Recommendation Table

Preventive Health Care, 2002 Update: Use of Back Belts to Prevent Occupational Low-Back Pain

Prepared  by C. Ammendolia, DC, MSc, M.S. Kerr, PhD, C. Bombardier, MD, MSc, with the Canadian Task Force on Preventive Health Care

These recommendations were finalized by the Task Force in October 2002.

MANEUVER EFFECTIVENESS LEVEL OF EVIDENCE <REF> RECOMMENDATION
Use of back belts  in the workplace to prevent the incidence of occupational low back pain, or time lost from work due to LBP. There is conflicting evidence that back belt use reduces incidence of or lost work time due to low back pain.

Walsh (I, fair): negative** for incidence, positive** for lost time

van Poppel (I, fair): negative for both incidence and lost time

Alexander (I, fair): negative for incidence

Kraus (I, fair): positive for incidence

Wassell (II-2, good): negative for incidence

The CTF concludes that the existing evidence is conflicting and does not allow making a recommendation for or against the use of back belts to prevent occupational low back pain or to reduce lost work time due to LBP.

(C).