Search results

1

Effects of kinesio taping in a physical therapist with acute low back pain due to patient handling: A case report

100%

Hwang-Bo G., Lee J.-H.

International Journal of Occupational Medicine and Environmental Health

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2011

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vol. 24

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issue 3

320-323

EN

Objectives: The paper describes the case of a physical therapist with acute Low Back Pain (LBP) due to patient handling and the efficacy of Kinesio Taping (KT) around the trunk in the treatment of this occupational LBP. Materials and Methods: KT was applied around the trunk for 3 days, for an average of 10 h/day. Kinesio tape was applied with 130–140% stretch to the rectus abdominis, internal oblique, erector spinae, and latissimus dorsi muscles, which are activated in the process of lifting. Results: Following the KT application, the ‘Visual Analog Scale’ and ‘Oswestry Disability Questionnaire scores’ gradually decreased and active trunk range of motion limited by the LBP increased progressively. The physical therapist no longer complained of LBP and was able to handle patients without any pain. Conclusions: Hence, continuous application of KT around the trunk may be a supplementary treatment method for acute LBP in physical therapists and enable continuous patient handling without any loss of work time due to occupational LBP. In addition, KT may also be applicable for the prevention and treatment of occupational LBP in other professions involving lifting heavy objects.

2

Analysis of risk factors of recurring non-specific low back pain with particular emphasis on “new” predictive factors

100%

Citko A., Górski S., Marcinowicz L., Górska A.

Family Medicine & Primary Care Review

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2017

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issue 3

201-208

3

Non-specific low back pain – what does it exactly mean? A proposed redefinition and classification of the problem

100%

Jacek Małecki J.

European Journal of Clinical and Experimental Medicine

|

2017

|

issue 4

349-355

EN

Introduction. Analysis of the medical literature shows that non-specific low back pain is a multifaceted affliction. Determining the unequivocal definition and classification of the ailment could be somewhat difficult. The following review presents a multiplicity of common low back pain nuances. The paper also shows necessity of unification of the definition and clarification, for placing non-specific low back pain among other musculoskeletal disorders. Aim. The author will attempt to provide the answers to basic questions about non-specific low back pain. In its form, the paper will have similarities to the prospect study with narrative review features. Although the reader should remember that the article is neither a result of expert team efforts nor non-specific low back pain leading authority opinion. Therefore the suggestions should be interpreted with necessary distance and scientific scepticism. Material and methods. Proper publications were searched in PubMed and EBSCO scientific articles databases, using terms: ‘nonspecific low back pain’ or ‘non-specific low back pain’, ‘definition’, ‘diagnostic triage’, and ‘classification’ in different combinations. Results. As a result of the review, subtle correction of the current non-specific low back pain definition has been proposed. Acknowledgments. The author of this review wishes to show his appreciation to Prof. Edward Saulicz, the promotor and mentor for didactic support, methodologic and merythoric advice, and for manuscript correction. Thanks also extended to colleague Łukasz Sejboth, master of physiotherapy, for help with appropriate references and motivation to scientific exploration with his unassailable attitude and professionalism. Furthermore, author would like to acknowledge Keith Littlewood for his kind and valid amendments in the English version of the manuscript.

4

Inflammatory low back pain: diagnostic and therapeutical recommendations for family doctors

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Kucharz E., Mastalerz-Migas A., Kwiatkowska B., Gasik R., Kotulska A., Kowalczewski J., Tomasik T.

Family Medicine & Primary Care Review

|

2016

|

issue 3

399-407

5

Anti-fatigue mats, low back pain, and electromyography: An interventional study

100%

Aghazadeh J., Ghaderi M., Azghani M.-R., Khalkhali H.-R., Allahyari T., Mohebbi I.

