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Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?
Background As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model. Methods Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed...
Is objectively measured sitting at work associated with low back pain?
A cross sectional study in the DPhacto cohort Objectives: Low-back pain (LBP) is a substantial health challenge due to the risk for long-term sickness absence and early retirement. Several biomechanical exposures at work, including sitting, have been suggested to increase the risk for LBP. The objectives of this study were to determine (i) the extent to which temporal patterns and total amount of objectively measured sitting is associated with LBP intensity and (ii) whether selected modifiers influence these associations. Methods: This cross sectional study uses baseline data from the Danish PHysical...
Development and validation of an easy-to-use risk assessment tool for cumulative low back loading
The Lifting Fatigue Failure Tool (LiFFT) Recent evidence suggests that musculoskeletal disorders (MSDs) may be the result of a fatigue failure process in affected tissues. This paper describes a new low back exposure assessment tool (the Lifting Fatigue Failure Tool [LiFFT]), which estimates a “daily dose” of cumulative loading on the low back using fatigue failure principles. Only three variables are necessary to derive the cumulative load associated with a lifting task: the weight of the load, the maximum horizontal distance from the spine to the load, and the number of repetitions...
Associations of objectively measured sitting and standing with low-back pain intensity
A 6-month follow-up of construction and healthcare workers This study investigated associations between sitting and standing, respectively, and low-back pain with objectively measured exposures for several days and a prospective design. Sitting at work and during full-day is negatively associated with cross-sectional- and prospective low-back pain intensity. This association was seen for the healthcare sector, but not for the construction sector. Source: Lunde, L. K., Koch, M., Knardahl, S., & Veiersted, K. B. (2017). Scandinavian Journal of Work, Environment & Health . http://dx.doi.org...
A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff
A controlled before-after study This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs' use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals. At 12-month follow-up, the intervention group had more positive attitudes towards patient-handling equipment and increased...
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Does objectively measured daily duration of forward bending predict development and aggravation of low-back pain
A prospective study OBJECTIVES: The aim of this paper was to investigate if objectively measured daily duration of forward bending of the trunk increases the risk of the development or aggravation of low-back pain (LBP) over one year in a working blue-collar population by examining (i) the incidence rate of LBP among workers reporting no LBP at baseline, and (ii) the aggravation of LBP among workers reporting LBP at baseline. METHODS: Using data from the Danish Physical Activity Cohort with Objective Measurements (DPhacto), the study measured forward bending of the trunk (>60 ) at work (FBW...
A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence
Stepped wedge cluster randomised trial Aims: The aims of this study were to test whether a multi-faceted intervention effective for low back pain was effective for physical capacity, work demands, maladaptive pain behaviours, work ability and sickness absence due to low back pain. Methods: A stepped wedge cluster randomised, controlled trial with 594 nurses' aides was conducted. The intervention lasted 12 weeks and consisted of physical training (12 sessions), cognitive behavioural training (two sessions) and participatory ergonomics (five sessions). Occupational lifting, fear avoidance, physical...
Long-Term Muscle Fatigue After Standing Work
Objective: The aims of this study were to determine long-term fatigue effects in the lower limbs associated with standing work and to estimate possible age and gender influences. Background: The progressive accumulation of muscle fatigue effects is assumed to lead to musculoskeletal disorders, as fatigue generated by sustained low-level exertions exhibits long-lasting effects. However, these effects have received little attention in the lower limbs. Method: Fourteen men and 12 women from two different age groups simulated standing work for 5 hr including 5-min seated rest breaks and a 30-min lunch...
Les troubles musculosquelettiques du rachis chez les assistantes maternelles
Les assistantes maternelles sont-elles exposées à des contraintes biomécaniques suffisantes pour établir un lien direct avec l'apparition de TMS du rachis ou de hernies discales ? Pour répondre à cette question, une revue de la littérature a été effectuée et les réseaux de surveillance ont été interrogés. Aucune étude portant spécifiquement sur " assistantes maternelles " et " TMS " ne permet de répondre à la question posée. Cependant, les...
