Risk factors for low back pain among the elementary school students, using penalized logistic regression, Iran

ObjectivesLow back pain (LBP) is a common cause of disability among nursing personnel. Although many studies regarding the risk factors for LBP among nursing staff have focused on the physical load at work, multidimensional assessments of risk factors are essential to identify appropriate preventive strategies. We aimed to investigate the association of multidimensional factors (individual, physical, psychological and occupational) with disabling LBP among nursing personnel in Japan.DesignObservational study with comparative cross-sectional design.SettingData were collected using the self-administered questionnaire at a tertiary medical centre.ParticipantsAfter excluding participants with missing variables, 718 nursing personnel were included in the analysis.Outcome measuresA self-administered questionnaire assessed individual characteristics, rotating night shift data, severity of LBP, previous episode of LBP, sleep problem, kinesiophobia (Tampa Scale for Kinesiophobia), depressive condition (K6), physical flexibility and frequency of lifting at work. A logistic regression model was used to evaluate the factors associated with disabling LBP (LBP interfering with work) among nursing personnel.ResultsOf all participants, 110 (15.3%) reported having disabling LBP. The multivariable logistic regression analysis after adjustment for several confounding factors showed that kinesiophobia (highest tertile, adjusted OR (aOR): 6.13, 95% CI : 3.34 to 11.27), previous episode of LBP (aOR: 4.31, 95% CI: 1.50 to 12.41) and insomnia (aOR: 1.66, 95% CI: 1.05 to 2.62) were significantly associated with disabling LBP.ConclusionsThe present study indicated that kinesiophobia, a previous episode of LBP, and sleep problems were associated with disabling LBP among nursing personnel. In the future, workplace interventions considering assessments of these factors may reduce the incidence of disabling LBP in nursing staff, although further prospective studies are needed.

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Neck and shoulder pain among elementary school students: prevalence and its risk factors

BMC Public Health ◽

10.1186/s12889-019-7706-0 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Elham Gheysvandi ◽

Iman Dianat ◽

Rashid Heidarimoghadam ◽

Leili Tapak ◽

Akram Karimi-Shahanjarini ◽

...

Keyword(s):

Risk Factors ◽

Elementary School ◽

Logistic Regression ◽

Neck Pain ◽

Elementary School Students ◽

Shoulder Pain ◽

Psychological Health ◽

Physical Factors ◽

School Students ◽

Neck And Shoulder Pain

Abstract Background Neck and shoulder pain is relatively common among children and teenagers and has a negative impact on their physical and psychological health. This study was carried out to assess the prevalence of neck and shoulder pain among elementary school students, and to investigate the relationship between this pain and its risk factors. Methods In this cross-sectional study, 693 elementary school students aged 7 to 12 years from Hamadan city, located in western Iran, were selected through the multistage cluster random sampling method. Data were collected through interviews and questionnaires. For the social and psychological variables, the parent version of the Strengths and Difficulties Questionnaire (SDQ) was used. For assessing each student’s posture, an observational checklist, the Rapid Upper Limbs Assessment (RULA), was used. The data was analyzed using the unadjusted (univariate) and adjusted (multivariate) logistic regression. Results The prevalence of the neck pain was slightly higher than that of shoulder pain. The prevalence reported over a month was 35.8 and 30.9% for neck and shoulder pain, respectively. The logistic regression analyses showed that, very high desk height (odds ratio (OR) =1.96, 95% confidence interval CI: 1.02–3.74), backward seat pan inclination (OR = 2.10, 95% CI: 1.37–3.24), forward seat pan inclination (OR = 3.12, 95% CI:1.46–6.68), difficulty in viewing the board (OR = 2.54, 95% CI: 1.10–5.84), too much homework (OR = 2.59, 95% CI: 1.49–4.51), RULA score at level III (OR = 2.88, 95% CI:1.64–5.05), and RULA score at level IV (OR = 3.12, 95% CI: 1.72–5.63) increased the risk of neck pain independently. On the other hand, sitting on desk and seat (OR = 0.59, 95% CI: 0.39–0.91) and laying position for doing homework (OR = 0.53, 95% CI: 0.34–0.81) reduced the related risk. Very short desk height (OR = 2.41, 95% CI: 1.26–4.61) and too much homework (OR = 1.94, 95% CI: 1.10–3.42) increased the risk of shoulder pain. Conclusion The elementary school students reported a high prevalence of shoulder and neck pain. This study found that improper sitting positions, as well as physical factors such as the school furniture, too much homework, and difficulty in viewing the classroom board, were associated with pain. Proper interventions considering the risk factors assessed in this study, are suggested.

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The Risk Factors of Low Back Pain in Female High School Students

Spine ◽

10.1097/brs.0000000000002837 ◽

2019 ◽

Vol 44 (6) ◽

pp. E357-E365 ◽

Cited By ~ 6

Author(s):

Pardis Noormohammadpour ◽

Alireza Borghei ◽

Shadi Mirzaei ◽

Mohammad Ali Mansournia ◽

Mahboubeh Ghayour-Najafabadi ◽

...

Keyword(s):

Risk Factors ◽

High School ◽

Low Back Pain ◽

High School Students ◽

Back Pain ◽

Low Back ◽

School Students ◽

Female High School

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Faktor risiko yang berhubungan dengan timbulnya nyeri punggung bawah pada guru SD di Kecamatan Tuminting

Jurnal e-Biomedik ◽

10.35790/ebm.4.2.2016.12656 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Yanty Haumahu ◽

Diana V. D. Doda ◽

Sylvia R. Marunduh

Keyword(s):

Risk Factors ◽

Elementary School ◽

Low Back Pain ◽

Back Pain ◽

Elementary School Teachers ◽

Musculoskeletal Diseases ◽

Low Back ◽

School Teachers ◽

Work Related ◽

Body Map

Abstract: Work-related musculoskeletal disorder (WMSD) is one of the biggest problems in developing countries. According to the Department of Health of Indonesia about health problems in Indonesia in 2005, 40.5% of illness were work-related. A study on 9482 workers in 12 districts in Indonesia reported that 16% of common illness was musculoskeletal diseases. This study aimed to determine the musculoskeletal disease (low back pain) during the last 7 days among elementary school teachers at Tuminting. This was a field study with a cross sectional design. Instruments were Nordic Body Map Question, physical exposure, and psychosocial questionnaire. The results showed that were 282 respondents in this study. The respond rate was 78%. There were 81% of respondents withg low back pain. Significant associated risk factors were as follows: class level taught by respondents (p = 0.008); bending while arms were below the knees more than 30 minutes (p = 0.049); leisure time activities during last 7 days (p = 0.024); disruption/interruption (p = 0.003); low job promotion (p = 0.032); unpleasant changes in workplace (p = 0.003); and work-environment satisfaction (p = 0.003). Conclusion: Risk factors associated with low back pain among elementary school teachers at Tuminting were individual, physical, and psychosocial factors.Keywords: low back pain, risk factor, elementary school teacherAbstrak: Penyakit muskuloskeletal terkait pekerjaan merupakan salah satu masalah terbesar di negara industri. Studi Departemen Kesehatan RI tentang profil masalah kesehatan di Indonesia tahun 2005 menunjukkan bahwa sekitar 40,5% penyakit yang diderita berhubungan dengan pekerjaan. Studi yang dilakukan terhadap 9482 pekerja di 12 kabupaten di Indonesia mendapatkan 16% dari penyakit yang diderita secara umum ialah penyakit muskuloskeletal. Jenis penelitian ini ialah survei lapangan dengan desain potong lintang. Kuesioner yang digunakan ialah Nordic Body Map Question, paparan fisik, dan psikososial. Penelitian ini bertujuan untuk mengetahui penyakit muskuloskeletal (nyeri punggung bawah) dalam 7 hari terakhir pada guru SD di kecamatan Tuminting. Sebanyak 282 responden berpartisipasi dengan respond rate 78%. Ditemukan 81% responden mengalami nyeri punggung bawah. Faktor-faktor yang berhubungan signifikan antara lain kelas yang diajar (p = 0,008), membungkuk dengan tangan dibawah lutut lebih dari 30 menit (p = 0,049), aktivitas waktu senggang dalam 7 hari terakhir (p = 0,024), adanya interupsi/gangguan (p = 0,003), harapan kenaikan pangkat yang buruk (p = 0,032), perubahan tidak menyenangkan di tempat kerja (p = 0,003), dan kondisi lingkungan fisik (p = 0,008). Simpulan: Faktor risiko yang berhubungan dengan nyeri punggung bawah dalam penelitian ini meliputi faktor individu, faktor fisik, dan faktor psikososial.Kata kunci: nyeri punggung bawah, faktor risiko, guru sekolah dasarFaktor risiko yang berhubungan dengan timbulnya nyeri punggung bawah pada guru SD di Kecamatan Tuminting

