scholarly journals A SYSTEMATIC REVIEW ON IDENTIFYING ASSOCIATED FACTORS IN DECIDING WORK- RELATEDNESS OF CHRONIC BACK PAIN AMONG EMPLOYEE

2019 ◽  
Vol 19 (1) ◽  
pp. 1-14
Author(s):  
Jenn Zhueng Tam ◽  
Zuraida Mohamed ◽  
Sharifa Ezat Wan Puteh ◽  
Noor Hassim Ismail

Chronic low back pain is a common and preventable complain among workers. Large amount of financial and benefit cost has been spent by the developed countries to prevent, treat and rehabilitate a large number of workers that are exposed to hazards attributing to low back pain. Efforts on primary prevention of low back pain has been challenging due to difficulties in affirming work- relatedness of chronic back pain among workers. As such, efforts have to be focused on the existing literatures to propose acceptable variables to define work- relatedness specific to occupational low back pain. Evidences suggest twisting, frequent manual lifting of objects, duration of daily exposure, coping mechanism towards the pain, body mass index (BMI), smoking status and physical activity are associated with occupational back pain. However, further research efforts are needed to establish stronger evidence and improve the occupational safety and health of our workers that are exposed to all these hazards throughout the day on a daily basis.

Author(s):  
Rakesh Jain ◽  
Shailesh Jain

The landmark paper discussed in this chapter, ‘Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability’, published by Crombez et al. in 1999, investigates the issue of disability in chronic low back pain and explores the role of psychological factors in disability. The paper reports on three independent chronic low back pain studies in which behavioural performance and the degree of reported disability were correlated with psychological factors such as catastrophization, negative affect, anxiety, and pain-related fear (e.g. fear of re-injury). In a counterintuitive finding, pain-related fear was more disabling that the pain itself. This paper thus highlighted the need to assess and address the psychological domains of pain; it also validated three questionnaires that are important in the pain field, and established a biopsychosocial approach to understanding, explaining, and treating chronic low back pain.


2019 ◽  
Vol 61 (5) ◽  
pp. 339-348 ◽  
Author(s):  
Kazuyuki Iwakiri ◽  
Masaya Takahashi ◽  
Midori Sotoyama ◽  
Xinxin Liu ◽  
Shigeki Koda

2013 ◽  
Vol 6 ◽  
pp. HSI.S10469 ◽  
Author(s):  
Lenny D. Salzberg ◽  
Eron G. Manusov

The treatment and management of low back pain is complex when there is no specific etiology such as cancer, fracture, or herniated disc. An organized approach to management that follows evidence based guidelines will facilitate care in a problem that reflects a lifetime prevalence of over 70 percent. The purpose of this review is to present a guideline to care for a common disabling process with a very heterogeneous etiology.


2018 ◽  
Vol 2 (2) ◽  
pp. 246
Author(s):  
Amila Amila ◽  
Evarina Sembiring ◽  
Rinco Siregar

Introduction. The nurses who works at Intensive Care Unit (ICU) and Emergency Unit often suffering Low Back Pain (LBP) because they have high mobility and unergonomic condition. The purpose of this study were to identify the correlation among age, body mass index and working position of nurses with the low back pain who work in ICU and emergency unit at Sari Mutiara Indonesia general hospital. Methods. The data obtained was analyzed by analytic correlational with cross-sectional approach. The Sampel of this study was recruited with total sampling as 31 nurses. The data was analyzed by spearman correlation with α = 0.05. Result. The result of this study found that there was a signifi cant correlation between age with low back pain (r = 0.466 ; p <0.05). While body mass index and working position there was no signifi cantly correlation with low back pain ( r=0.195; p > 0.05 and r = - 0.172;p >0.05), respectively. Discussion. It can be recommended to occupational safety team to organize training the manner of working according to ergonomic standard, in addition to develope standar operating procedure for nurses in the hospital.Keywords : Risk factors, low back pain, nurse


2021 ◽  
Vol 15 (1) ◽  
pp. 85-92
Author(s):  
Petcharat Rujipong ◽  
Kannika Kantaruksa ◽  
Nonglak Chaloumsuk ◽  
Chanchai Yothayai

Background: Chronic low back pain is among the most common chronic musculoskeletal disorders worldwide. It is prevalent in Thailand, affecting up to 30% of the general population, with much higher rates among manual labourers. Pain self-management, including education, exercise, medication and other components, is an effective strategy for reducing pain intensity and disability rates for chronic low back pain sufferers. Objective: To investigate pain self-management strategies among chronic lower back pain sufferers in Thailand. Methods: The study design was a qualitative interview-based technique. The study setting was an orthopaedic outpatient department at a university hospital in Northern Thailand. Participants (n = 19) were selected based on recruitment criteria, and data was collected using demographic forms and in-depth interviews. Thematic analysis was used for qualitative analysis, with Wilcoxon signed-rank test used to assess changes in pain levels. Results: Participants used a combination of pain self-management modalities, including exercise, modified food consumption, increased rest, herbal treatments, hot and cold compression, Thai massage, and acupressure, along with psychological and spiritual coping tools like meditation and making merit. Ability to use these interventions was dependent on medical support from practitioners as well as social and other support. A small, but significant, mean difference in pain was also observed. Conclusion: Findings point to the possibility that there are significant cultural differences in pain self-management modalities and their effectiveness.