Patient transfers and assistive devices
Prospective cohort study on the risk for occupational back injury among healthcare workers Objectives : This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. Methods : The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire in 2005 and 2006, respectively. Using logistic regression, the odds for occupational back injury (ie, sudden onset episodes) in 2006 from patient transfers in 2005 was modeled. Results : In the total study population...
Paramedics on the job
Dynamic trunk motion assessment at the workplace Many paramedics' work accidents are related to physical aspects of the job, and the most affected body part is the low back. This study documents the trunk motion exposure of paramedics on the job. Nine paramedics were observed over 12 shifts (120 h). Trunk postures were recorded with the computer-assisted CUELA measurement system worn on the back like a knapsack. Average duration of an emergency call was 23.5 min. Sagittal trunk flexion of >40° and twisting rotation of >24° were observed in 21% and 17% of time-sampled postures...
Musculoskeletal pain in Europe: the role of personal, occupational, and social risk factors
Objectives The prevalence of musculoskeletal pain in European countries varies considerably. We analyzed data from the fifth European Working Conditions Survey (EWCS) to explore the role of personal, occupational, and social risk factors in determining the national prevalence of musculoskeletal pain. Methods Over the course of 2010, 43 816 subjects from 34 countries were interviewed. We analyzed the one-year prevalence of back and neck/upper-limb pain. Individual-level risk factors studied included: sex; age; educational level; socioeconomic status; housework or cooking; gardening and repairs;...
Impacts biomécaniques et ergonomiques de la manutention chez les travailleurs obèses
L’obésité est un problème émergent qui semble s’immiscer dans les problématiques de santé et sécurité du travail. La prévalence de blessures musculo-squelettiques chez les individus obèses et les coûts indirects (non médicaux) sont plus élevés que ceux des travailleurs ayant un poids santé. Sachant qu’une hausse soutenue du taux d’obésité chez les travailleurs est observée au Canada, il est important de s’intéresser à la problématique...
The Application of a Classification-Tree Model for Predicting Low Back Pain Prevalence Among Hospital Staff
Low back pain (LBP) is a widespread musculoskeletal condition that frequently occurs in the working-age population (including hospital staff). This study proposes a classification-tree model to predict LBP risk levels in Sacré-Cœur Hospital, Lebanon (as a case study—236 chosen staffs) using various predictor individual and occupational factors. The developed tree model explained 80% of variance in LBP risk levels using standing hours/day (90% in relative importance), job status/sitting hours per day (80% each), body mass index (71%), working days/week (63%), domestic activity...
Absenteeism Screening Questionnaire (ASQ): A New Tool for Predicting Long-term Absenteeism Among Workers with Low Back Pain
Introduction : Over the last decades, psychosocial factors were identified by many studies as significant predictive variables in the development of disability related to common low back disorders, which thus contributed to the development of biopsychosocial prevention interventions. Biopsychosocial interventions were supposed to be more effective than usual interventions in improving different outcomes. Unfortunately, most of these interventions show inconclusive results. The use of screening questionnaires was proposed as a solution to improve their efficacy. The aim of this study was to validate...
Vibration and mechanical shock exposure strongly associated with prevalence of neck pain
The objective of this study was to determine whether whole-body vibration (WBV) and mechanical shock exposure from quad bike use are associated with the prevalence of neck and low back pain (LBP) in New Zealand farmers and rural workers. Physical exposures (mechanical shocks), employee status, and low levels of workplace satisfaction are all significantly associated with the 12-month prevalence of LBP in this rural workforce that regularly uses quad bikes. Both vibration and mechanical shock exposure were strongly associated with 12-month prevalence of neck pain. The 7-day prevalence of neck pain...
