Model for the work-relatedness of low-back pain (original) (raw)
Related papers
2019
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 h...
Prevalence, Recognition of Work-Relatedness, and Effect on Work of Low Back Pain Among U.S. Workers
Annals of Internal Medicine, 2019
This is the prepublication, author-produced version of a manuscript accepted for publication in Annals of Internal Medicine. This version does not include post-acceptance editing and formatting. The American College of Physicians, the publisher of Annals of Internal Medicine, is not responsible for the content or presentation of the author-produced accepted version of the manuscript or any version that a third party derives from it. Readers who wish to access the definitive published version of this manuscript and any ancillary material related to this manuscript (e.g., correspondence, corrections, editorials, linked articles) should go to Annals.org or to the print issue in which the article appears. Those who cite this manuscript should cite the published version, as it is the official version of record.
Biomechanical and psychosocial risk factors for low back pain at work
American Journal of Public Health, 2001
Objectives. This study determined whether the physical and psychosocial demands of work are associated with low back pain. Methods. A case-control approach was used. Case subjects (n = 137) reported a new episode of low back pain to their employer, a large automobile manufacturing complex. Control subjects were randomly selected from the study base as cases accrued (n = 179) or were matched to cases by exact job (n = 65). Individual, clinical, and psychosocial variables were assessed by interview. Physical demands were assessed with direct workplace measurements of subjects at their usual jobs. The analysis used multiple logistic regression adjusted for individual characteristics. Results. Self-reported risk factors included a physically demanding job, a poor workplace social environment, inconsistency between job and education level, better job satisfaction, and better coworker support. Low job control showed a borderline association. Physical-measure risk factors included peak lumbar shear force, peak load handled, and cumulative lumbar disc compression. Low body mass index and prior low back pain compensation claims were the only significant individual characteristics. Conclusions. This study identified specific physical and psychosocial demands of work as independent risk factors for low back pain.
A Meta-Analysis on the Risk Factors of Low Back Pain in Health Workers
Journal of Epidemiology and Public Health
Background: Low back pain is a common problem in global health. Low back pain is very commonly found with disabilities compared to other conditions. Complaints of the musculoskeletal system are complaints in parts of the skeletal muscles that a person feels from very mild to very painful. There is a possible factor that can cause the occurrence of lower back pain in health workers such as length of work in a day. This study aimed to analyze the length of work in a day for health workers. Subjects and Method: This was a meta-analysis and systematic study using electronic databases of Pubmed, Science Direct, Scopus, Google Scholar, and Springer Link. The keywords for searching articles were as follows: risk factor, low back pain, medical person, health workers, Cross Sectional. The articles studied were full-text articles with cross-sectional study design. The articles were collected using PRISMA diagrams and analyzed using the ReviewManager 5.4. Results: Length of work by 5 years (aOR=1.58; 95%CI=1.27 to 1.96; p<0.0001) was a factor that could increase the incidence of low back pain in health workers. The result was statistically significant. Tenure of work by ≥6 hours in a day (aOR= 1.53; 95%CI=0.71 to 3.29; p=0.28) was a factor that could increase the incidence of lower back pain in health workers. However, the result was statistically non-significant. Conclusion: Longer length of work/day increase the risk of lower back pain in health workers.
Pain Management, 2016
Work-related pain is unique in the pain context as it is, in theory, tied to one or more workplace activities and is therefore preventable. Back pain is a leading cause of lost workplace productivity, absence from work and reduced quality of life. Aggregate estimates of the work-related contribution to the overall burden of back pain vary, which may reflect incomplete reporting, inconsistency in data collection and coding between studies and jurisdictions, or, alternatively, genuine differences between occupational groups and countries. It is therefore important for researchers, policy analysts and program development personnel in the fields of pain medicine and occupational medicine to have a thorough understanding of the appropriate use and inherent limitations of the data sources which report on this topic.
Risk factors for back pain incidence in industry: a prospective study
Pain, 1998
The objective of this study was to examine the relationship between physical and psychological risk factors on the one hand, and the occurrence of new episodes of back pain on the other hand. A prospective study was conducted with 12 months follow-up by means of selfadministered questionnaires. The study took place in the Cargo Department of a major Dutch airline company. The subjects for this study were 270 workers involved in heavy physical work. Only workers without back pain at baseline were included. Self-reported back pain and sick leave due to back pain during the follow-up period were measured. Of the 238 workers included in the analysis, 73 (31%) developed a new episode of back pain during the follow-up period, and 27 (11%) subjects reported sick leave due to back pain. Multiple logistic regression analysis showed that the history of back pain was the best predictor for the occurrence of a new episode of back pain during follow-up (OR 9.8; 95% CI 2.8-34.4 for subjects who had back pain more than twice in the past year). Low job satisfaction was also associated with an increased risk for the occurrence of back pain during follow-up (OR 1.2; 95% CI 1.01-1.4). Riding a forklift truck appeared to be a protective factor for the occurrence of back pain (OR 0.7; 95% CI 0.5-0.99). In this study the best predictors for the occurrence of back pain were the history of back complaints and low job satisfaction. Although it needs to be confirmed by future intervention studies, the results indicate that increasing job satisfaction may be a successful (co-)intervention for the prevention of back pain at the workplace. © 1998 International Association for the Study of Pain. Published by Elsevier Science B.V.
Prevalence and Risk Factors for Low Back Pain in Industrial Workers
Folia Medica, 2011
The aim of the present study was to determine the prevalence of low back pain (LBP) in industrial workers, check for possible LBP related risk factors and investigate the associations between physical activity and severity of low back pain. METHODS: We conducted a cross-sectional study among 430 workers of an industrial company over the previous 12 months. The industrial workers were given questionnaires and assigned to two groups: (1) with low back pain, (2) without low back pain. Group 1 was then divided into three subgroups according to the answer to question (a) LBP without irradiation, called mild cases, (b) LBP with irradiation above the knee, called moderate cases, LBP with the irradiation below the knee, called severe cases. RESULTS: LBP was found in 61.6% of workers. The prevalence of LBP was signifi cantly associated with physical activity (p = 0.03). There was a signifi cant difference between frequent physical activity and severity of LBP (p = 0.01). Work-related physical factors showed strong associations with LBP. The main risk factors for low back pain among production workers were extreme trunk fl exion (OR = 3.5, 95% CI 1.7-7.3), as well as lifting of loads (OR = 3.5, 95% CI 1.9-6.2), pushing or pulling heavy loads (OR = 3.5, 95% CI 1.9-6.2) and exposure to whole body vibration (OR = 1.7, 95% CI 1.0-3.0). CONCLUSION: Daily life conditions, job-related factors are associated with the occurrence of low back pain. These results suggest that individuals with LBP should avoid nonspecifi c physical activities to reduce pain and improve psychological health.
BMC Musculoskeletal Disorders, 2009
In the working population, back disorders are an important reason for sick leave and permanent work inability. In the context of fitting the job to the worker, one of the primary tasks of the occupational health physician is to evaluate the balance between work-related and individual variables. Since this evaluation of work capacity often consists of a physical examination of the back, the objective of this study was to investigate whether a physical examination of the low back, which is routinely performed in occupational medicine, predicts the development of low back pain (LBP).