International Journal of Occupational Medicine and Environmental Health

|

2015

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vol. 28

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issue 2

347-356

EN

Objectives Increasing bilateral gluteus medius co-activation has been identified as one of the most important factors in developing low back pain due to prolonged standing in healthy people. This study aims to investigate the impact of an anti-fatigue mat on the bilateral gluteus medius co-activation pattern and to report the low back pain subjectively in 2 different standing positions on the normal rigid surface and on the anti-fatigue mat. Material and Methods While carrying out an easy simulated profession, 16 participants who had no low back pain background were requested to stand for 2 h in each position, with and without using the anti-fatigue floor mat, respectively. At the beginning of standing process and at every 15 min until the time of 120 min lapses, electric activities for the bilateral gluteus medius co-activation and subjective pain level in low back area were collected by the surface electromyogeraphy (EMG) and the visual analogue scale (VAS), respectively in each position. Results The obtained findings revealed that the anti-fatigue mat significantly decreased subjective pain level in low back area among 15 participants (p < 0.05). However, there was objectively no significant difference in the bilateral gluteus medius co-activation pattern among the participants between the position 1 and the position 2 (p > 0.05). The findings obtained under this study related to the impact of the anti-fatigue mat upon the low back pain based on the increase of > 10 mm on the VAS threshold, which showed that this intervention had no significant impact upon decreasing the number of patients suffering from the low back pain and also minimizing the bilateral gluteus medius co-activation in both pain developer groups (p > 0.05). However, 73% of the participants preferred to apply it. Conclusions It seems that the anti-fatigue mat may be useful in reducing the low back pain although it objectively didn’t significantly change the gluteus medius co-activation pattern related to the low back pain.

6

Acceptance of chronic low back pain in actively working patients

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Kułak W., Kondzior D.

Progress in Health Sciences

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2011

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vol. 1

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issue 1

81-88

EN

Purpose: Assessment of pain intensity in patients with chronic low back pain in correlation with the clinical picture and illness acceptance. Material and methods: The study group included 120 patients (67 males and 53 females) aged 43.07 ± 8.74 years (range: 18 – 62 years) diagnosed with lumbosacral spine discopathy. The study was conducted between 2008 - 2010. Assessment tools used for the study included: pain intensity scale and Acceptance of Illness Scale (AIS). Results: Most often the pain was reported in the L4-L5 level of the lumbar spine. The duration of the illness ranged between 1-31 years (6.90 ± 6.47). The majority of the patients in the studied group were physical workers. Nearly half of the patients, 59 (49.16%) described their pain as moderate on a 5-point pain scale. No acceptance of illness according to the AIS scale was noted in 33 (27.5%) patients, the remaining 67 (72.5%) patients declared quite good and average good illness acceptance. We found no significant dependencies of the frequency of pain occurrence, pain intensity, its duration and the type of work. Conclusions: Pain reported due to chronic low back pain by the majority of the patients was of moderate intensity. No correlation was found between the pain and illness acceptance.

7

Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: A cross-sectional survey

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Lin P.-H., Tsai Y.-A., Chen W.-C., Huang S.-F.

International Journal of Occupational Medicine and Environmental Health

|

2012

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vol. 25

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issue 1

41-50

EN

Background: Low back pain is a common health problem among hospital nurses. However, the prevalence, characteristics, and work-related risk factors of low back pain have not been widely investigated in Taiwan. Materials and Methods: This study used a cross-sectional survey of 217 hospital nurses to gather self-reported information on the prevalence of back pain, demographic and pain characteristics, and work-related risk factors from 178 respondents who indicated a past history of back pain. The association between the characteristics of back pain and work-related risk factors was also examined. Results: The lifetime prevalence of back pain was 82.03%, and the point prevalence of back pain was 43.78%. The mean pain score is 41.67. The number of years at work was significantly associated with the pain score for an individual’s most recent episode of back pain, the extent of bothersomeness of back pain and leg pain, and the extent to which back pain interfered with normal work. Conclusion: Back pain is common among hospital nurses in Taiwan. Years at work are significantly associated with pain severity and disability caused by back pain.

8

Effects of core-stabilization and trunk balance exercises on clinical parameters in patients with non-specific chronic low back pain – a randomized pilot study

100%

Fapojuwo O. A., Akodu A. K., Ositelu A. E.

European Journal of Clinical and Experimental Medicine

|

2023

|

issue 2

217-223

EN

Introduction and aim. This study compared the efficacy of core stabilization (CSE) and trunk balance exercises (TBE) with flexibility training on pain-related disability (PRD), psychological status (PS) and fear avoidance belief (FAB) in patients with non-specific chronic low back pain (NSCLBP). Material and methods. Twenty-eight (28) participants diagnosed of NSCLBP were randomly assigned into CSE, TBE, and control groups (CG). Participants in CSE (n=10); TBE (n=8) and CG groups (n=10) received core stabilization exercise, trunk balance exercise and back care advice respectively. All participants received flexibility training in addition to treatment in their respective groups. Assessment of outcomes were done at baseline, end of 4th and 8th week. Results. There was significant improvement in all outcomes in the CSE, TBE and CG at 8 weeks; PRD (p=0.005, p=0.008, p=0.005), PS: depression (p=0.005, p=0.008, p=0.007); anxiety (p=0.005, p=0.007) and FAB about work (p=0.005, p=0.007, p=0.005); about physical activity (p=0.005, p=0.018, p=0.006). Comparison of outcomes between CSE and TBE groups showed no significant difference (p>0.05). Conclusion. Both CSE and TBE with flexibility training are effective in improving PRD, PS and FAB of patients with NSCLBP.

