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Previous Volume 337:1923-1925 December 25, 1997 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their study of occupational back injuries, Daltroy et al. (July 31 issue)¹ show that gains in knowledge can fail to result in improvement in practice or outcome. This is certainly familiar to clinicians who attempt to encourage weight reduction and smoking cessation. In his accompanying editorial, Hadler,² who has written extensively on back pain in the workplace, misrepresents this finding to belittle the role of ergonomic factors in causing low back pain. While laudably calling for more attention to job satisfaction, "styles of management, job security, and group dynamics," he ignores a large body of epidemiologic . . . [Full Text of this Article]

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