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Description Of Bag Load With Antropometry Of Elementary School Students

Sumatera Medical Journal ◽

10.32734/sumej.v3i1.3336 ◽

2020 ◽

Vol 3 (1) ◽

pp. 23-33

Author(s):

Priya Darshini Krishna Moorthi ◽

Yetty Machrina ◽

Lidya Imelda Laksmi ◽

Muhammad Rizki Yaznil

Keyword(s):

Elementary School ◽

Low Back Pain ◽

Back Pain ◽

Elementary School Children ◽

Low Back ◽

School Students ◽

Cross Sectional ◽

Level Ii ◽

Load Limit ◽

Level I

Background. Low back pain is one of the most common health problem among school students. Carrying heavy backpack to school is one of the cause of low back pain. Objectives. To identify the bag load carried by the students and antropometry of the students. Method. This research is a descriptive observasional with cross sectional method. Data used is a primer data which is from 268 students by measuring their body weight, height, bag weight and also by interviewing them using interview guidelines. Results. The results obtained from 268 elememtary school students of Siti Hajar mostly have normal nutritional status. The average bag weight at level I (6.071%), level II (8.510%) and level III (10.812%) where the majority of bag loads compared to elementary school antropometry were included in the mild category 47.6% at level I, 74.7% at level II and 84.3% at level III eventhough there were some children in the heavy category. 88.8% of children carry their school bags using two shoulders, with a duration of time <30 minutes (61.7%). Respondents who experienced back pain (4.9%) and who did not experience back pain (95.1%). Conclusions. The weight of Siti Hajar Elementary School children bag against antropometry has not exceeded the recommended load limit. Key words. Bag load, antropometry, cross-sectional, interview

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Low Back Pain in Commercial Airline Pilots

Aerospace Medicine and Human Performance ◽

10.3357/amhp.5656.2020 ◽

2020 ◽

Vol 91 (12) ◽

pp. 940-947

Author(s):

Matthias Albermann ◽

Maria Lehmann ◽

Christian Eiche ◽

Joachim Schmidt ◽

Johannes Prottengeier

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Online Survey ◽

German Population ◽

Low Back ◽

Airline Pilots ◽

Acute Low Back Pain ◽

Commercial Airline ◽

Negative Effect

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.

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The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients

Journal of Occupational Rehabilitation ◽

10.1007/s10926-021-09993-4 ◽

2021 ◽

Author(s):

J. W. H. Luites ◽

P. P. F. M. Kuijer ◽

C. T. J. Hulshof ◽

R. Kok ◽

M. W. Langendam ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Prognostic Factors ◽

Back Pain ◽

Work Participation ◽

Stepped Care ◽

Low Back ◽

Lumbosacral Radicular Syndrome ◽

Care Approach ◽

Radicular Syndrome

AbstractPurpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with health care professionals, a patient representative and researchers developed the recommendations after systematic review of evidence about (1) Risk factors, (2) Prevention, (3) Prognostic factors and (4) Interventions. Certainty of the evidence was rated with GRADE and the Evidence to Decision (EtD) framework was used to formulate recommendations. High or moderate certainty resulted in a recommendation “to advise”, low to very low in a recommendation “to consider”, unless other factors in the framework decided differently. Results An inventory of risk factors should be considered and an assessment of prognostic factors is advised. For prevention, physical exercises and education are advised, besides application of the evidence-based practical guidelines “lifting” and “whole body vibration”. The stepped-care approach to enhance work participation starts with the advice to stay active, facilitated by informing the worker, reducing workload, an action plan and a time-contingent increase of work participation for a defined amount of hours and tasks. If work participation has not improved within 6 weeks, additional treatments should be considered based on the present risk and prognostic factors: (1) physiotherapy or exercise therapy; (2) an intensive workplace-oriented program; or (3) cognitive behavioural therapy. After 12 weeks, multi-disciplinary (occupational) rehabilitation therapy need to be considered. Conclusions Based on systematic reviews and expert consensus, the good practice recommendations in this guideline focus on enhancing work participation among workers with LBP and LRS using a stepped-care approach to complement existing guidelines focusing on recovery and daily functioning.