9

Low back pain among female nurses in Yemen

88%

Ghilan K., Al-Taiar A., Yousfi N. A., Zubaidi R. A., Awadh I., Al-Obeyed Z.

International Journal of Occupational Medicine and Environmental Health

|

2013

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vol. 26

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issue 4

605-614

EN

Objectives: This study aimed to investigate the prevalence of Low Back Pain (LBP) among female nursing staff and explore the potential risk factors associated with LBP. Methods: An analytical cross-sectional study was conducted on randomly selected female nurses using payroll as a sampling frame in all public hospitals in Sana'a City, Yemen. Data was collected through face-to-face interview using a structured, pre-coded questionnaire that was available in Arabic and English. Weight and height of the nurses were measured using weight and height scales and body mass index was calculated. Multiple logistic regression was used to identify the factors associated with LBP. Results: Out of 696 female nurses selected, 687 (98.7%) responded. The life-time, the 12-month and one-week prevalence rates of LBP among female nurses were 512 (74.5%; 95% CI: 71.1-77.7%), 411 (59.8%; 95% CI: 56.0-63.5%) and 249 (36.2%; 95% CI: 32.6-39.9%), respectively. The prevalence was significantly lower in Indian nurses compared to other nurses. Three out of every 10 nurses with LBP had sick leave because of LBP in the last 12 months. Factors that showed significant association with LBP among nursing staff in the multivariate analysis were age, nationality, menstrual disorders and stress level at work. Conclusion: LBP is common among female nurses in Yemen. The role of menstrual disorders in developing LBP among female nurses seems to be important. Although sharing the same working conditions, Indian nurses were less likely to report LBP, which highlight the importance of cultural differences in willingness to report LBP.

10

Effects of bridging and V-sitting exercises on pain intensity and disability of patients with non-specific chronic low-back pain

88%

Ojoawo A. O., Igbemo A. A., Adeyemi T., Olaogun M. O.

European Journal of Clinical and Experimental Medicine

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2021

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issue 2

137-144

EN

Introduction. Exercises are important in the management of non-specific chronic low-back pain (NSCLBP). Aim. The study compared the effects of bridging and V-sitting exercises on pain and disability of patients with NSCLBP. Material and methods. 34 patients with NSCLBP recruited for the study were allocated into V-sitting (VSG) and Bridging Exercise group (BEG) equally. Participants in VSG and BEG groups performed V-sitting and bridging exercises respectively for 10 seconds, three times in a week for three weeks under a supervision of one of the authors. Each participants underwent ten sessions per a treatment regimen. Pain intensity and disability were assessed at the pre-intervention, second and third weeks using verbal rating scale and Rolland Morris Low Back Pain Disability Questionnaire prospectively. Data were analyzed using descriptive and inferential statistics, alpha level was set at 0.05 Results. There was a significant reduction in the third week (P < 0.001) in both VSG and BEG group of pain intensity and disability comparing the pre intervention, second and third week values. There was a significant reduction in the 3rd week VSG’s pain intensity (F=27.34 P<0.001) and disability (F=14.96, P<0.001) compared with BEG. Conclusion. V-sitting and bridging exercises were effective in management of patients with NSCLP, but V-sitting seems more effective.

11

The influences of recovery on low back pain development: A theoretical model

88%

Mierswa T., Kellmann M.

International Journal of Occupational Medicine and Environmental Health

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2015

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vol. 28

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issue 2

253-262

EN

Psychologically and physically straining work conditions increase the risk of low back pain (LBP) development. According to recent recovery theories, leisure time recovery can counteract the negative influences of work stress on health. Similarly, a recent empirical work has indicated a moderating role of recovery on the link between stress and health issues. In this paper, a theoretical model is deduced to integrate the moderating effects of recovery on work stress and LBP development. Based on theoretical and empirical results, 2 separate recovery paths are distinguished: on the one hand, recovery can prevent the experience of stress because a well-recovered person can cope more easily with work demands; while on the other hand, recovery refills the depleted resources after confrontation with work strain and reduces stress experiences. Given that work strains is a main risk factor for LBP development, recovery in leisure time seems to be a highly relevant aspect, which has not been investigated to date in the field of LBP.

