Long-Term Assessment of a Sanitary Education and Lumbar Rehabilitation Program for Health Care Workers With Chronic Low Back Pain at the University Hospital of Lille

Abstract Background Health-care workers have an increased risk for chronic low back pain (LBP) leading to reduced workability. Depression, a highly prevalent, costly and disabling condition, is commonly seen in patients with sub-acute LBP. This study investigated the psychometric properties and construct-validity of a modified 9-item Patient Health Questionnaire (PHQ-9-mFIN) in female health-care workers with sub-acute LBP. Methods Reliability (internal consistency, test-retest repeatability) was assessed using standard methods. Construct validity of the PHQ-9-mFIN was assessed as level of depressive symptoms (PHQ-9-mFIN: 0–4 none, 5–9 mild, ≥10 at least moderate) against the RAND 36 Health Survey, a valid measure of health-related quality of life (HRQoL). Additionally, the strength of the association between the levels of PHQ-9-mFIN and selected biopsychosocial factors was determined. Results The internal consistency of the PHQ-9-mFIN was high (Cronbach’s α = 0.82) and the test-retest repeatability scores (n = 64) were moderate: Pearson’s correlation was 0.73 and Intraclass Correlation Coefficient (ICC) 0.73 (95% CI: 0.58 to 0.82). Construct validity (Spearman correlation) against the Physical and Mental component items and their summary scales of the RAND 36 were much higher for the Mental (range, − 0.40 to − 0.67 and − 0.64) than for the Physical (range, − 0.08 to − 0.43 and − 0.22). There was a clear stepwise association (p < 0.001) between the levels of depressive symptoms and General health (physical component, range, 59.1 to 78.8). The associations with all items of the Mental components were strong and graded (p < 0.001). All participants had low scores for Bodily pain, regardless of the level of depressive symptoms. There was a strong association (p ≤ 0.003) between the levels of PHQ-9-mFIN and multisite pain, lumbar exertion and recovery after workdays, neuromuscular fitness in modified push-ups, workability, and fear of pain related to work. Conclusions The PHQ-9-mFIN showed adequate reliability and excellent construct validity among female health-care workers with recurrent LBP and physically strenuous work. Trial registration NCT01465698.

Download Full-text

Poster 165: Tai Chi for Low Back Pain in Health Care Workers: A Prevention Trial, A Pilot Study

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2008.09.215 ◽

2008 ◽

Vol 89 (11) ◽

pp. e72-e73

Author(s):

Kanakadurga R. Poduri ◽

Annemarie Groth-Juncker ◽

Erin Howe ◽

Elizabeth McKinley ◽

Kimberly Washington

Keyword(s):

Health Care ◽

Low Back Pain ◽

Back Pain ◽

Pilot Study ◽

Health Care Workers ◽

Tai Chi ◽

Prevention Trial ◽

Low Back ◽

Care Workers

Download Full-text

Nonspecific low back pain and associated factors in the professions of health care workers especially the physiotherapist

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.06.09.06 ◽

2021 ◽

Vol 6 (9) ◽

Keyword(s):

Health Care ◽

Low Back Pain ◽

Back Pain ◽

High Risk ◽

Health Care Workers ◽

Healthcare Workers ◽

Associated Factors ◽

P Value ◽

Low Back ◽

Care Workers

Introduction: Low back pain (LBP) is relatively a major cause of disability among the working population and has a significant socioeconomic impact. The study aims were to determine the prevalence and associated factors of low back pain among professions of health care workers especially the physiotherapist. Methods: A total of 225 participants (78,7%female, 21.3% male) among students of Professional and Scientific Master degree in University of Medicine, Faculty of Technical Medical Science and healthcare workers that working in the University and in the tertiary University Medical Center of Tirana "Mother Teresa" were involved to evaluate LBP for a period for more than two years (from Mars 2017 until to November 2019). A standardized Nordic questionnaire for the analysis of LBP symptoms and epidemiological risk factor data was used to collect information from our study participants. Results: Prevalence of LBP in healthcare workers was determined to be 87.5%. Female resulted to be 4.9 times in risk to have LBP compared to male for CI 95% (2.16-11.2) p value<0.001. The average age resulted to be 37 ± 5.9, where the minimum and maximum age were 21 and 55 years old respectively. The participants ≥51 years old were 14 times in high risk for LBP compared to other age groups for CI 95% (5.9-21.6) p value=0.001. It was observed that low back pain was most common among nurses (44.1%) p value<0.0001. Also risk factors such as job position, working condition, long standing and long sitting at desk, health status and also the physical activity demonstrated an association and increasing low back pain risk, p value in all these factors resulted less than 0.05. Conclusion:Our study demonstrated that the prevalence of LBP were higher and healthcare workers especially the nurses are among group with high risk of low back pain.

Download Full-text