scholarly journals Epidemiology and Risk Factors of Work-Related Low Back Pain

2018 ◽  
Vol 17 (1) ◽  
pp. 4-12
Author(s):  
T. Kh. Amirova ◽  
R. A. Gubanov ◽  
I. I. Ahmetov ◽  
E. S. Egorova ◽  
Z. F. Hismatova ◽  
...  

Objects and methods of research. Of the 580 employees of a petrochemical plant, 507 people went through survey for low back pain using the Nordic questionnaire. In the prospective part of the study, 188 workers without any back problems during 12 months before the study were followed up for 6 and 12 months using the same questionnaire. Physical load at work place, age, gender, body mass index (BMI), smoking, and gene PARK2 polymorphism were regarded as potential risk factors. 177 workers provided buccal epithelium for investigation of rs926849 polymorphism A/G in the gene PARK2 by real-time PCR.The results of the study and their discussion. One-year prevalence of low back pain was 38.7% (95% CI 33.6–42.3%), and the incidence of new cases was 20.7% (95% CI 15.3–27.4%).In the presence of the genotype AA the probability of developing the low back pain in the group of up to 30 years were as high as in the group of 30 years and older: OR 0,99 (95% CI 0.29–4.52). For the low back pain with reduction of physical activity or disability, in the presence of AA genotype risk of such pain in workers aged 30 years and older was significantly higher than in the younger group: OR 1.86 (95% CI 1.03–3.57). The probability of low back pain was highest in the simultaneous presence of risk factors such as AA genotype and body mass index 25 kg/m² and more: OR 3,83 (95% CI 2.34–4.88) for all cases of low back pain, OR 10.0 (95% CI 5.04–19.85) for low back pain with reduction of physical activity or disability.Occupational risk factors of high significance (after controlling for non-occupational risk factors and their interactions) were revealed: fixed working posture of more than 25% of the work shift: OR 4.8 (95% CI 1.57–14.69), high dynamic physical load: OR 1.48 (95% CI 0.67– 3.26), as well as high physical load in general: OR 2.96 (95% CI 0.72–12.18). For the low back pain with reduction of physical activity or disability the structure of the risk factors was the same, while the odds ratios were higher and confidence intervals did not include 1.0.Conclusion.The following risk factors of work-related low back pain have been revealed: the age (30 years and older), overweight, genetic predisposition, namely the polymorphism of the PARK2 gene, high physical load, predominantly a fixed working posture of more than 25% of the work shift, and dynamic physical load. It has been shown that interactions of the factors «age» and «genotype», as well as «BMI» and «genotype» should be considered for better understanding of the structure of risk factors of work related low back pain. 

2007 ◽  
Vol 63 (1) ◽  
Author(s):  
R. Barnes ◽  
J. Birch ◽  
M. M. Cloete ◽  
L. Joubert ◽  
A. C. Usher ◽  
...  

Physiotherapy practice involves the performance of strenuous physical activities related to the delivery of patient rehabilitation.  No evidence of studies relating to physiotherapy work-related low back pain (WRLBP) in South Africa could be found.  The aims of this study were to retrospectively investigate the incidence of work related low back pain among currently practicing physiotherapists in Bloemfontein, to determine the contributing risk factors, and to determine the responses of the physiotherapists to injury. Eighty four physiotherapists participated in this descriptive study. The results indicated that 67% of respondents had experienced work related low back pain and the 95% confidence interval for the incidence of WRLBP among physiotherapists in Bloemfontein is [56.8%; 76.6%].  Therapists performing cardio-thoracic related tasks had the most significant confidence interval of WRLBP [2.2%; 35.1%]. Fifty eight percent of respondents who had WRLBP reported that their symptoms were exacerbated by clinical practice.  The results of the study suggest that it is the nature of the job design which predisposes physiotherapists to injury and not a lack of kinetic handling knowledge. Further research is needed to develop methods to reduce the risks of WRLBP which are inherently part of physio-therapy practice.


Author(s):  
Kezhi Jin ◽  
Gary S. Sorock ◽  
Theodore Courtney ◽  
Youxin Liang ◽  
Zhenjun Yao ◽  
...  

2017 ◽  
Vol 2 (3) ◽  
pp. 95-110 ◽  
Author(s):  
Edyta Mikołajczyk ◽  
Zofia Kaleta ◽  
Mariusz Janusz

Aim of the study: To assess prevalence and risk factors of low back pain (LBP) in emergency room nurses in Krakow. Materials and methods: The study comprised 30 randomly selected full time emergency nurses aged 25-58. Their BMI was calculated and measurements of linear segmental lumbar spine flexion-extension motion were performed. The visual analogue scale (VAS) was used to assess the subjective LBP degree. The self-estimated physical disability caused by LBP was assessed by means of the Roland- Morris Low Back Pain and Disability Questionnaire (RMDQ), whereas physical activity by means of the International Physical Activity Questionnaire (IPAQ). The Spearman correlation coefficient was used to determine a linear association between variables involved in the research. Results: Statistically significant correlations between BMI, LBP and the level of disability as well as between the pain intensity and the time spent in a sitting position were revealed by RMDQ. Significant correlations between the self-estimated LBP and spinal flexion in the sagittal plane, lateral flexion to the right in the frontal plane and twist to the right in the transverse plane were found. Conclusions: Moderate LBP in emergency ward nurses, which is commonly observed, slightly decreased their quality of life. A high level of physical activity and limited range of flexion were discovered in the sagittal plane. Due to the existing correlations between BMI and LBP, between the degree of disability and the intensity of pain and the range of motion, it seems appropriate to include this occupational group in the back pain prevention programme.