12

Assessment of the Effects of Mobilisation on the Range of Motion and the Level of Pain in Patients with Lumbarar Spine Symptoms

75%

Wyszyński S., Stiler S., Piotrkowicz J., Federowicz P.

Puls Uczelni

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2016

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issue 2

11-16

EN

Background: Low back pain is one of the most common musculoskeletal disorders with which patients come to a physiotherapist and it affects younger and younger people. Aim of the study: The aim of this paper was to assess the effect of mobilisation techniques for low spine on the range of motion and pain level in patients complaining of strong pain in that area. Material and methods: The study population consisted of 20 patients, aged between 28 and 67 years old (x = 47.55±12.04) with low back pain. Physical examination was performed to determine the movements which increased the pain. To assess the severity of pain, an analogue VAS scale was used. During treatment, “closing” techniques for the spinous processes were used. The treatment was carried out once and its duration was half an hour. After the therapy, the measurements were repeated. Results: A significant reduction of pain was observed after the treatment in the following movements: extension (p ≤ 0.001), lateral flexion to the left side (p < 0.000), lateral flexion – right side (p < 0.000), rotation to the left (p ≤ 0.014), rotation to the right (p ≤ 0.016). An analysis of the Student’s t-test results showed statistically significant (p < 0.001) difference in the range of motion during extension before and after treatment, with greater range after treatment. Conclusions: The techniques of manual mobilization of the lumbar spine are effective in decreasing pain and increasing the range of motion during lumbar spine extension.

PL

Wstęp: Ból odcinka lędźwiowego kręgosłupa jest jedną z najczęstszych dysfunkcji narządu ruchu, z jaką pacjenci zgłaszają się do fizjoterapeuty, i dotyczy coraz młodszych osób. Cel pracy: Celem pracy była ocena wpływu technik mobilizacji dolnego odcinka kręgosłupa na jego zakres ruchu i poziom bólu u pacjentów z silnymi dolegliwościami wymienionej okolicy. Materiał i metody: Do badań zakwalifikowano 20 pacjentów w wieku 28–67 lat (x = 47,55±12,04) z dolegliwościami bólowymi w dolnym odcinku kręgosłupa. W celu określenia ruchów nasilających dolegliwości bólowe wykonano badanie fizykalne, a do oceny nasilenia bólu posługiwano się skalą analogową VAS. W terapii wykorzystano technikę „zamykania” wyrostków kolczystych. Terapia przeprowadzona została jednorazowo, a czas jej trwania wyniósł pół godziny. Po terapii pomiary powtórzono. Wyniki: Zaobserwowano istotne zmniejszenie bólu po terapii w ruchach: wyprostu (p ≤ 0,001), skłonu bocznego w lewo (p < 0,000), skłonu bocznego w prawo (p < 0,000), rotacji w lewo (p ≤ 0,014), rotacji w prawo (p ≤ 0,016). Analizując wyniki w teście T-Studenta, zaobserwowano istotne statystycznie zwiększenie zakresu ruchu wyprostu po zastosowanej terapii (p < 0.001). Wnioski: Techniki manualnej mobilizacji odcinka lędźwiowego kręgosłupa przy ograniczeniu ruchu w kierunku wyprostu wpływają na zmniejszenie dolegliwości bólowych oraz zwiększają zakres jego ruchu.

13

Prevalence of low back pain in non working rural housewives of Kanpur, India

75%

Gupta G., Nandini N.

