scholarly journals Manual handling of heavy loads and low back pain among different occupational groups: results of the 2018 BIBB/BAuA employment survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Martha Sauter ◽  
Julia Barthelme ◽  
Charlotte Müller ◽  
Falk Liebers
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Regression Model ◽  
Working Conditions ◽  
Working Hours ◽  
Full Time ◽  
Low Back ◽  
Occupational Groups ◽  
Manual Handling ◽  
Employment Survey

Abstract Background In Germany and other European countries, many occupations still involve manual handling of loads (MHL), an activity that puts the musculoskeletal system at risk of low back pain (LBP). This study aims to describe the current prevalence of MHL in different occupational groups stratified by gender in Germany, the association between MHL and LBP and the adjusted prevalence of LBP in different respond-categories of MHL. Methods Data was collected in telephone interviews conducted as part of the 2018 BIBB/BAuA Employment Survey, which covers work-related topics like working conditions, education, health status and job satisfaction. The analyses were limited to full-time workers (> 35 h/week) aged between 15 and 67. The frequency of MHL was analysed descriptively. BLOSSFELD classification was used to group the participants in occupational categories. The analysis of the association between MHL and the prevalence of LBP over the last 12 months was based on robust log-linear Poisson regression that results in prevalence ratios (PR). The main regression model was adjusted for gender, age, working hours, and working conditions. Adjusted estimates for the prevalence of LBP were calculated based on regression analysis. Results The sample consists of n = 14,331 participants (men: n = 8828, 61.6%; women: n = 5503, 38.4%; median age 49 years). Of these, 52.8% say they were exposed to MHL at work. MHL is most common in agricultural occupations, skilled and unskilled occupations. In the regression model, participants who said they were “often” exposed to MHL reported more frequently LBP than those participants who said they were “never” exposed to MHL. The PR as estimate for the association is 1.41 (95%CI [1.32; 1.49]). Postestimation of the prevalence of LBP began with 47.3% (95%CI [43.8%; 51.1%]) for participants who said they were “never” exposed to MHL and rose to 66.5% (95%CI [62.4%; 71.0%]) for participants who indicated they were “often” exposed to MHL. Conclusions The 2018 BIBB/BAuA Employment Survey emphasizes that MHL is still common in the German workforce and shows a significant association to LBP. Prevention policies for avoiding MHL remain vital.

Causal assessment of workplace manual handling or assisting patients and low back pain: results of a systematic review

2010 ◽  
Vol 10 (7) ◽  
pp. 639-651 ◽  
Author(s):  
Darren M. Roffey ◽  
Eugene K. Wai ◽  
Paul Bishop ◽  
Brian K. Kwon ◽  
Simon Dagenais
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Manual Handling

Are there differences in lifting technique between those with and without low back pain? A systematic review

2020 ◽  
Vol 20 (2) ◽  
pp. 215-227
Author(s):  
David Nolan ◽  
Kieran O’Sullivan ◽  
Chris Newton ◽  
Gurpreet Singh ◽  
Benjamin E. Smith
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activity ◽  
Meta Analysis ◽  
Low Back ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Lifting Technique ◽  
Manual Handling ◽  
Free People

AbstractBackground and aimsTo systemically review the literature to compare freestyle lifting technique, by muscle activity and kinematics, between people with and without low back pain (LBP).MethodsFive databases were searched along with manual searches of retrieved articles by a single reviewer. Studies were included if they compared a freestyle lifting activity between participants with and without LBP. Data were extracted by two reviewers, and studies were appraised using the CASP tool for case-control studies.ResultsNine studies were eligible. Heterogeneity did not allow for meta-analysis. Most studies (n = 8 studies) reported that people with LBP lift differently to pain-free controls. Specifically, people with LBP lift more slowly (n = 6 studies), use their legs more than their back especially when initiating lifting (n = 3 studies), and jerk less during lifting (n = 1 studies). Furthermore, the four larger studies involving people with more severe LBP also showed that people with LBP lift with less spinal range of motion and greater trunk muscle activity for a longer period.ConclusionsPeople with LBP move slower, stiffer, and with a deeper knee bend than pain-free people during freestyle lifting tasks. Interestingly, such a lifting style mirrors how people, with and without LBP, are often told how to lift during manual handling training. The cross-sectional nature of the comparisons does not allow for causation to be determined.ImplicationsThe changes described may show embodiment of cautious movement, and the drive to protect the back. There may be value in exploring whether adopting a lifting style closer to that of pain-free people could help reduce LBP.

scholarly journals Manual handling activities and risk of low back pain in nurses.

