Low Back Pain (LBP) and Physical Work Demands

Author(s):  
F. Serranheira ◽  
M. Sousa-Uva ◽  
F. Heranz ◽  
F. Kovacs ◽  
A. Sousa-Uva
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Patrick Pascal Nygaard ◽  
Sebastian Venge Skovlund ◽  
Emil Sundstrup ◽  
Lars Louis Andersen

Abstract Background Low-back pain (LBP) is highly prevalent among senior workers and may affect work ability, especially among those with hard physical work. This study determined the joint association of LBP intensity and physical work demands with work limitiations due to pain in senior workers. Methods In the SeniorWorkingLife study (2018), 11,738 senior workers (≥50 years) replied to questions about physical work demands, LBP intensity, and work limitations due to pain. Using logistic regression analyses and controlling for potential confounders, associations between the physical work demands and LBP intensity (interaction) with work limitiations due to pain (outcome) was modeled. Results Higher LBP intensity, as well as higher physical work demands, significantly increased the odds of experiencing work limitiations due to pain, and these two factors interacted with each other (p < 0.0001). In analyses stratified for LBP intensity, higher physical work demands gradually increased the odds of experiencing work limitiations due to pain. Conclusions Senior workers with a combination of physically demanding work and LBP are more affected by their pain during everyday work tasks compared to workers with similar LBP-intensity in sedentary occupations. Accommodation of work demands seems especially relevant for this group of workers.


2009 ◽  
Vol 43 (2) ◽  
pp. 326-334 ◽  
Author(s):  
Rita de Cássia Pereira Fernandes ◽  
Fernando Martins Carvalho ◽  
Ada Ávila Assunção ◽  
Annibal Muniz Silvany Neto

OBJECTIVE: To examine the interaction between physical and psychosocial demands of work associated to low back pain. METHODS: Cross-sectional study carried out in a stratified proportional random sample of 577 plastic industry workers in the metropolitan area of the city of Salvador, Northeast Brazil in 2002. An anonymous standard questionnaire was administered in the workplace by trained interviewers. Physical demands at work were self-rated on a 6-point numeric scale, with anchors at each end of the scale. Factor analysis was carried out on 11 physical demand variables to identify underlying factors. Psychosocial work demands were measured by demand, control and social support questions. Multivariate analysis was performed using the likelihood ratio test. RESULTS: The factor analysis identified two physical work demand factors: material handling (factor 1) and repetitiveness (factor 2). The multiple logistic regression analysis showed that factor 1 was positively associated with low back pain (OR=2.35, 95% CI 1.50;3.66). No interaction was found between physical and psychosocial work demands but both were independently associated to low back pain. CONCLUSIONS: The study found independent effects of physical and psychosocial work demands on low back pain prevalence and emphasizes the importance of physical demands especially of material handling involving trunk bending forward and trunk rotation regardless of age, gender, and body fitness.


2014 ◽  
Vol 17 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Silvana Maria Santos Pataro ◽  
Rita de Cássia Pereira Fernandes

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefan Oliv ◽  
Ewa Gustafsson ◽  
Adnan Noor Baloch ◽  
Mats Hagberg ◽  
Helena Sandén

Abstract Background The aim of this study was to investigate what exposure to work demands, physical and psychosocial, is associated with lower levels of sickness absence among workers with neck or upper back pain in different groups, by age, gender, duration of sickness absence and work ability score. Methods This study was a prospective study of 4567 workers with neck or upper back pain. Data on neck or upper back pain, work demand and work ability were obtained from the Swedish Work Environment survey over a 3–year period (2009–2013). Register data on sickness absence, 1 year after each survey was conducted, were obtained from the Swedish health insurance database. Analyses were performed to estimate the association between self-reported work demands and registered sick days > 14 days. The analyses were stratified for gender, age group and work ability score. Results Lower numbers of sick days were found for workers reporting low exposure to lifting ≥15 kg and twisted or forward-leaning work postures. Lower numbers of sick days were found for workers reporting high work control and seated work. The associations were generally stronger in the older age groups for the physical work demands. Conclusions The findings in this study suggest that certain physical work demands and having high control over one’s work can result in lower sickness absence, especially among middle-aged and older workers with neck or upper back pain.


1999 ◽  
Vol 49 (3) ◽  
pp. 155-160 ◽  
Author(s):  
W. Eriksen ◽  
B. Natvig ◽  
D. Bruusgaard

2000 ◽  
Vol 44 (30) ◽  
pp. 5-591-5-594
Author(s):  
Barbara S. Webster ◽  
Stover H. Snook ◽  
Raymond W. McGorry

Previous studies have indicated an increased risk of low back pain when bending forward in the early morning, because of increased fluid in the intervertebral discs. This randomized controlled, partial crossover study tested the hypothesis that control of early morning lumbar flexion will significantly reduce chronic, non-specific low back pain. Diaries were used to record daily levels of pain intensity, disability, impairment, and medication usage. Significant reductions in pain intensity (p<0.01) were recorded for the treatment group, but not for the control group. After receiving the experimental treatment, the control group responded with similar reductions (p<0.05). The only subjects who did not benefit as well were those who performed heavy physical work; with a statistically significant lower reduction in mean pain intensity from those with light to moderate work (p<0.05). It was concluded that controlling lumbar flexion in the early morning has the potential for reducing chronic, non-specific low back pain. The poorer results found for subjects with heavy physical work requirements emphasize the ergonomic implications of this study.


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