International Journal of Occupational Medicine and Environmental Health

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2015

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vol. 28

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issue 2

313-320

EN

Objectives Housewives are nucleus of families but as the working, living, and social architecture in the rural areas significantly differ from developed or urban area, the results of urban population cannot be generalized. Hence the purpose of the present study is to evaluate the prevalence of low back pain in non working rural housewives. Also an attempt has been made to determine the impact of social burden on low back pain (LBP). Material and Methods A sample of 301 non working rural housewives of Kanpur, aged between 30–70 years was selected. Hindi version of 3 appropriate scales Nordic musculoskeletal questionnaire, Oswestry disability index and Zarit burden interview measuring musculoskeletal discomfort, low back disability and social burden were given to all the housewives. Results Analysis of data reveals that both recent and yearly prevalence of LBP in rural housewives is 83%. More than 50% housewives have severe disability due to their LBP. Correlational analysis has shown that there is a significant impact of social burden on their disability due to low back pain. Conclusions The findings of the present study suggest that 83% of the non working rural housewives have low back pain and activity restriction due to their pain. They have significant impact of social burden on their low back pain. High prevalence (83%) of low back pain among rural housewives is an alarming sign for our society. Better health-care measures to enhance rural housewives education about good posture, ergonomic measures, health schemes, health awareness, and activity pacing could help rural housewives.

14

Rehabilitation of sick-listed LBP patients in occupational health with collaboration of the workplace

75%

Kokkonen V., Lamminpää A., Reijula K., Russo F., Iavicoli S., Denaro V., Kuoppala J.

International Journal of Occupational Medicine and Environmental Health

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2024

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vol. 37

|

issue 1

3-17

EN

The aim was to evaluate if rehabilitation procedures including occupational health (OH) and workplace participation increase return to work (RTW) rates among patients with subacute and chronic low back pain (LBP). A systematic review of randomized controlled trials was conducted using the PubMed and Cochrane databases. Main outcomes were RTW and days of sick leave. Interventions needed to be multidisciplinary including both OH and active workplace involvement in rehabilitation. Out of 1073 potentially eligible references, 8 met the inclusion criteria. Three studies had OH and 5 case managers involved in rehabilitation. Rehabilitation involving both OH and workplace improved RTW and decreased the number of sick leave days among LBP patients. Having case managers involved had no effect in RTW. In order to improve RTW, workplace visits and work ability meetings (WAMs) between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP. Based on the study results, the authors suggest utilizing these co-operative interventions with workplaces in OH. High quality research investigating only the effect of WAMs in OH setting is needed in future.

15

Assessment of shoulder and low back muscle activity of male kitchen workers using surface electromyography

75%

Subramaniam S., Murugesan S., Jayaraman S.

International Journal of Occupational Medicine and Environmental Health

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2017

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vol. 31

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issue 1

81-90

EN

Objectives: This study aims to assess muscle fatigue for kitchen workers during various tasks in a kitchen. Material and Methods: This study consists of 2 phases: a) surface electromyography (EMG) to determine muscle fatigue of trapezius and erector spinae muscles bilaterally for 12 healthy male volunteers during 30 min of Indian flatbread (chapati) preparation, b) self-administered questionnaire study after 30 min preparation to determine the impact on performance. Results: Surface EMG results show that the right trapezius muscle had significantly higher fatigue during kneading, rolling and roasting tasks. Similarly, right erector spinae muscle showed significantly higher fatigue during rolling and roasting tasks. Conclusions: Both phases of the study conclude that, even though the dynamic postural adjustment may reduce fatigue during the work schedule; the combination of risk factors like the repetitive task, forceful exertion and prolonged standing during working results in a high risk of developing muscle fatigue. Int J Occup Med Environ Health 2018;31(1):81–90

16

Psychological detachment as moderator between psychosocial work conditions and low back pain development

75%

Mierswa T., Kellmann M.

International Journal of Occupational Medicine and Environmental Health

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2017

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vol. 30

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issue 2

313-327

EN

Objectives Recovery processes in leisure time influence the effect of psychosocial work factors on health issues. However, this function of recovery has been neglected in research regarding the influence of work-related risk factors on low back pain (LBP) development. The aim of this prospective study was to examine the function of psychological detachment – a relevant recovery experience – concerning the influence of psychosocial work factors on LBP development. A moderating function of detachment for the interplay of work factors and LBP was assumed. Material and Methods Sixty pain-free administrative employees of German universities completed an online survey 3 times during a 6-month period. Generalized estimating equations were used to estimate risk-factors of LBP. Results Analyses revealed an increased chance of LBP development for smokers and a decreasing chance when work resources were high. Detachment had no direct influence on LBP development, although it moderated the influence of work stressors and work resources on LBP. On the one hand, high detachment values seem to protect against an increased chance of LBP development when employees were confronted with high work stressors, while on the other hand high detachment values enhance the protective effect of high work resources. Conclusions The results indicated a moderating role of detachment concerning the influence of psychosocial work factors on LBP development. Therefore, it is necessary to include recovery processes in future research regarding LBP development and consequently in LBP prevention concepts. Int J Occup Med Environ Health 2017;30(2):313–327

17

Association between metabolic syndrome and disability due to low back pain among care workers

75%

Tsuboi Y., Ueda Y., Sugimoto T., Naruse F., Ono R.

