PTOTSystematic ReviewJournal of occupational rehabilitation2026

Mapping Vocational Rehabilitation Interventions for People with Chronic Low Back Pain: A Scoping Review.

Gitte Frydenlund, Søren O'Neill, Ole Steen Mortensen and 2 others

PMID 40601226

WHAT IT FOUND

European vocational rehabilitation programmes for chronic low back pain varied widely in duration, intensity and components.

Physiotherapists and medical specialists were common, but team collaboration and return-to-work measures were often unclear. Treat programme labels as descriptive, not proof of effect.

Key findings

01Physiotherapists were involved in 20 studies and medical specialists in 19 studies. Psychologists were involved in 12 studies, social workers in 8 studies, and occupational therapists in 6 studies.

02Only one study explicitly described the type of team collaboration. The reviewers categorized six studies as interdisciplinary, one as multidisciplinary, one as transdisciplinary, and thirteen as impossible to categorize.

03Work status was assessed using self-reported data in 13 articles and register-based data in 13 articles. Fourteen unique measures of work status were identified, each used in one or two articles.

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

This is a scoping review, not an effectiveness review. It mapped what was done and measured, but it did not combine results into effect estimates or appraise study quality. The included studies were only from Europe, and most were from Nordic countries, so the programmes may not match other healthcare or social insurance systems. Intervention details and team collaboration were often missing or vague, which limits how useful the map is for replicating a programme. Work status was measured in many different ways, and return-to-work definitions varied, so studies are hard to compare. The search was limited to 2013 to 2024 and to English, Danish, Swedish and Norwegian, and ten full-text articles were excluded for language. Some included programmes may have been labelled medical rehabilitation in their own country but were classified as vocational rehabilitation by the review's definition.

Declared interests

The paper lists funding from named Danish regional and hospital research funds. It does not report a conflict-of-interest declaration.

The easy way to misread this

Do not read this as proof that vocational rehabilitation programmes improve return to work for chronic low back pain. The review mapped 26 articles from 21 studies and found wide variation in components, collaboration and work-status measures, but it did not establish which programme worked.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →