Frequency of Work-related Low Back Pain and Disability Among Automobile Mechanics in Lahore

Author(s):  
Sameed Liaqat ◽  
Muhammad Jawad ◽  
Wardah Rauf ◽  
Mehak Hamna Zahra Gilani

Automobile mechanic work is an extensive and physically hard job. Consequently, the automobile workers suffer from ergonomic risk factors including Low Back Pain (LBP) as a major.Objective: To find out the prevalence of Low Back pain (LBP) and disability among automobile mechanics in Lahore.Methodology:The study was cross-sectional and included 180 automechanics of Lahore. Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) was used to measure the disability caused by pain. Pain was measured by Visual Analog Scale (VAS). Data was collected from 180 auto mechanics from auto repair shops of Lahore.Results:Out of 180 individuals, 125 subjects reported LBP with average age of 30±5.3 years. 87 individuals (69.6%) were minimally disabled and 31 individuals (24.8%) experienced moderate disability, whereas only 7 individuals (5.6%) experienced severedisability in activities of daily living (ADLs).Conclusions:LBP is highly frequent among automobile mechanics. Majority of the individuals suffering from LBP had minimal disability. The rate of moderate disability was also noticeable but number of individuals with severe disability was very low. Overall, LBP disturbed the quality of life.

2018 ◽  
Vol 58 (1) ◽  
Author(s):  
Josielli Comachio ◽  
Mauricio Oliveira Magalhães ◽  
Ana Paula de Moura Campos Carvalho e Silva ◽  
Amélia Pasqual Marques

2011 ◽  
Vol 5;14 (5;9) ◽  
pp. 475-481
Author(s):  
Yasser Mohamed Amr

Background: Treating sciatica with epidural steroid injection has been a common practice worldwide. N-methyl-D-aspartate (NMDA) receptors are an important component of pain pathways. Objectives: The aim of this study was to evaluate the safety and efficacy of epidurally administered NMDA receptor antagonists (ketamine) for the treatment of chronic low back pain secondary to radiculopathy and its effect on patients’ quality of life. Study Design: Randomized, double blind controlled trial. Setting: Hospital outpatient setting. Methods: Two hundred participants aged 25 to 50 years old with a diagnosis of lumbar radiculopathic pain secondary to disc herniation were randomized into 2 equal groups. Group I received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 30 mg (3 mL) of preservative free ketamine. Group II received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 3 mL of 0.9% saline. Pain scores were obtained before injection, immediately after injection, one week, one month, 3 months, 6 months , 9 months and one year post injection. The Oswestry Low Back Pain Disability Questionnaire was used at baseline and at one month, 3, 6, 9, and 12 months after injection for assessment of quality of life. Patients were asked to report any side effects, particularly those related to ketamine, including nausea, vomiting, visual or auditory hallucinations, and delirium. Results: Immediately after injection there was no statistically significant difference between Group I and II regarding pain scale scores. After one week of injection, pain relief was significantly better in Group I compared to Group II and then at all evaluation times. The Oswestry Low Back Pain Disability Questionnaire score decreased significantly (P < 0.05) from 72 (range 62- 83) and 70 (range 57- 82) to 8 (range 2 – 12) and 17 (range 9 – 27) at one month; 6 (range 4 – 12) and 18 (range 14 – 22) at 3 months; 12 (range 9 – 16) and 28 (range 22 – 34) at 6 months; 17 (range 9 – 24) and 31 (range 21 – 35) at 9 months; and 17 (range 8 – 22) and 33 (range 20 – 37) at 12 months in the groups, respectively. Six patients in the ketamine group showed short-lasting delusions lasting for 45 ± 12 minutes after injection. Limitations: The limitations include a lack of placebo control. Conclusion: Epidurally administrated ketamine seems to be a safe and useful adjunct to epidural corticosteroid therapy in chronic lumbar radicular pain. Key words: Ketamine, epidural, radiculopathic, pain, steroid


2003 ◽  
Vol 11 (2) ◽  
pp. 152-155 ◽  
Author(s):  
Margareta Nordin ◽  
Neusa Maria Costa Alexandre ◽  
Marco Campello

Low back pain represents a serious public health problem. Therefore, great efforts have been made in order to improve and assess the efficacy of its treatment. Reports in international literature have presented important studies concerning instruments to assess pain and functional incapacity in patients with low back pain. This study presents a clinical protocol which was developed by a multidisciplinary team. This protocol consists of the evaluation and distribution of pain, The Spitzer Quality of Life, The Oswestry Low Back Pain Disability Questionnaire, and The Center for Epidemiological Studies Depression Scale. Instruments must be urgently developed or adapted in order to be used according to the Brazilian reality.


2021 ◽  
Author(s):  
Vishnu Bhure ◽  
Lajwanti Lalwani ◽  
Mohit Bhagia

Abstract Introduction Low back pain (LBP) is a frequent complaint among security personnel. It is a multifaceted and dynamic phenomenon. Up to 80% of the people will experience low back pain at any point during their productive lives. Low back pain causes some weakness in those who are symptomatic.Purpose LBP is linked to injury and the inability to work. It is most active disability now a days. The population of low back pain patients is increasing day by day leading to economic and physical imbalance. In the Vidarbha region of Maharashtra, where the large population is disabled because of low back pain.Methods The sample involved 66 security staff who met the following criteria: they were between the ages of 18 and 60, had worked as a guard for more than 5 years, worked at least 8 hours per day, and had suffered from low back pain for at least 1–3 months. Questionnaire based 10 questions were asked related to body posture and work-related questions and daily activity related question were asked and the evaluation were made using scale. Intensity of discomfort, personal treatment, standing, sleeping, sex life, work life, social life, and travel were among the questions asked. These questions were based on intensity of pain.Result 66 security personnel were assessed. Out of which 20 patient had minimal disability which is 30.77% of total population. 31 participant had moderate disability which is 47.69%. whereas 12 security personnel i.e., 18.46% had severe disability and 2 security personnel had crippled disability which is 3.08% of total participants.Conclusion It is concluded that, working for 6–10 hours is more productive and less harmful for body. It is also concluded that this population of security guards has moderate and minimal low back pain disability.