2020 ◽  
Vol 12 (3) ◽  
Author(s):  
Davood Afshari ◽  
Maryam Mojaddam ◽  
Maryam Nourollahi

Background: Manual load lifting is one of the most important risk factors for musculoskeletal disorders, including occupational low back pain. These disorders are common in women workers who perform manual load lifting and displacement tasks at the workplace. Objectives: To determine the level of musculoskeletal disorders and to evaluate the recommended limits of manual load lifting in women workers using WISHA checklist and ACGIH TLV, the recommended limits of Iran, and compare the results of two methods. Methods: This cross-sectional study was conducted on 100 women workers who performed manual loading tasks in 2018. Nordic questionnaire was used to determine the prevalence of musculoskeletal disorders, and two methods, WISHA checklist and ACGIH TLV, were used to determine the recommended allowable limits for manual load lifting. Results: The results of the prevalence assessment of musculoskeletal disorders showed that most of the musculoskeletal disorders were in the low back (55%) in the past 12 months. The results of the assessment of the allowable lifting limits also showed that 8% of women in the WISHA checklist method and 31% in the ACGIH TLV method were at risk for low back injuries. The kappa coefficient test (0.031) also showed that there is a poor and insignificant agreement between the two methods of WISHA checklist and ACGIH TLV in determining the allowable limits for manual lifting. Conclusions: The results of this study showed a poor agreement between the WISHA checklist and ACGIH TLV in determining the allowable limits for manual lifting, which suggest that the two methods are not mutually exclusive. Hence, owing to the increasing presence of women in various occupations and raising the hand load-lifting and, naturally increasing occupational low back pain among them, it is necessary that in a comprehensive study, the allowable limits of lifting loads according to anthropometric and physiological characteristics of Iranian women, prepare and compile according to a comprehensive instruction.


2012 ◽  
Vol 2 (2) ◽  
pp. 38-43 ◽  
Author(s):  
Subhanu Sekhar Ray Chaudhuri ◽  
Chaitalee Biswas ◽  
Krishna Roy

Background: Work related musculoskeletal disorders are a common cause of pain in female workers in brick manufacturing industries involved in sorting and stacking process. Objective: This  study aims to categorize the component of neuropathic and/or nociceptive pain with reference to chronic low back pain, its probable causes and its impact on functional variables like hand grip strength, number of man days lost etc. Methods: Female subjects [n=220] in the age range of 28-45 years from different brick fields of Hooghly and Birbhum district of West Bengal ,India with a work experience of more than 10 years participated in this study. Pain categorization was done by PAIN DETECT TOOL .Hand Grip dynamometry done to evaluate grip strength. NIOSH equation was used to standardize RWL. Results: It showed that pain/discomfort was mainly at the low back(90%),neck(72%) and wrist(62%).72% of workers had a pain of >20 in the pain scale of the pain detect tool & 80% of workers were not satisfied with treatments with analgesics/antipyretics which indicate the involvement of neuropathic component of pain in them. The impact of pain was revealed on functional and productivity endpoints like reduced grip strength which also lead to absenteeism, loss of average man days[4.5/month] , injuries[in 33% of workers] and monotony[85% workers] Conclusion: The probable cause of the chronic low back pain may be due to radiculopathy from repetitive lifting of bricks over and above the Recommended Weight Limit [Lifting Index 1.8].DOI: http://dx.doi.org/10.3126/ijosh.v2i2.6597 International Journal of Occupational Safety and Health, Vol 2. No 2 (2012) 38-43 


2014 ◽  
Vol 19 (2) ◽  
pp. 3-6 ◽  
Author(s):  
James B. Talmage ◽  
Jay Blaisdell ◽  
Marjorie Eskay-Auerbach ◽  
Christopher R. Brigham

Abstract Low back pain and disability are common and evaluating a patient with non-specific spinal pain may be challenging, including determining impairment. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, provides ratable impairment for the diagnosis of “non-specific chronic, or chronic recurrent low back pain (also known as chronic sprain/strain, symptomatic degenerative disc disease, facet joint pain,” and others. The evaluator should consider the diagnosis of non-specific chronic back pain only when no category of specific diagnosis fits the case (eg, no fracture, no spinal stenosis) or when “no reliable physical examination or imaging findings” but the patient's history of pain is felt to be reliable. According to the AMA Guides, primary determinant between a class 0 and class 1 rating for non-specific chronic back pain is whether the evaluator gives credibility to the patient's subjective reports of pain and interference with activities of daily living (ADLs). An evaluator may choose to use the Pain Disability Questionnaire (reproduced in the article) and Table 17-6, Functional History Adjustment, Spine, to determine the Functional History Grade Modifier (GMFH). The diagnosis of non-specific chronic or chronic recurrent low back pain yields a positive impairment only when the evaluator feels the patient's pain, as quantified by the GMFH, is reliably reported. Because there are no diagnostic objective findings on physical examination or clinical studies, these modifiers are excluded.


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