International Journal of Occupational Medicine and Environmental Health

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2017

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vol. 31

|

issue 2

165-172

EN

Objectives: To elucidate the association between metabolic syndrome (MetS) and disability due to low back pain (LBP) among care workers. Material and Methods: This cross-sectional study enrolled 656 care workers having experienced LBP in the year prior to the year of this study. The Roland-Morris Disability questionnaire (RDQ) and self-reported questionnaires regarding LBP, fear of movement, depressive symptom, psychosocial factors, intensity of pain, and duration of pain were administered, and a medical examination was performed. Metabolic syndrome was defined according to the international definition agreed in 2009. Out of the 656 care workers, we included 316 care workers (response rate: 48.2%) who had fully completed the questionnaires as the study sample (males: 13.6%, median age = 51 years old, range: 35–74 years old). To examine the association between MetS and the level of disability due to LBP, we used the Poisson regression analysis and estimated crude and adjusted prevalence ratios (PR). Results: Out of the 316 care workers, 52 (16.5%) were diagnosed as having MetS. Metabolic syndrome was significantly associated with the RDQ score (adjusted PR: 1.57, 95% confidence interval (CI): 1.17–2.11) after adjusting for covariates, such as age, sex, fear of movement, job demands, social support, intensity of pain, and duration of pain. Conclusions: This study showed that MetS was independently associated with disability due to LBP among care workers. A multidisciplinary intervention taking MetS into consideration may be an effective way to reduce disability due to LBP in people with both LBP and MetS. Int J Occup Med Environ Health 2018;31(2):165–172

18

Nadwaga i otyłość a występowanie bólów kręgosłupa u studentek fizjoterapii

63%

Celebańska D., Gawlik K.

Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu

|

2018

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vol. 63

86-91

PL

Cel badań. Celem badań była ocena związku między nadwagą, otyłością a bólami kręgosłupa oraz weryfikacja korelacji pomiędzy tymi zmiennymi w grupie młodych kobiet kończących studia na kierunku fizjoterapii. Materiał i metody. Grupę badaną stanowiło 41 losowo wybranych studentek fizjoterapii III roku studiów licencjackich. Dokonano pomiaru wysokości i masy ciała oraz obliczono wskaźnik BMI. Do oceny dolegliwości bólowych części lędźwiowej kręgosłupa zastosowano Kwestionariusz Oswestry. Dla analizowanych zmiennych ilościowych wyznaczono podstawowe statystyki opisowe. Odpowiedzi na pytania zawarte w kwestionariuszu zestawiono i skorelowano ze wskaźnikiem BMI. W celu znalezienia związku między wskaźnikiem BMI a niepełnosprawnością zastosowano analizę wariancji oraz Test Levene’a jednorodności wariancji. Wyniki. Analiza wskaźnika BMI wykazała, iż nadmiarem masy ciała charakteryzowało się 29% badanych studentek (nadwaga 17%, otyłość 12%). Średnia wartość BMI wynosiła 24,8 kg/m2. Jak wykazała analiza kwestionariusza Oswestry, 78% badanych doświadczyło bólów kręgosłupa, a dolegliwości o charakterze dużym i bardzo dużym odczuwało 22% studentek. U większości stwierdzono niewielki (61%) i mierny (27%) stopień niepełnosprawności. Analiza wskaźnika BMI względem stopnia niepełnosprawności wykazała związek istotny statystycznie (Fniepełnospr. (2, 38) = 8.72, p < 0,001). Wnioski. Większość badanych studentek doświadczyła bólów kręgosłupa, a znaczny odsetek (30%) charakteryzował się nadmierną masą ciała. Wykazano istotny statystycznie związek pomiędzy wskaźnikiem BMI a stopniem niepełnosprawności. Konieczne wydaje się położenie większego nacisku na profilaktykę zdrowotną w programie studiów.