Rheumatology ◽  
2011 ◽  
Vol 50 (Supplement 3) ◽  
pp. iii59-iii60
Author(s):  
G. Xu ◽  
L.-P. Li ◽  
F. Liu ◽  
D. Pei ◽  
W. Sheng ◽  
...  

2009 ◽  
Vol 4 (1_suppl) ◽  
pp. 129-148 ◽  
Author(s):  
David M Lindsay ◽  
Theo H Versteegh ◽  
Anthony A Vandervoort

Although the sport of golf may be mistakenly perceived as a benign physical activity, there are in fact patterns of problems such as strains to the upper limb and low-back pain that have the potential to interfere with the professional golfer's livelihood and recreational golfer's enjoyment. In this article, a summary of the literature has been provided outlining the nature and extent of common musculoskeletal injuries that golfers deal with as well as some of the risk factors that may increase injury susceptibility. A detailed overview of prevention strategies to minimize the risk of suffering a golf injury has also been provided. Since many injuries arise from poor swing biomechanics, taking instruction with a knowledgeable golf instructor can be an important first step towards injury prevention. However, if a golfing client already has an injury which originated or is aggravated by playing or practicing, then the personalized help of a physician or physiotherapist experienced in golf biomechanics is also warranted. Proper attention to prevention will ensure a lifetime of enjoyable golf “par”ticipation.


2008 ◽  
Vol 46 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Masabumi MIYAMOTO ◽  
Shunsuke KONNO ◽  
Yoshikazu GEMBUN ◽  
Xinyu LIU ◽  
Kazufumi MINAMI ◽  
...  

2015 ◽  
Vol 3 (9) ◽  
pp. 108-121
Author(s):  
MuaadhAbdulghaniGhaithan Al-samawi ◽  
Higazi Mohammed Ahmed Abdallah Awad

Globally, Low Back Pain (LBP) comprises a significant occupational hazard in nursing profession. Objectives: To estimate the incidence, to identify risk factors, and impact of illness of LBP among nurses in AL-MakNimer university Hospital at Shendi city. A cross-sectional study was applied including nurses in AL-MakNimer university Hospital at Shendi city, republic of Sudan throughout the period May -June, 2015. Sample was chosen by using total coverage sample. A predesigned questionnaire was used for data collection. The questionnaire included demographic data, work-related factors as well as effect and management of LBP data obtained were analyzed using manually and by used SPSS soft program. Results: The results revealed that the overall incidence of low back pain among nurses was (n=70, 87.5%) Female participants complaining of LBP were significantly more than male participants (85%) of the total female reported LBP. There were significantly relate between age and working hours (.015) it can be seen that about (40%) of the participants experienced LBP at least once a week or more frequently. 52.9% subjects rated their pain as moderate pain. 35.7% nurses' concept regarding factors contributing to their LBP were lifting as well as 28.6% working load,(52.9%) sleep disturbance, (64.3%) restrict activities were nurse comment regarding LBP effect. LBP is a common health problem among working nurse, lifting, work load, were the most perceived work-related risk factors for LBP, restrict activities, taking many days off, might be the most predisposed effect related to LBP. Recommendation: These findings suggest that hospitals should focus and attempt to improve the ergonomics of nursing activities. In addition, effective methods of implementing changes in work systems are needed.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Tomoko Fujii ◽  
Hiroyuki Oka ◽  
Kenichiro Takano ◽  
Fuminari Asada ◽  
Takuo Nomura ◽  
...  

Abstract Background High prevalence of low back pain (LBP) in nurses has been reported globally. Ergonomic factors and work-related psychosocial factors have been focused on as risk factors. However, evidence on the role of fear-avoidance beliefs (FABs) concerning LBP in nurses is lacking. This study examined LBP prevalence and the association between FABs and chronic disabling LBP that interfered with work and lasted ≥ 3 months. Methods Female nurses (N = 3066; mean age = 35.8 ± 10.6 years) from 12 hospitals in Japan participated. A self-reported questionnaire was used to collect information on sociodemographics, LBP, work-related factors, and psychological distress. FABs about physical activity were assessed using a subscale from the FAB Questionnaire (score range = 0–24). The participants were asked to choose one of four statements regarding their LBP in the past 4 weeks: 1) I did not have LBP, 2) I had LBP without work difficulty, 3) I had LBP with work difficulty but without requiring absence from work, and 4) I had LBP requiring absence from work. If the participant had LBP in the past 4 weeks, it was also inquired if the LBP had lasted for ≥ 3 months. Chronic disabling LBP was defined as experiencing LBP with work difficulty in the past 4 weeks which had lasted for ≥ 3 months. In the nurses who had experienced any LBP in the past 4 weeks, we examined the association between FABs and experiencing chronic disabling LBP using multiple logistic regression models adjusting for pain intensity, age, body mass index, smoking status, psychological distress, hospital department, weekly work hours, night shift work, and the12 hospitals where the participants worked. Results Four-week and one-year LBP prevalence were 58.7 and 75.9%, respectively. High FABs (≥ 15) were associated with chronic disabling LBP (adjusted odds ratio = 1.76, 95% confidence interval [1.21–2.57], p = 0.003). Conclusions LBP is common among nurses in Japan. FABs about physical activity might be a potential target for LBP management in nurses. Trial registration UMIN-CTR UMIN000018087. Registered: June 25, 2015.


2017 ◽  
Author(s):  
Ming-Lun Lu ◽  
Haiou Yang ◽  
Scott Haldeman ◽  
Sara Luckhaupt ◽  
Stephen Hudock

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