Purpose To identify factors impeding or facilitating Return to Work (RTW) after minor to serious musculoskeletal Road Traffic Injuries (RTI). Methods Six electronic databases were searched for studies published 1997–2020. Quantitative and qualitative studies were included if they investigated barriers or facilitators associated with RTW in people with minor to serious musculoskeletal RTI aged over 16 years. Methodological quality was assessed using McMaster Critical Review Form for Quantitative studies and McMaster Critical Review Form for Qualitative Studies. Results are presented narratively as meta-analysis was not possible. Results Eleven studies (10 quantitative and 1 qualitative) were included. There was strong evidence that individuals with higher overall scores on the (short-form or long-form) Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) at baseline were less likely to RTW, and individuals with higher RTW expectancies at baseline were more likely to RTW after musculoskeletal RTI. There was weak evidence for higher disability levels and psychiatric history impeding RTW after musculoskeletal RTI. Conclusions Post-injury scores on the ÖMPQ and RTW expectancies are the most influential factors for RTW after minor to serious musculoskeletal RTI. There is a need to identify consistent measures of RTW to facilitate comparisons between studies.

目的确定在轻度至重度肌肉骨骼道路交通伤害 (RTI) 后阻碍或促进重返工作岗位 (RTW) 的因素。方法搜索 6 个电子数据库中 1997-2020 年发表的研究。如果他们调查了 16 岁以上患有轻微至严重肌肉骨骼 RTI 的人群中与 RTW 相关的障碍或促进因素，则包括定量和定性研究。方法学质量使用用于定量研究的麦克马斯特批判性审查表和用于定性研究的麦克马斯特批判性审查表进行评估。由于无法进行荟萃分析，结果以叙述方式呈现。结果包括 11 项研究（10 项定量研究和 1 项定性研究）。有强有力的证据表明，在基线时（短式或长式）Örebro 肌肉骨骼疼痛问卷 (ÖMPQ) 总体得分较高的个体接受 RTW 的可能性较小，而基线时 RTW 预期较高的个体更有可能在肌肉骨骼 RTI。肌肉骨骼 RTI 后较高的残疾水平和精神病史阻碍 RTW 的证据不足。结论ÖMPQ 和 RTW 预期的伤后评分是继轻微到严重的肌肉骨骼 RTI 后影响 RTW 的最重要因素。有必要确定 RTW 的一致测量，以促进研究之间的比较。