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Prevalence and potential risk factors of flight-related neck, shoulder and low back pain among helicopter pilots and crewmembers: a questionnaire-based study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2421-7 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Markus Posch ◽

Alois Schranz ◽

Manfred Lener ◽

Werner Senn ◽

Björn O. Äng ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Potential Risk ◽

Low Back ◽

Helicopter Pilots ◽

Potential Risk Factors

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PREVALENCE OF LOW BACK PAIN AND ASSOCIATED RISK FACTORS AMONG HIGH SCHOOL TEACHERS IN KERMAN, IRAN

Journal of Musculoskeletal Research ◽

10.1142/s0218957717500051 ◽

2017 ◽

Vol 20 (01) ◽

pp. 1750005 ◽

Cited By ~ 2

Author(s):

Ghorbanali Mohammadi

Keyword(s):

Risk Factors ◽

High School ◽

Low Back Pain ◽

Back Pain ◽

High School Teachers ◽

Lower Back Pain ◽

Low Back ◽

School Teachers ◽

Lower Back ◽

Associate Risk

Low back pain (LBP) is one of the most frequent occupational health problems and accounts for a large number of losses in working days and disability for workers in modern industrialized countries. The aim of this paper was to investigate the prevalence of lower back problem and to associate risk factors among high school teachers. A cross-sectional study was conducted among high school teachers using self-administered questionnaires, which were distributed to randomly selected school teachers of 7 boys’ and 10 girls’ high schools across the city of Kerman and collected between October and November 2010. A total of 296 teachers returned completed questionnaires, yielding a response rate of 78.9%. The 12-month prevalence of LBP was 68.8%, which reporting with moderate disability. The results of multiple logistic regression analysis revealed that females [odds ratio (OR): 1.85, 95% confidence interval (CI): 1.51–2.00] were positively correlated to LBP. Awkward arm posture (OR: 1.81, 95% CI: 1.24–2.62) and awkward body posture (OR: 1.23, 95% CI: 0.87–1.49) were significantly associated with LBP. Psychosocial job demands and job dissatisfaction were also significantly associated with LBP. Smoking cigarette was three times more likely to develop lower back pain when compared with non-smokers. The prevalence of LBP was high among high school teachers. A wide variety of LBP risk factors were identified in the current study. The present study indicates that the high prevalence of lower back pain may lose difficulty to teachers in getting to work and “performing” the work required of them, resulting in work absenteeism, which may decrease work productivity.

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Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies

Rehabilitation Research and Practice ◽

10.1155/2015/850184 ◽

2015 ◽

Vol 2015 ◽

pp. 1-10 ◽

Cited By ~ 6

Author(s):

Vahideh Moradi ◽

Amir-Hossein Memari ◽

Monir ShayestehFar ◽

Ramin Kordi

Keyword(s):

Risk Factors ◽

Body Weight ◽

Low Back Pain ◽

Back Pain ◽

Longitudinal Studies ◽

Methodological Quality ◽

Low Back ◽

Lumbar Flexion ◽

High Body

We aimed to examine systematically the available evidence on risk factors of low back pain (LBP) in athletes. We performed search without language restriction in PubMed, Ovid, Google Scholar, Scopus, and CINAHL. Longitudinal studies that examined possible risk factors of LBP in athletes were included in this systematic review. Based on methodological quality of studies, a best-evidence synthesis was conducted. Seven longitudinal studies were included, four of which had high methodological quality. Results showed that previous LBP, decreased lumbar flexion, and decreased lumbar extension are positively associated with LBP. There was moderate evidence for hip flexor tightness and high body weight as a risk factor. We found insufficient evidence for association between forward bending, previous injury, and amount of training per week, active years, age, and sex with LBP. In conclusion this study would provide a list of risk factors for LBP in athletes, though it showed a strong evidence for only a few including decrease lumbar flexion or extension, previous LBP, and high body weight. This review indicated a high heterogeneity of study characteristics including assessed risk factors and statistical techniques might limit the quality of evidence.

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