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.
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。