1995 ◽  
Vol 52 (3) ◽  
pp. 160-163 ◽  
Author(s):  
J Smedley ◽  
P Egger ◽  
C Cooper ◽  
D Coggon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Manual Handling

scholarly journals Symptoms and signs possibly indicating segmental, discogenic pain. A fusion study with 18 years of follow-up

2017 ◽  
Vol 16 (1) ◽  
pp. 213-220 ◽  
Author(s):  
Bo Nyström ◽  
Henrik Weber ◽  
Birgitta Schillberg ◽  
Adam Taube
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Examination ◽  
Prospective Studies ◽  
Chronic Low Back Pain ◽  
Full Time ◽  
Low Back ◽  
Discogenic Pain ◽  
Fusion Surgery ◽  
Symptoms And Signs

AbstractBackgroundOnly two out of the five existing randomized studies have reported better results from fusion surgery for chronic low back pain (CLBP) compared to conservative treatment. In these studies the back symptoms of the patients were described simply as “chronic low back pain”. One possible reason for the modest results of surgery is the lack of a description of specified symptoms that might be related to a painful segment/disc, and patient selection may therefore be more or less a matter of chance. Previous prospective studies including facet joint injections and discography and eventually MRI have failed to identify patients with a painful segment/disc that will benefit from fusion surgery.PurposeOur purpose was to analyse in detail the pre-operative symptoms and signs presented by patients who showed substantial relief from their back pain following spinal fusion surgery with the aim of possibly finding a pain pattern indicating segmental, discogenic pain.MethodsWe analysed 40 consecutive patients, mean age 41 years, with a history of disabling low back pain for a mean of 7.7 years. Before surgery the patients completed a detailed questionnaire concerning various aspects of their back pain, and findings at clinical examination were thoroughly noted. Monosegmental posterior lumbar interbody fusion without internal fixation was performed using microsurgical technique. Outcome was assessed at 1, 2 and 4 years after surgery and finally at 18 years, using selfreporting measures and assessment by an independent examiner. Assessment at 18 years applied the Balanced Inventory for Spinal Disorders Questionnaire and the Roland-Morris Disability Questionnaire.ResultsAccording to the independent observer’s assessment at two years 27 of the 40 patients were much improved. Analysis of the pre-operative depiction of the back symptoms of this group revealed a rather uniform pattern, the most important being: dominating back pain originating in the midline of the spine, with a dull, aching character and stabbing pain in the same area provoked by sudden movements. Most patients in this group also had diffuse pain radiation of various extension down one or both legs and often bladder dysfunction with frequency. At clinical examination, localized interspinal tenderness was observed within the spinal area in question and the patient’s back pain was provoked by pressure in that area and by tapping a neighbouring spinous process.At 18 years after surgery 19 patients assessed themselves as much improved. At that time 5 of them had pension due to age, 7 early pension, one worked full time and six patients part time. Eleven patients were re-operated due to defect bony healing.ConclusionsThe results may suggest that the use of a detailed symptom analysis and clinical examination may make it possible to select a subgroup of patients within the CLBP group likely to have better outcome following fusion surgery.ImplicationsThe next step would be to execute prospective studies and if our findings concerning back pain details and signs among CLPB patients can be confirmed this can provide for more accurate selection of patients suitable for fusion surgery.

scholarly journals Improvement Of Working Condition Through A Participatory Ergonomics Approach Decrease Low Back Pain Complaints And Increase The Productivity Of Tailors

2021 ◽  
Vol 1 (10) ◽  
Author(s):  
Fadma Putri ◽  
I Putu Gede Adiatmika ◽  
I Made Krisna Dinata
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Working Conditions ◽  
Working Condition ◽  
Sampling Period ◽  
Simple Random Sampling ◽  
Low Back ◽  
Participatory Ergonomics ◽  
Period 2 ◽  
Long Duration