Author(s):  
Yen-Mou Lu ◽  
Chung-Hwan Chen ◽  
Yi-Jing Lue

BACKGROUND: Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES: To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS: Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS: Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION: Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.


2020 ◽  
Vol 19 (4) ◽  
pp. 873-878
Author(s):  
Mariam K. Dabbous ◽  
Sara M. Moustafa ◽  
Fouad R. Sakr ◽  
Marwan G. Akel ◽  
Jihan H. Safwan ◽  
...  

Purpose: To determine the knowledge, attitude and reported practice of Lebanese community pharmacists who advise persons who present with low back pain.Methods: This was a multi-center cross-sectional study conducted in over 300 community pharmacies across Lebanon from December 2017 to May 2018. Pharmacists working at a community pharmacy were considered eligible, and those who volunteered to participate completed the questionnaire. The questionnaire was designed for self-completion by the pharmacist and included demographic questions about the respondent, questions that assessed knowledge and attitude toward low back pain, and questions about treatment to reflect and characterize the nature of practice. The primary outcome was to determine the knowledge, attitude and reported practice of the Lebanese pharmacists advising people who presented with low back pain. The secondary outcome was to assess factors that affect knowledge, attitude, and practice.Results: The response of 320 community pharmacists was analysed. The proportion of pharmacists with good knowledge about low back pain (51. 7 %) was slightly higher than those with poor knowledge (48. 3 %). Oral therapy was the most prescribed dosage form for back pain compared to local patch and cream. Among oral dosage forms, non-steroidal anti-inflammatory drugs were the most prescribed medications (42 %). Of the patients’ referral to the physician if necessary, 73.1 % of the referrals were by pharmacists.Conclusion: Community pharmacists in Lebanon demonstrate an acceptable level of knowledge of back pain, yet major gaps still exist, particularly in terms of the quality of advice. Hence, more education is needed to provide better quality of advice. Keywords: Attitude, Knowledge, Low back pain, Reported practice, Quality of advice


2018 ◽  
Vol 67 (5) ◽  
pp. 218-230 ◽  
Author(s):  
Lingli Li ◽  
Xiaofan Deng ◽  
Hongxia Zhang ◽  
Hui Yang ◽  
Jiali Chen ◽  
...  

The study aimed to gain knowledge about low back pain (LBP) in nurses working in the orthopedic departments of tertiary hospitals in Sichuan province, China. We used a cross-sectional survey to examine the prevalence of LBP among 797 inpatient nurses who had worked for 1 year in an orthopedic department in one of 29 hospitals (Grade 3A) in Sichuan province. The survey included a questionnaire to determine the prevalence of LBP and factors related to LBP, a screening graph of LBP symptoms, the Roland Morris Disability Questionnaire (RMDQ), and the Fear Avoidance Beliefs Questionnaire (FABQ) for LBP. The 1-year period prevalence of LBP in the nursing population was 66.8% and the point prevalence was 51.3%. Among the 523 nurses who had experienced LBP, the mean total number of days that LBP had been experienced during the past year was 20.2 ± 16.3 days (range = 1-90 days). The annual number of episodes of LBP was 5.7 ± 4.5 times/year (range = 1-20 times/year). More than half the orthopedic nurses (51.1%) planned to quit, and 5.8% thought of leaving their job due to LBP. These study findings indicate that nurses in this region experience a burden of LBP similar to those in other regions in the world.


Author(s):  
Israel Macías-Toronjo ◽  
José Luis Sánchez-Ramos ◽  
María Jesús Rojas-Ocaña ◽  
E. Begoña García-Navarro

The purpose of this study was to describe the association between psychosocial factors in patients with work-related neck or low back pain (n = 129), in order to study sickness leave, its duration, the disability reported, and to analyze the relationship of these factors with different sociodemographic variables. This was a descriptive cross-sectional study. Data on kinesiophobia, catastrophizing, disability, and pain were gathered. Sociodemographic variables analyzed included sex, age, occupational, and educational level. Other data such as location of pain, sick leave status and duration of sickness absence were also collected. Educational level (p = 0.001), occupational level (p < 0.001), and kinesiophobia (p < 0.001) were found to be associated with sickness leave; kinesiophobia (b = 1.47, p = 0.002, r = 0.35) and catastrophizing (b = 0.72, p = 0.012, r = 0.28) were associated with the duration of sickness leave. Educational level (p =0.021), kinesiophobia (b = 1.69, p < 0.000, r = 0.505), catastrophizing (b = 0.76, p < 0.000, r = 0.372), and intensity of pain (b = 4.36, p < 0.000, r = 0.334) were associated with the degree of disability. In the context of occupational insurance providers, educational and occupational factors, as well as kinesiophobia and catastrophizing, may have an influence on sickness leave, its duration and the degree of disability reported.


Ozone Therapy ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Luca Morelli ◽  
Simona Carla Bramani ◽  
Marco Cantaluppi ◽  
Mara Pauletto ◽  
Alessandro Scuotto

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear<sup>®</sup> therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the <em>Oswestry low back pain disability questionnaire</em> to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar<sup>®</sup> therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.


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