The association between compensation and chronic disabling back pain
BACKGROUND: Low back pain (LBP) is a common and major health problem. Although it is known that psychosocial factors are important predictors of LBP outcome, some factors, including financial compensation, have not been fully studied in Japan. This cross-sectional study aimed to examine the association between LBP compensation (workers' compensation and automobile insurance claims) and lifetime experience of chronic LBP and back pain disability (chronic disabling LBP) in a Japanese adult population. METHODS: In February 2011, 1,063,083 adults aged 20-79 years registered as Internet research...
Change with the times: Chronic conditions hint at the need for tailored injury prevention efforts
Workplaces may need to tailor their injury prevention efforts to address the rising prevalence of chronic conditions, says new research from the Institute for Work & Health. The higher prevalence of chronic conditions among older workers may have important implications for the prevention of workplace injuries, suggests new research from the Institute for Work & Health (IWH). The research, just published in the Journal of Occupational and Environmental Medicine (vol. 54, no. 7, pp. 841-846), examined the relationship between five chronic conditions—arthritis, hypertension, heart disease...
The Relationship Between Chronic Conditions and Work-Related Injuries and Repetitive Strain Injuries in Canada
Objective: To examine the relationships between arthritis, hypertension, heart disease, diabetes, and back problems, and the risk of work-related injuries (WRIs) and work-related repetitive strain injuries (RSIs).Methods: Using data from the 2003 and 2005 Canadian Community Health Surveys (n = 79,114), we examined the relationship between each chronic condition and WRIs and RSIs, adjusting for various demographic and work-related variables that may confound this relationship. Results : Statistically elevated risks were observed for arthritis and back problems for both WRIs and RSIs among both men...
Standing, kneeling and squatting at work – health-based limit values
In the present report, at the request of the Minister of Social Affairs and Employment, the Health Council of the Netherlands has investigated whether at the present time there are any new scientific insights concerning health-based or safety-based limit values for work performed while standing, kneeling or squatting. This report is one of a series of advisory reports in which the Committee on the Identification of Workplace Risks examining occupational risks covered by the Dutch Working Conditions Act and its associated regulations. To answer the Minister’s questions, the Committee studied...
Five easy pieces: Easy-to-use tool helps predict back-pain outcomes
A simple, five-question tool has been developed to help front-line doctors identify those patients with back pain who are at risk of severe and long-term functional limitations and, therefore, potentially in need of more aggressive treatment and follow-up. Five simple questions could help doctors determine early on which patients with back pain need extra attention and which do not. This was the finding of a study led by Dr. Clermont Dionne, director of the Population Health Research Unit (URESP) within the Centre de recherche FRSQ at the Centre hospitalier affilié universitaire de Québec...
Programme de prévention des TMS chez le personnel soignant
Ce programme offre une démarche en huit étapes et de nombreux outils pour prévenir les troubles musculosquelettiques chez le personnel soignant. Ce programme constitue un cadre de référence accessible à partir du site Internet de l'ASSTSAS. Le contenu de ce programme est basé sur l’expérience accumulée par l’ASSTSAS et sur les données probantes recueillies auprès d’organismes comparables et d’organismes publics, principalement en Amérique du Nord. Les principales publications consultées...
Travail et lombalgie : du facteur de risque au facteur de soin
Mal de dos, douleur, gêne, lourdeur, raideur, lumbago ou sciatique : autant de termes pour évoquer les lombalgies ! "Mal du siècle" au XXIè comme au XXè siècle, ce qualifiant, largement usurpé, fait pourtant régulièrement la une de nombreux médias. Est-ce un mal incontournable ? Peut-être. Mais d'une part les messages diffusés alourdissent exagérément les conséquences de ces douleurs et d'autre part les actions de prévention menées jusqu'à maintenant...
Violence link to MSDs found in health-care study
Healthcare workers exposed to physical violence A new study found that healthcare workers who are exposed to physical violence at work experience significantly more often low back pain and other musculoskeletal symptoms. The study, 'Violence at work increases the risk of musculoskeletal pain among nursing-home workers', is published online in the Occupational and Environmental Medicine journal. Source : http://osha.europa.eu/en/news/fi-fioh-violence-link-to-msds-found-in-health-care-study
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