chronic spinal pain after spinal surgery was supported only by low-certainty evidence. Rehabilitation therapies that are personalized and that integrate the patient’s work seem most suitable.
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| format | Article |
| id | doaj-art-bc46a482729747d9b0c548e3ec7d92c5 |
| institution | Kabale University |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-bc46a482729747d9b0c548e3ec7d92c52025-01-03T09:19:28ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.25156Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic reviewJonas Callens0Olivia Lavreysen1Lisa Goudman2Ann De Smedt3Koen Putman4Dominique Van de Velde5Lode Godderis6Dries Ceulemans7Maarten Moens8STIMULUS research group, Vrije Universiteit Brussel, Jette, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Interuniversity Centre for Health Economics Research (I-CHER), Department of Public Health (GEWE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Jette, BelgiumCentre for Environment and Health, Department of Public Health and Primary Care, KU Leuven (University of Leuven), Leuven, BelgiumSTIMULUS research group, Vrije Universiteit Brussel, Jette, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven (University of Leuven), Leuven, Belgium; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Jette, Belgium; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Jette, Belgium; Research Foundation Flanders (FWO), Brussels, BelgiumSTIMULUS research group, Vrije Universiteit Brussel, Jette, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Jette, Belgium; Department of Physical Medicine and Rehabilitation, Universitair Ziekenhuis Brussel, Jette, BelgiumInteruniversity Centre for Health Economics Research (I-CHER), Department of Public Health (GEWE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Jette, BelgiumFaculty of Medicine and Healthcare Sciences, Department of Rehabilitation Sciences, Occupational Therapy Program, Ghent University, Ghent, BelgiumCentre for Environment and Health, Department of Public Health and Primary Care, KU Leuven (University of Leuven), Leuven, Belgium; IDEWE, External Service for Prevention and Protection at Work, Heverlee, BelgiumFaculty of Medicine and Healthcare Sciences, Department of Rehabilitation Sciences, Occupational Therapy Program, Ghent University, Ghent, BelgiumSTIMULUS research group, Vrije Universiteit Brussel, Jette, Belgium; Cluster Neurosciences, Center for Neurosciences (C4N), Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Jette, Belgium; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Jette, Belgium; Research Foundation Flanders (FWO), Brussels, Belgium; Department of Radiology, Universitair Ziekenhuis Brussel, Jette, BelgiumObjective: Patients with therapy-refractory chronic spinal pain after spinal surgery experience increased disability, resulting in substantial loss of employment and consequently lower quality of life. Despite findings that rehabilitation improves socio-economic outcomes in other chronic pain conditions, evidence for patients with chronic spinal pain after spinal surgery is limited. A systematic review was conducted to provide an overview of rehabilitation interventions and their effectiveness to improve work participation for patients with chronic spinal pain after spinal surgery. Methods: MEDLINE (via PubMed), Scopus, Embase, and Web of Science, were systematically searched. Risk of bias was assessed using the modified Downs and Black checklist and GRADE was used to assess certainty of evidence. The review protocol was prospectively registered on PROSPERO (CRD42022346091). Results: The search yielded 1,289 publications. Full-text screening of 48 articles resulted in the inclusion of 6 publications. The included interventions comprised multiple treatment components, consisting of back school, self-care, functional restoration, multidisciplinary rehabilitation, physiotherapy, and digital care programmes to improve work participation. Conclusion: Rehabilitation to improve return to work for patients with chronic spinal pain after spinal surgery was supported only by low-certainty evidence. Rehabilitation therapies that are personalized and that integrate the patient’s work seem most suitable. https://medicaljournalssweden.se/jrm/article/view/25156Chronic painFailed back surgery syndromeRehabilitationReturn to workSystematic review |
| spellingShingle | Jonas Callens Olivia Lavreysen Lisa Goudman Ann De Smedt Koen Putman Dominique Van de Velde Lode Godderis Dries Ceulemans Maarten Moens Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review Journal of Rehabilitation Medicine Chronic pain Failed back surgery syndrome Rehabilitation Return to work Systematic review |
| title | Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review |
| title_full | Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review |
| title_fullStr | Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review |
| title_full_unstemmed | Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review |
| title_short | Does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery: a systematic review |
| title_sort | does rehabilitation improve work participation in patients with chronic spinal pain after spinal surgery a systematic review |
| topic | Chronic pain Failed back surgery syndrome Rehabilitation Return to work Systematic review |
| url | https://medicaljournalssweden.se/jrm/article/view/25156 |
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