The prevalence and risk factors of lower back pain in emergency room nurses

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.

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.


Physiotherapy ◽  
2015 ◽  
Vol 23 (1) ◽  
Author(s):  
Urszula Żywień ◽  
Tomasz Sipko

AbstractProfessional work in a sitting position and the low level of physical activity could be an important cause of overload symptoms formation in the lumbar spine.Objective of the work: The evaluation quantity of the low back pain threshold in patients without pain symptoms, with diversified level of physical activity.The research was conducted in group 40 subjects at the age of 20 to 25, IT specialists and physiotherapists. The participants could participate in the study under the condition that they have never had low back pain before. Patients from the experimental group were divided into 3 categories: active (13 patients), minimally active (18 patients) and inactive (9 patients). The division was made on the basis of The International Physical Activity Questionnaire – Short Form. The pain threshold was determined by an algometer, every time, on both sides of the spine at the level of L3 and in neutral point on hand, the test was performed twice.Analysis of variance ANOVA showed a main effect of level of physical activity for the pain threshold results on the pine left (F = 8.01; p < 0.05) and right site (F = 9.77; p < 0.05). There has not been demonstrated such effect for the pain threshold results around hand (F = 0.62, p > 0.05).Lower quantity of low back pain threshold occurs in the patients with inactive and minimal active declared physical activity level. This indicates the need of low back pain prevention, which could be achieved by increasing physical activity level. The people without pain symptoms do not show asymmetry of the pain threshold between the right and the left side.


2017 ◽  
Vol 20 ◽  
pp. S20-S21
Author(s):  
Andreas Monnier ◽  
Helena Larsson ◽  
Håkan Nero ◽  
Mats Djupsjöbacka ◽  
Björn O. Äng

2018 ◽  
Vol 1 (1) ◽  
pp. 24-32
Author(s):  
M Afif Baskara Emirzon ◽  
M Hasnawi Hadani ◽  
Veny Larasati

The incidence of lower back pain in the productive age population continues to increase. Various risk factors such as age, sex, smoking, and physical activity, length of work and work position can exacerbate lower back pain complaints. This study was conducted to analyze risk factors that affect the severity of low back pain in patients who perform therapy in Medical Rehabilitation Installation RSUP dr. Mohammad Hoesin Palembang period 2016-2017. The research used is analytical observation with cross-sectional technique. The sample of research is 71 respondents in Medical Rehabilitation Installation of dr. Mohammad Hoesin Palembang that meets the inclusion criteria. The data was further processed and grouped in table form. At 71 respondents found 49 respondents suffered severe NPB and 22 respondents suffered from mild NPB. The results showed that sex, physical activity, work position and duration of work had significant relationship with mild cases of low back pain (p = 0,03, p = 0,000, p = 0,00, p = 0,002). While age, smoking, BMI did not have a significant association with mild cases of low back pain (p = 0.08, p = 1.044, p = 0.690). Risk factors that affect the severity of lower back pain are male, physical weight, working position sitting or bending and length of work more than 7 hours per day.