EN

Background. The aim of the study was to assess the relationship between overweight, obesity, and back pain, and to verify the correlations between these variables in a group of young female physiotherapy graduates. Material and methods. The study group comprised 41 randomly selected physiotherapy third year students. Body height and body mass were measured, and BMI was calculated. Pain in the lumbar spine was assessed with the Oswestry Low Back Pain Questionnaire. Basic descriptive statistics were determined for the analysed quantitative variables. The questionnaire answers were compared and correlated with BMI. We used analysis of variance and the Levene’s test for homogeneity of variance to establish correlations between BMI and disability. Results. BMI analysis demonstrated that 29% of the students were characterized by excess body mass (17% overweight, 12% obese); mean BMI equalled 24,8 kg/m2. Furthermore, 78% of the respondents experienced back pain, with high and very high intensity complaints reported by 22%. Most students presented minimal (61%) and moderate (27%) level of disability. A statistically significant correlation was found between BMI and the degree of disability (Fdisability (2, 38) = 8.72; p < 0.001). Conclusions. Most physiotherapy students in the study group experienced back pain, and a substantial percentage (30%) were characterized by excessive body mass. A statistically significant correlation was demonstrated between BMI and disability level. It seems necessary to put more emphasis on health prevention in university curricula.

19

Ocena skuteczności ćwiczeń relaksacyjnych i stabilizacyjnych w minimalizacji bólu lędźwiowo-krzyżowego odcinka kręgosłupa u kobiet ciężarnych

63%

Boguszewski D., Sałata D., Grzegorz Adamczyk J., Białoszewski D.

Medical Review

|

2014

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issue 2

152-161

PL

Cel pracy: Celem badań była ocena wpływu ćwiczeń relaksacyjnych i stabilizacyjnych na dolegliwości bólowe lędźwiowo- -krzyżowego odcinka kręgosłupa u kobiet w zaawansowanej ciąży. Materiał i metody: W badaniach wzięły udział 54 kobiety ciężarne (średnio 28,9 tydzień ciąży). Średnia wieku wynosiła 29,2 lat. Osoby badane podzielono na dwie grupy. Kobiety z Grupy 1 (n=25) wykonywały serie ćwiczeń relaksacyjnych i stabilizacyjnych (po wcześniejszym instruktażu podczas zajęć szkoły rodzenia). Osoby z Grupy 2 (n=29) nie zmieniły dotychczasowego stylu życia. Warunkiem zakwalifikowania do badań było występowanie dolegliwości bólowych L-S odcinka kręgosłupa. Narzędzia badawcze stanowiły: Wizualno- Analogowa Skala Bólu (VAS), Kwestionariusz Rolanda- -Morrisa, Kwestionariusz Spielbergera oraz autorska ankieta zawierająca pytania dotyczące wybranych elementów stylu i jakości życia. Wyniki: W Grupie 1 po czternastu dniach znacząco obniżyła się (p = 0,021) intensywność bólu. Nie zaobserwowano jednak istotnej różnicy w poziomie bólu po jednej sesji ćwiczeń (między pomiarem 1 i 2). W Grupie kontrolnej nasilenie bólu utrzymywało się na podobnym poziomie, różnice między pomiarami nie były istotne statystycznie. Regularne ćwiczenia w domu wpłynęły również na redukcję ograniczeń funkcjonalnych (mierzonych skalą Rollanda-Morrisa) u badanych kobiet (p = 0,044). Kobiety z Grupy 2 zgłosiły znaczne zwiększenie poczucia niepełnosprawności (p = 0,014). Wnioski: Samodzielne ćwiczenia relaksacyjne i stabilizacyjne wpływają na redukcję bólu dolnej części pleców u kobiet ciężarnych. Zasadne jest zatem stosowanie różnych form kinezyterapii w ramach profilaktyki i leczenia tego typu dolegliwości. Na skutek ćwiczeń zmniejszył się stopień ograniczenia funkcjonalnego badanych kobiet. Dowodzi to pozytywnego wpływu samodzielnych ćwiczeń w domu na sprawność fizyczną.

