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Back pain and its consequences among Polish Air Force pilots flying high performance aircraft

100%
Truszczyńska A., Lewkowicz R., Truszczyński O., Wojtkowiak M.
International Journal of Occupational Medicine and Environmental Health
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2014
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vol. 27
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issue 2
243-251
EN
Objectives: Back pain in Air Force fast jet pilots has been studied by several air forces and found to be relatively common. The objective of the study was to determine the prevalence and degree of the pain intensity in the cervical, thoracic and lumbar spine, subjective risk factors and their effect on the pilots' performance while flying high maneuver aircrafts and the consequences for cognitive deficiencies. Material and Methods: The study was designed as a retrospective, anonymous questionnaire survey, collecting data on the age, aircraft type, flying hours, pain characteristics, physical activity, etc. The study was participated by 94 pilots aged 28-45 years (mean age: 35.9±3.3 years), actively flying fast jet aircrafts Su-22, Mig-29 and F-16. The estimates regarding the level of the subjective back pain were established using visual analogue scales (VAS). Results: The values of the Cochran and Cox T-test for heterogeneous variances are as follows: for the total number of flying hours: F = 2.53, p = 0.0145, for the pilot's age: F = 3.15, p = 0.003, and for the BMI factor F = 2.73, p = 0.008. Conclusions: Our questionnaire survey showed a significant problem regarding spinal conditions in high performance aircraft pilots. The determination of the risk factors may lead to solving this problem and help eliminate the effect of the unfavorable environment on piloting jet aircrafts. Experiencing back pain during the flight might influence the mission performance and flight safety. The costs of pilots education are enormous and inability to fly, or even disability, leads to considerable economic loss. More research on specific prevention strategies is warranted in order to improve the in-flight working environment of fighter pilots.
2
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Return to work after spinal stenosis surgery and the patient’s quality of life

88%
Truszczyńska A., Rąpała K., Truszczyński O., Tarnowski A., Łukawski S.
International Journal of Occupational Medicine and Environmental Health
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2013
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vol. 26
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issue 3
394-400
EN
Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge. Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment. 3) To assess the quality of life of the patients and its influence on their attitude to work. Materials and Methods: The study population consisted of 58 patients aged from 21 to 80 years (the mean age was 52.33±14.12). There were 29 women (50%) and 29 men (50%) in the group. The patients' quality of life was measured by the use of the WHOQOL-BREF instrument. Individual interviews were conducted 3 to 8 months (a mean of 5.72 months ±1.6) after the surgery. Results: 1) Although 13 patients (22.3%) returned to work, 44 (75.9%) did not, these being manual workers of vocational secondary education. 2) Almost half of the patients (27 patients, i.e. 44%) intend to apply for disability pension, 16 patients (27.6%) consider themselves unfit to work, 22 patients (37.9%) do not feel like working again. 3) The quality of life of the patients decreased. Domain scores for the WHOQOL-BREF are transformed to a 0-100 scale. The mean physical health amounted to 60.67 (±16.31), the mean psychological health was 58.78 (±16.01), while the mean social relations with family and friends were 59.91 (±20.69), and the mean environment 59.62 (±12.48). Conclusions: 1) A total of 75% of the patients operated for lumbar spinal stenosis do not return to their preoperative work. Difficulties in returning to work and decreased quality of life are associated with female sex, lower-level education, hard physical work and low income. 2) Physical health, psychological health, social relations and environment decreased to the mean of approximately 60. 3) The quality of life of the patients who did return to work was similar to that of healthy people.
3
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Back pain in Polish military helicopter pilots

88%
Truszczyńska A., Lewkowicz R., Truszczyński O., Rąpała K., Wojtkowiak M.
International Journal of Occupational Medicine and Environmental Health
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2012
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vol. 25
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issue 3
258-264
EN
Objectives: Low back pain in pilots of military helicopters is widely discussed in the world literature. Vibrations and improper seat configuration cause that cervical, thoracic and lumbar spine might be exposed to overloading. The aim of the study was to determine the incidence and intensity of pain in the spine as well as to identify subjective risk factors of back pain and its effect on the pilot’s actions while flying a helicopter. Materials and Methods: 112 pilots, aged 25−56 years (mean age: 34.8±6.3 years), actively flying helicopters, participated in the questionnaire survey. The questionnaire containing five groups of questions, elaborated by the authors, was used. Results: 70% of the pilots reported pain complaints. Pain was localized in different parts of the spine. Uncomfortable body posture during prolonged flights resulting from the lack of lumbar support exerted the highest effect on pain provocation. Conclusions: This questionnaire survey enabled to determine the prevalence of pain, its type and intensity. Knowledge on low back pain imposes the necessity to eliminate the negative environmental effect on helicopter pilotage. Elimination of risk factors is possible through appropriate physical exercises and adjustment of pilots’ seats. The authors plan to conduct – in the future – detailed annual examinations among pilots with back pain and, based on the results, to elaborate a prophylactic program containing simple forms of isometric and isotonic training involving paravertebral and deep abdominal muscles designed specifically for pilots of military helicopters.
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Częstość występowania nadwagi i otyłości u studentów lotniczej uczelni wojskowej a poziom ich aktywności fizycznej

