scholarly journals Lower Back Pain as an Occupational Hazard Among Ugandan Health Workers

2021 ◽  
Vol 9 ◽  
Author(s):  
Michael Aleku ◽  
Kevin Nelson ◽  
Anne Abio ◽  
Michael Lowery Wilson ◽  
Herman Lule

Background: Lower back pain is a public health concern affecting 70–85% of the world's population. There is paucity of published data on the prevalence, disability and risk factors for lower back pain among health workers in Uganda.Objective: To determine the frequency rate (note that is it implicit that frequency is a rate like incidence so including rate seems redundant here. This is bounded by zero and infinity. In contrast, prevalence is bounded by 0 and 1 and is thus a proportion not a rate) of lower back pain and its associated risks amongst health professionals in the Arua District of Uganda.Methods: Cross-sectional descriptive study of 245 consecutive participants conducted during February-April 2020. We stratified risks as individual or work related and analyzed the data using IBM SPSS version 25. Chi-square was used to measure the significance of association between categorical variables at 95% confidence interval, regarding a p ≤ 0.05 as significant.Results: The mean age of participants was 40.87 years ± 8.74 (SD), with female predominance (69.8%). Majority were either general nurses or midwives (64.9%) and more than half had practiced for over 6–10 years. The frequency rate of lower back pain was 39.6% (n = 97). Individual factors associated with LBP were; cigarette smoking (X2 = 33.040; P ≤ 0.001), alcohol consumption (X2 = 13.581; P ≤ 0.001), age (X2 = 14.717; P = 0.002), and female gender (X2 = 4.802; P = 0.028). The work related factors significantly associated with lower back pain were: being a nurse/midwife (X2 = 9.829; P = 0.007), working in the outpatient department (X2 = 49.752; P ≤ 0.001), bending (X2 = 43.912; P ≤ 0.001), lifting (X2 = 33.279; P < 0.001), over standing (X2 = 40.096; P ≤ 0.001), being in awkward positions (X2 = 15.607; P= < 0.001), and pushing patients (X2 = 21.999; P ≤ 0.001).Conclusion: The frequency rate of low back pain was high amongst health workers and its main associated individual and work related factors could have been prevented. Health workers should strike a balance between caring for their personal back-health and meeting clients' needs while manually handling patients. Ergonomic structuring, job organization, back health care courses and use of assistive equipment could reduce such occupational hazards in our low resourced settings.

2018 ◽  
Vol 26 (1) ◽  
pp. 86-89
Author(s):  
Dawn M. Wirick ◽  
Lee A. Teufel-Prida

Chronic lower back pain is a major health concern involving physical, financial, and social costs for many patients and their family members. Contemporary pain management is guided by the biopsychosocial model in which a professional counselor can contribute to recovery through integrated behavioral health care. Cognitive behavioral therapy (CBT) and behavioral activation interventions are effective in breaking the cycle of chronic pain. Successful outcomes involve partners and family members in CBT, education, and structural family interventions. A case study is presented to examine thoughts and feelings associated with chronic lower back pain. CBT and family interventions contribute to recovery of functions, meaningful roles, and health in relationships.


2012 ◽  
Vol 21 (11-12) ◽  
pp. 1776-1784 ◽  
Author(s):  
Melinda Jaromi ◽  
Andrea Nemeth ◽  
Janos Kranicz ◽  
Tamas Laczko ◽  
Jozsef Betlehem

Author(s):  
Rini Widarti

Indonesia is one of the developing countries in the world, it is shown by the increasing number of industries that grow from time to time. Solo Baru is one of the areas in the city of Sukoharjo which recently experienced a very rapid growth. The modern lifestyle adopted by the majority of Indonesian society makes it possible for a disorder of work-related diseases such as routine activities in the printing book of Ar Risalah Cipta Media  like a sitting position, long standing and excessive activities with a non-ergonomic position to the factor of back pain or better known as low back pain, this can be a serious problem if you do not get the right services and counseling. Method of Implementation: lectures and demontration. Conclusion: the employees at the printing book Ar Risalah Cipta Media  understand the procedure of treating lower back pain and understand the bad effect if lower back pain is not handled properly which will have an impact on body productivity in work. 


2020 ◽  
Vol 7 ◽  
Author(s):  
Tommaso Poliero ◽  
Maria Lazzaroni ◽  
Stefano Toxiri ◽  
Christian Di Natali ◽  
Darwin G. Caldwell ◽  
...  

Occupational back-support exoskeletons are becoming a more and more common solution to mitigate work-related lower-back pain associated with lifting activities. In addition to lifting, there are many other tasks performed by workers, such as carrying, pushing, and pulling, that might benefit from the use of an exoskeleton. In this work, the impact that carrying has on lower-back loading compared to lifting and the need to select different assistive strategies based on the performed task are presented. This latter need is studied by using a control strategy that commands for constant torques. The results of the experimental campaign conducted on 9 subjects suggest that such a control strategy is beneficial for the back muscles (up to 12% reduction in overall lumbar activity), but constrains the legs (around 10% reduction in hip and knee ranges of motion). Task recognition and the design of specific controllers can be exploited by active and, partially, passive exoskeletons to enhance their versatility, i.e., the ability to adapt to different requirements.


