Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis.
Dries Ceulemans, Maarten Moens, Michiel Reneman and 7 others
PMID 38226563WHAT IT FOUND
A biopsychosocial rehabilitation programme for working adults with chronic low back pain requires 11 key components.
These include therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standards, goal-setting, social support, and dietary advice.
Key findings
01The concept analysis identified 11 attributes of a biopsychosocial rehabilitation programme for chronic low back pain in the working population.
02Therapeutic exercise was the most frequently identified attribute, appearing in 40 of the 42 included references.
03Social support and dietary advice were the least common attributes, appearing in only 12 and 4 references respectively.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study did not perform a risk of bias or quality assessment of the included references, which limits the certainty of the evidence base. The search was limited to literature from 2010 onwards, potentially missing older, high-quality evidence. The concept analysis focuses on defining components, not evaluating their effectiveness. It does not prove that programmes containing these attributes work better. Spiritual care was excluded due to a lack of evidence, which may be a relevant dimension for some patients.
Declared interests
The authors declare no conflicts of interest. Lisa Goudman is funded by the Research Foundation Flanders.
The easy way to misread this
Do not interpret this paper as evidence that a biopsychosocial programme works. This is a concept analysis defining what such a programme should contain, not a clinical trial testing its effectiveness. The presence of these attributes does not guarantee better outcomes.