Tailors work in a static position and bend over with a relatively long duration of workPostural muscle load on tailors results in the risk of complaints of low back pain which affects the productivity of tailor. The aim is to know the effect of improving working conditions through a participatory ergonomics approach to reduce low back pain complaints and increase tailor productivity.The method uses of experimental research with treatment by subject design, involving 9 samples selected by simple random sampling. Period 1 sample is working with conventional working conditions. Period 2 samples worked with improving working conditions through a participatory ergonomics approach. Washing out period and adaptation are given between the two periods. Complaints of low back pain were measured by the Oswestry Disability Index, while productivity was based on a comparison between the number of stitches/day and the score for complaints of low back pain per working time. The results showed that improving working conditions through a participatory ergonomics approach had a significant effect (p < 0.05). There was a decreasing in low back pain by 11.87% from an average of 48.67±1.73 to 42.89±1.76 and an increasing in productivity of 42.10% from an average of 0.038±0.004 to 0.054±0.005.

scholarly journals Antisipasi Pada Keluhan Low Back Pain Dapat Mengurangi Kelelahan dan Meningkatkan Motivasi Kerja

2020 ◽  
Vol 6 (1) ◽  
pp. 68
Author(s):  
I Ketut Widana ◽  
Ni Wayan Sumetri ◽  
I Ketut Sutapa ◽  
Gusti Ayu Oka Cahya Dewi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Working Conditions ◽  
Rating Scale ◽  
Work Motivation ◽  
Descriptive Analysis ◽  
Wilcoxon Test ◽  
Low Back ◽  
Lower Back ◽  
The Impact

Low back pain has become a central issue of physiological health. Almost all the discussion of musculoskeletal complaints places more emphasis on the need to pay attention to the importance of health in the lower back. One of the causes of workers' complaints on the lower back is a less natural posture when on the move. The impact that is most easily observed as a result of the emergence of low back pain is the emergence of fatigue and decreased work motivation. Observation of the impact of low back pain on workers was examined using the same subject design. The subject are 11 people who work as wood carving artists. In period 1 the subjects worked in conventional working conditions, while in period 2 the subjects were given treatment, namely anticipation of complaints of low back pain, working in ergo-anthropometric working conditions, ie given ergonomic work tables and chairs with additional nutrition intake, active rest and work uniform. The fatigue variable was measured using a 30 items rating scale questionnaire and crafters' motivation was measured by a questionnaire on 4 Likert scales. Data analysis begins with descriptive analysis and normality test data with ShapiroWilk. Data with normal distribution are used t-paired analysis and data with abnormal distribution use Wilcoxon test. In this study it was found that ergo-anthropometric working conditions can reduce fatigue by 27.34% and increase work motivation by 20.39%. It can be concluded that efforts to anticipate complaints of low back pain can reduce fatigue and maintain work motivation of carving craftsmen.

Management of low back pain in Australian emergency departments

2019 ◽  
Vol 28 (10) ◽  
pp. 826-834 ◽  
Author(s):  
Giovanni E Ferreira ◽  
Gustavo C Machado ◽  
Christina Abdel Shaheed ◽  
Chung-Wei Christine Lin ◽  
Chris Needs ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Hospital Admission ◽  
Working Hours ◽  
Low Back ◽  
Opioid Use ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Reported Data

BackgroundTo describe the diagnoses of people who present to the emergency department (ED) with low back pain (LBP), the proportion of people with a lumbar spine condition who arrived by ambulance, received imaging, opioids and were admitted to hospital; and to explore factors associated with these four outcomes.MethodsIn this retrospective study, we analysed electronic medical records for all adults presenting with LBP at three Australian EDs from January 2016 to June 2018. Outcomes included discharge diagnoses and key aspects of care (ambulance transport, lumbar spine imaging, provision of opioids, admission). We explored factors associated with these care outcomes using multilevel mixed-effects logistic regression models and reported data as ORs.ResultsThere were 14 024 presentations with a ‘visit reason’ for low back pain, of which 6393 (45.6%) had a diagnosis of a lumbar spine condition. Of these, 31.4% arrived by ambulance, 23.6% received lumbar imaging, 69.6% received opioids and 17.6% were admitted to hospital. Older patients (OR 1.79, 95% CI 1.56 to 2.04) were more likely to be imaged. Opioids were less used during working hours (OR 0.81, 95% CI 0.67 to 0.98) and in patients with non-serious LBP compared with patients with serious spinal pathology (OR 1.65, 95% CI 1.07 to 2.55). Hospital admission was more likely to occur during working hours (OR 1.74, 95% CI 1.48 to 2.05) and for those who arrived by ambulance (OR 2.98, 95% CI 2.53 to 3.51).ConclusionMany ED presentations of LBP were not due to a lumbar spine condition. Of those that were, we noted relatively high rates of lumbar imaging, opioid use and hospital admission.

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