EN

The aim of the work: The aim of the research was the evaluation of the influence of relaxation and stabilization exercises on low back pain at women in the advanced pregnancy. Material and methods: There were 54 pregnant women (averagely in 28.9 week of the pregnancy) who partook in the research. The average age was 29.2 years. The studied persons were divided into two groups. The women from the Group 1 (n=25) performed series of loosening and stabilizing exercises (after previous instruction at childbirth classes). The persons from the Group 2 (n=29) did not change the previously existing lifestyle. The condition of classifying to the research was the occurrence of pain complaints about L-S spinal section. The investigative tools were: Visual Analog Scale of Pain (VAS), the Questionnaire by Roland-Morris, the State-Trait Anxiety Inventory by Spielberger and the author’s questionnaire containing questions concerning of chosen elements of style and quality of life. Results: In the Group 1 after fourteen days the intensity of the pain dropped significantly (p = 0.021). There were not observed however the significant difference in the level of pain after one session of exercises (between the measurement 1 and 2). In the control group the intensification of the pain remained on the similar level, differences between measurements were not statistically essential. Regular exercises at home influenced also the reduction of functional limitations at the examined women (p = 0.044) (measured with the Rolland-Morris’ scale). Women from the Group 2 reported considerable increase of the feeling of being handicapped (p = 0.014). Conclusions: Individual relaxation and stabilization exercises bear on the reduction of pain of the lower back at pregnant women. Therefore, it is legitimate to use various forms of the kinesiotherapy as prophylaxis and treatment of this type of complaints. As the result of the exercises, the degree of functional limitation of the examined women was diminished. It proves the positive influence of individual exercises at home on physical fitness.

20

The health status and quality of life of veterans

51%

Małgorzata Muzalewska M., Aleksandra Truszczyńska A., Justyna Grabiec-Drzał J.

Medical Review

|

2016

|

issue 4

392-400

EN

Introduction. Military operations are associated with high health risks, and loss of life. The aim of this study was to analyze the influence of military missions on quality of life, health, family and social situation of Polish veterans. An additional aim was to examine how often they suffered from injuries, as well as their subjective evaluation of physiotherapy after returning to the country. Material and methods. The study involved 60 people: in the study group there were 30 soldiers - veterans (28 men and 2 women) and in control group there were 30 soldiers, who had not participated in missions (28 men and 2 women). The age of the group of veterans was 22 to 58 years, mean age 33.45 ± 11.04 years. The age of the control group was 43 to 21 years, mean 25.10 ± 4.41 years. The test was performed with the use of authors’ own surveys and with two questionnaires: Rolland-Morris and WHOQOL Bref. Results. The reasons that motivated the soldiers to go on a mission was mainly their desire to improve their financial situation and to take the opportunity to gain experience. Injuries were experienced by 10 soldiers (33%) soldiers. Soldiers’ physical activity, fitness, quality of life and health deteriorated after mission. Return to the home country was related to changes in the psychosocial environment. Conclusions. 1. Participation in military missions contributed to negative changes in behavior of soldiers and in relationships with relatives and strangers. 2. Despite these, the veterans evaluated their the quality of life and health as well.

PL

Wstęp: Wyjazdy na misje wojskowe wiążą się z dużym ryzykiem utraty zdrowia, a nawet życia. Celem pracy było przedstawienie wpływu misji wojskowych na jakość życia polskich weteranów oraz ocena przyczyn wyjazdów, poziomu aktywności fizycznej, częstotliwości urazów i bólów kręgosłupa po powrocie do kraju. Materiał i metody: W badaniach wzięło udział 60 osób: w grupie badanej 30 żołnierzy - weteranów (28 mężczyzn i 2 kobiety) i 30 żołnierzy nieuczestniczących w misjach, stanowiących grupę kontrolną (28 mężczyzn i 2 kobiety). Średnia wieku w grupie weteranów to od 22 do 58 lat, średnio w wieku 33,45±11,04 lat. Średnia wieku w grupie kontrolnej to od 21 lat do 43, średnio 25,10±4,41 lata. Badanie wykonano z wykorzystaniem autorskiej ankiety i kwestionariuszy Rolland- Morris oraz WHOQOL Bref. Wyniki: Przyczynami wyjazdu na misję była głównie chęć poprawy sytuacji finansowej i możliwość zdobycia doświadczenia. Urazom uległo 10 (33%) żołnierzy. Stwierdzono niekorzystne zmiany dotyczące aktywności fizycznej, jakości życia i zdrowia po powrocie z misji. Sprawność i aktywność fizyczna żołnierzy po powrocie z misji zmniejszyła się. Powrót do kraju wiązał się ze zmianami w środowisku psychospołecznym. Wnioski: 1. Wyjazd na misję wpływa na aktywność fizyczną, relacje z bliskimi i w wielu przypadkach stan zdrowia fizycznego żołnierzy. 2. Wyjazd na misję wojskową nie wpływa na obniżenie jakości życia żołnierzy.

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The health status and quality of life of veterans