Abstract：
BACKGROUND: Musculoskeletal injuries are common after road traffic crash (RTC) and can lead to poor work-related outcomes. This review evaluated the impact of interventions on work-related (e.g. sick leave), health, and functional outcomes in individuals with a RTC-related musculoskeletal injury, and explored what factors were associated with work-related outcomes.
METHODS: Searches of seven databases were conducted up until 9/03/2023. Eligible interventions included adults with RTC-related musculoskeletal injuries, a comparison group, and a work-related outcome, and were in English. Meta-analyses were conducted using RevMan and meta-regressions in Stata.
RESULTS: Studies (n = 27) were predominantly conducted in countries with third-party liability schemes (n = 26), by physiotherapists (n = 17), and in participants with whiplash injuries (94%). Pooled effects in favour of the intervention group were seen overall (SMD = - 0.14, 95% CI: - 0.29, 0.00), for time to return to work (- 17.84 days, 95% CI: - 24.94, - 10.74), likelihood of returning to full duties vs. partial duties (RR = 1.17, 95% CI: 1.01, 1.36), decreased pain intensity (- 6.17 units, 95% CI: - 11.96, - 0.39, 100-point scale), and neck disability (- 1.77 units, 95% CI: - 3.24, - 0.30, 50-point scale).
CONCLUSIONS: Interventions after RTC can reduce time to return to work and increase the likelihood of returning to normal duties, but the results for these outcomes were based on a small number of studies with low-quality evidence. Further research is needed to evaluate a broader range of interventions, musculoskeletal injury types, and to include better quality work-related outcomes.
METHODS: Searches of seven databases were conducted up until 9/03/2023. Eligible interventions included adults with RTC-related musculoskeletal injuries, a comparison group, and a work-related outcome, and were in English. Meta-analyses were conducted using RevMan and meta-regressions in Stata.
RESULTS: Studies (n = 27) were predominantly conducted in countries with third-party liability schemes (n = 26), by physiotherapists (n = 17), and in participants with whiplash injuries (94%). Pooled effects in favour of the intervention group were seen overall (SMD = - 0.14, 95% CI: - 0.29, 0.00), for time to return to work (- 17.84 days, 95% CI: - 24.94, - 10.74), likelihood of returning to full duties vs. partial duties (RR = 1.17, 95% CI: 1.01, 1.36), decreased pain intensity (- 6.17 units, 95% CI: - 11.96, - 0.39, 100-point scale), and neck disability (- 1.77 units, 95% CI: - 3.24, - 0.30, 50-point scale).
CONCLUSIONS: Interventions after RTC can reduce time to return to work and increase the likelihood of returning to normal duties, but the results for these outcomes were based on a small number of studies with low-quality evidence. Further research is needed to evaluate a broader range of interventions, musculoskeletal injury types, and to include better quality work-related outcomes.
摘要：
背景：肌肉骨骼损伤在道路交通事故（RTC）后很常见，并可能导致不良的工作相关结果。这篇综述评估了干预措施对工作相关(如病假)的影响，健康,与RTC相关的肌肉骨骼损伤个体的功能结果，并探讨了哪些因素与工作相关结果相关。
方法：在2023年9月03日之前，对七个数据库进行了搜索。合格的干预措施包括患有RTC相关肌肉骨骼损伤的成年人，一个比较组，和工作相关的结果，并且是英语。在Stata中使用RevMan和meta回归进行Meta分析。
结果：研究（n=27）主要在有第三方责任计划的国家（n=26）进行，由物理治疗师（n=17），以及鞭打伤的参与者(94%)。总体上观察到有利于干预组的汇集效应(SMD=-0.14，95%CI：-0.29，0.00)，恢复工作的时间(-17.84天，95%CI：-24.94，-10.74），恢复全职的可能性与部分关税(RR=1.17，95%CI：1.01，1.36)，疼痛强度降低(-6.17单位，95%CI：-11.96，-0.39，100点量表），和颈部残疾(-1.77个单位，95%CI：-3.24，-0.30，50点量表）。
结论：RTC后的干预可以减少重返工作岗位的时间，并增加恢复正常职责的可能性，但这些结局的结果是基于少量低质量证据的研究.需要进一步的研究来评估更广泛的干预措施，肌肉骨骼损伤类型，并包括更高质量的工作相关成果。
方法：在2023年9月03日之前，对七个数据库进行了搜索。合格的干预措施包括患有RTC相关肌肉骨骼损伤的成年人，一个比较组，和工作相关的结果，并且是英语。在Stata中使用RevMan和meta回归进行Meta分析。
结果：研究（n=27）主要在有第三方责任计划的国家（n=26）进行，由物理治疗师（n=17），以及鞭打伤的参与者(94%)。总体上观察到有利于干预组的汇集效应(SMD=-0.14，95%CI：-0.29，0.00)，恢复工作的时间(-17.84天，95%CI：-24.94，-10.74），恢复全职的可能性与部分关税(RR=1.17，95%CI：1.01，1.36)，疼痛强度降低(-6.17单位，95%CI：-11.96，-0.39，100点量表），和颈部残疾(-1.77个单位，95%CI：-3.24，-0.30，50点量表）。
结论：RTC后的干预可以减少重返工作岗位的时间，并增加恢复正常职责的可能性，但这些结局的结果是基于少量低质量证据的研究.需要进一步的研究来评估更广泛的干预措施，肌肉骨骼损伤类型，并包括更高质量的工作相关成果。