2021 ◽  
Vol 27 (4) ◽  
pp. 390-398
Author(s):  
Mostafa Abolfotouh ◽  
Fay Alomair ◽  
Dalal Alangari ◽  
Ibraheem Bushnak ◽  
Bader Aldebasi ◽  
...  

Background: Occupational and physical therapists are at risk of musculoskeletal pain and injuries possibly due to their work-related activities, posture and affected body mechanics. Aims: To investigate the epidemiology of lower back pain among rehabilitation professionals. Methods: A cross-sectional survey of 259 physical and occupational therapists in rehabilitation centres in Saudi Arabia was conducted during July–August 2019, using the Modified Nordic Questionnaire. Data on different measures of lower back pain, and its consequences and risk factors were collected. Logistic regression analysis was done to identify significant predictors of lower back pain. Results: Rehabilitation professionals experienced 73.7% 1-year lower back pain prevalence, 52.5% intense pain that lasted ≥ 1 day, 22.4% chronic lower back pain, 23.9% sick-leave-seeking lower back pain and 18.5% medical-care-seeking lower back pain. Difficult/impossible activities of daily living in standing up (45.5%), employment (44.0%), climbing stairs (33.9%), walking (33.0%), sitting (29.3%), sleeping and travel (29.8% each), awakening (23.0%), social life (26.2%), and personal care (15.7%) were reported. Lower back pain was responsible for stopping work in 32.5% of participants, with a mean 1.38 (±2.96) days off work during the last year. One half of participants (50.3%) were treated by physiotherapy, 25.1% by medical care, and 39.3% requested rest days and/or sick leave. Physical stress and < 10 years’ experience were significant predictors of lower back pain. Conclusion: Prevalence of lower back pain was high among rehabilitation professionals, with a high impact on activities of daily living. Physiotherapy was the main management adopted. Educational programmes are necessary to teach proper use of body mechanics, and sports activity programmes to reduce the risk of lower back pain and arrange for proper rest periods.


2018 ◽  
Vol 08 (08) ◽  
pp. 322-330
Author(s):  
Yvonne Paul ◽  
Terry J. Ellapen ◽  
Mariette Swanepoel ◽  
Henriette V. Hammill ◽  
Henriette V. Hammill ◽  
...  

Author(s):  
Bhakti Jamdade ◽  
Apurv Shimpi ◽  
Savita Rairikar ◽  
Ashok Shyam ◽  
Parag Sancheti

2012 ◽  
Vol 2 (2) ◽  
pp. 34-37 ◽  
Author(s):  
Arunabha Bandyopadhyay ◽  
Samrat Dev ◽  
Somnath Gangopadhyay

Background: Mining is an ancient occupation, long recognized as being arduous and liable to injury and disease. The lifecycle of mining consists of exploration, mine development, mine operation, decommissioning and land rehabilitation. Objective: To explore the prevalence characteristics and influence factors related to the development of work related musculoskeletal disorders of underground coalminers in Eastern Coalfield mines. Methods: In a cross-sectional study of 55 coalminers from Saatgram Project, Raniganj, Eastern Coalfields, modified Nordic Questionnaire was performed to assess the musculoskeletal disorders. Logistic regression analysis was performed to analyze the correlation between the occupational factors and their work related musculoskeletal disorders. Results: In this study 36 out of 55 miners (65.45%) complained about the development of musculoskeletal disorders at different body parts. The maximum pain was identified at lower back. The presence of lower back pain was observed among 58.18% of miners. The prevalence of pain in different body sites of the miners increased significantly with their ages. According to the present study, the repetitive operations and awkward postures were the risk factors for the development of work related musculoskeletal disorders in neck, shoulder and upper limbs; moreover, the repetitive operation of moving heavy substances and stooping postures continuously were related significantly – with the development of lower back pain at lower limbs due to the long standing awkward posture. Conclusion: It may be concluded from the above study that Eastern Coalfield miners are suffering from work related musculoskeletal disorders. This condition may be rectified by changing working postures or by implementation of ergonomically designed tools and machineries.DOI: http://dx.doi.org/10.3126/ijosh.v2i2.6596 International Journal of Occupational Safety and Health, Vol 2. No 2 (2012) 34-37 


2020 ◽  
Vol 8 (3) ◽  
pp. 413-419
Author(s):  
Manjunatha NS

The human back is composed of a complex structure of muscles, ligaments, tendons, disks, and bones, which work together to support the body and enable us to move around. The segments of the spine are cushioned with cartilage-like pads called disks. Problems with any of these components can lead to back pain. In some cases of back pain, its cause remains unclear. Low back problems affect the spines flexibility, stability, and strength, which can cause pain, discomfort and stiffness. Approximately 80% of individuals will experience an episode of lower back pain at some time during their life. Lower back pain is the fifth leading reason for patients visiting a doctor and the leading cause of work related disability. However, the underlying cause is usually not serious and may not even be identified by the doctor. Lower back pain is most common in patients between the ages of 20 and 40 years, but can be more severe and disabling in elderly patients. The ASM technique was implemented in private clinic with aims to increases the strength, stability & flexibility of spine & prevent the different kinds of back problems. As the pain was relieved almost and the patients will be encouraged to practice the ASM technique regularly, even after the pain has gone, to prevent back pain/problems recurrence and promotion of spinal column.


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