2021 ◽  
pp. 14-20
Author(s):  
V. A. Parfenov ◽  
I. A. Lamkova

In chronic nonspecific low back pain (CNLBP), an integrated approach is effective, which must include kinesitherapy. Unfortunately, in our country, kinesitherapy is not always used in CNLBP, ineffective methods of therapy are often used. The article presents an observation of a 55-year-old female patient who suffered from CNLBP. Magnetic resonance imaging of the lumbar spine revealed protrusions up to 4 mm at the level of L4-L5, L5-S1 segments, which were regarded as the cause of back pain. The patient was prescribed non-steroidal anti-inflammatory drugs (NSAIDs), ointments at the place of residence, limitation of physical activity was recommended, which did not have a significant positive effect. In a specialized neurological center, during manual examination, the patient showed signs of lesion of the right sacroiliac joint (SIJ), and with diagnostic and treatment blockade (with anesthetics and corticosteroids) of the right SIJ, an almost complete temporary regression of pain was noted. The patient was explained the causes of pain, the role of SIJ lesions, prolonged physical inactivity and static loads as the causes of CNLBP, the safety and effectiveness of kinesitherapy. Movalis® (meloxicam) was used as an NSAID at 15 mg per day. The patient underwent exercises to activate the gluteal muscles, rectus abdominis muscles, strengthen the back of the thigh, relieve tension from the square muscles of the lower back, and relax the hip flexor muscles. Techniques for controlling the neutral position of the spine and the walking pattern were worked out. Within 10 days, the pain completely disappeared, functional disorders on the Oswestry scale decreased from 34% to 10%. Over the next 3 months, the patient regularly performed therapeutic exercises, avoided static loads, her physical activity increased from 10 to 26 points, back pain did not bother her. The issues of the effectiveness of kinesitherapy in CNLBP are discussed. It is noted that in CNLBP, regularity of physical exercises, exclusion of abrupt and excessive movements, and static loads are of leading importance. Walking represent a highly effective method of treatment and prevention of CNLBP and should be combined with other methods of kinesitherapy. The efficacy and low risk of complications from the use of meloxicam in patients with CNLBP not only from the gastrointestinal tract, but also from the cardiovascular system are noted. The use of kinesitherapy in complex therapy can help many patients with CNLBP, in whom it has not been previously used.


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. 


Author(s):  
Peter Šagát ◽  
Peter Bartík ◽  
Pablo Prieto González ◽  
Dragoș Ioan Tohănean ◽  
Damir Knjaz

This study aimed to estimate the effect of the coronavirus disease 2019 (COVID-19) quarantine on low back pain (LBP) intensity, prevalence, and associated risk factors among adults in Riyadh (Saudi Arabia). A total of 463 adults (259 males and 204 females) aged between 18 and 64 years and residing in Riyadh (Saudi Arabia) participated in this cross-sectional study. A self-administered structured questionnaire composed of 20 questions regarding demographic characteristics, work- and academic-related aspects, physical activity (PA), daily habits and tasks, and pain-related aspects was used. The LBP point prevalence before the quarantine was 38.8%, and 43.8% after the quarantine. The LBP intensity significantly increased during the quarantine. The low back was also the most common musculoskeletal pain area. Furthermore, during the quarantine, a significantly higher LBP intensity was reported by those individuals who (a) were aged between 35 and 49 years old, (b) had a body mass index equal to or exceeding 30, (c) underwent higher levels of stress, (d) did not comply with the ergonomic recommendations, (e) were sitting for long periods, (f) did not practice enough physical activity (PA), and (g) underwent teleworking or distance learning. No significant differences were found between genders. The COVID-19 quarantine resulted in a significant increase in LBP intensity, point prevalence, and most associated risk factors.


2020 ◽  
Vol 10 (2) ◽  
pp. 51
Author(s):  
Aleksandra Bryndal ◽  
Marian Majchrzycki ◽  
Agnieszka Grochulska ◽  
Sebastian Glowinski ◽  
Agnieszka Seremak-Mrozikiewicz

Background: Low Back Pain (LBP) is a frequent, very common, and costly health problem. LBP, which occurs during pregnancy, may become a lifelong problem. The aim of this study was to determine the risk factors associated with LBP in pregnant women. Methods: The study included 1510 pregnant women. A questionnaire assessing demography, lifestyle, prevalence, and characteristics was designed and used in the study. Pain intensity was assessed with the VAS (Visual Analogue Scale). The RMDQ (Roland Morris Disability Questionnaire) was used to assess the effect that low back pain had on the functional capacity of a pregnant woman. Middle (thoracic) and low back pain disability was measured with the help of the ODI (Oswestry Disability Index) questionnaire. Results: The study confirmed that lying/sleeping (49.6%) and sitting positions (38.7%) as well as walking (37.2%) are the most significant factors causing LBP. It was also found that women who had not engaged in physical activity were more likely to experience LBP. Conclusions: Predisposing factors for LBP in pregnancy are LBP in previous pregnancies, back pain during menstruation, a younger age and a lack of physical activity. Most women in pregnancy with LBP experienced minimal and mild disability.


2020 ◽  
Vol 91 (12) ◽  
pp. 940-947
Author(s):  
Matthias Albermann ◽  
Maria Lehmann ◽  
Christian Eiche ◽  
Joachim Schmidt ◽  
Johannes Prottengeier

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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