76%
Gaździńska A., Baran P., Skibniewski F., Truszczyński O., Gaździński S., Wyleżoł M.
Medycyna Pracy
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2015
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vol. 66
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issue 5
653-660
EN
Background The aim of the study was to evaluate overweight, obesity and the level of physical activity in the study group of 100 cadets of the Air Force Military Academy in Dęblin (WSOSP). Material and Methods Evaluation of overweight and obesity was based on body mass index (BMI) and body fat content. An accelerometer AiperMotion 500TM was used to measure the level of physical activity. There were marked such parameters as the average daily energy consumption, the average distance covered during the day and the whole week and the indicator of physical activity level (PAL). Results Based on BMI indicators, 71.3% of the cadets had normal body weight, 25.3% were overweight and 3.4% were obese. Assessment of nutritional status showed significant differences between the 1st and 2nd vs. the 4th and 5th years of study. Normal BMI values showed 88% of the 1st and 2nd year students, while of the 4th and 5th years – only 48.6% (p < 0.05). Based on the body fat content, obesity was found only in a group of older students (16.2%) and overweight was 10 times higher in the 4th and 5th years (21.6%) in comparison to younger students (2%). The average distance covered during the day or during the whole week was significantly higher in the 1st and 2nd year students. Conclusions It is necessary to implement appropriate measures in the field of nutrition and physical activity to prevent the development of excessive body weight during studies among the military cadets of the Air Force Military Academy in Dęblin. Med Pr 2015;66(5):653–660
PL
Wstęp Celem pracy była ocena częstości występowania nadwagi i otyłości oraz poziomu aktywności fizycznej podchorążych Wyższej Szkoły Oficerskiej Sił Powietrznych w Dęblinie (WSOSP). Materiał i metody Badania przeprowadzono w grupie 100 mężczyzn I, II, IV i V roku Wydziału Lotnictwa WSOSP. Oceny częstości występowania nadwagi i otyłości dokonano na podstawie wskaźnika masy ciała (body mass index – BMI) i procentowej zawartości tkanki tłuszczowej. Do pomiaru poziomu aktywności fizycznej użyto akcelerometru AiperMotion 500TM. Oznaczono średnie dzienne zużycie energii, średnią odległość pokonywaną w ciągu dnia i tygodnia oraz współczynnik poziomu aktywności fizycznej PAL (physical activity level). Wyniki Na podstawie BMI prawidłową masę ciała stwierdzono u 71,3% badanych, nadwagę – u 25,3%, natomiast otyłość – u 3,4%. Ocena stanu odżywienia wykazała istotne różnice między studentami I i II roku a studentami IV i V roku. Wśród studentów I i II roku prawidłowe wartości BMI miało 88% osób, a wśród studentów IV i V roku – jedynie 48,6% (p < 0,05). Zawartość tkanki tłuszczowej była w normie u 80% studentów I i II roku oraz u 62,2% studentów IV i V roku. Otyłość oceniana na podstawie procentowej zawartości tkanki tłuszczowej występowała jedynie u starszych roczników (16,2%). Z kolei częstość występowania nadwagi była aż 10-krotnie wyższa u podchorążych IV i V roku (21,6%) w porównaniu ze studentami wcześniejszych lat (2%). Średnie odległości pokonywane zarówno w ciągu doby, jak i całego tygodnia były istotnie wyższe u podchorążych I i II roku niż u studentów IV i V roku. Wnioski Niezbędne jest wdrożenie działań profilaktycznych w zakresie żywienia i zwiększania aktywności fizycznej, które zapobiegną rozwojowi nadmiernej masy ciała w okresie studiów wśród podchorążych WSOSP w Dęblinie. Med. Pr. 2015;66(5):653–660
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