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Rmadi N, Sellami I, Hajjaji M, Hammami KJ, Masmoudi ML. Work productivity loss due to musculoskeletal symptoms in the shoe and leather industry. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 29:925-930. [PMID: 36017671 DOI: 10.1080/10803548.2022.2087977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Objectives. This study aimed to explore the work productivity loss (WPL) due to musculoskeletal symptoms (MS) and its explanatory psychosocial, ergonomic and personal factors in Tunisian shoe and leather industry workers. Methods. We conducted a cross-sectional survey among 337 workers. We evaluated WPL using the work productivity and activity impairment questionnaire. We used the Nordic questionnaire to assess the MS prevalence, the job content questionnaire of Karasek to examine the psychosocial work environment and the quick exposure check (QEC) tool to estimate the ergonomic exposure levels. Results. The mean WPL was 44.9 ± 33%. In the multiple linear regression model, WPL was positively correlated with a history of MS, professional seniority, a rhythm perceived as restrictive, low social support and decision latitude, the number of symptomatic sites and the QEC strain level of the back. Conclusion. There was a decline in work productivity due to MS that results from a combination of personal, psychosocial and biomechanical factors. Once addressed, both work productivity and workers' well-being should be restored.
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Affiliation(s)
- Nehla Rmadi
- Department of Occupational Medicine, University Hospital Hedi Chaker, Tunisia
| | - Imen Sellami
- Department of Occupational Medicine, University Hospital Hedi Chaker, Tunisia
| | - Mounira Hajjaji
- Department of Occupational Medicine, University Hospital Hedi Chaker, Tunisia
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Naiditch N, Billot M, Goudman L, Cornet P, Roulaud M, Ounajim A, Page P, Lorgeoux B, Baron S, Nivole K, Pries P, Moufid YA, Swennen C, Teyssedou S, Vendeuvre T, Charrier E, Poupin L, Rannou D, de Montgazon GB, Descoins PF, Roy-Moreau B, Grimaud N, David R, Moens M, Rigoard P. Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of "Adapted Professional Activity" Inferred from Clinical, Psychological and Social Influence. J Clin Med 2021; 10:5055. [PMID: 34768575 PMCID: PMC8584436 DOI: 10.3390/jcm10215055] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/21/2021] [Accepted: 10/23/2021] [Indexed: 01/17/2023] Open
Abstract
Persistent Spinal Pain Syndrome Type 2 (PSPS-T2) represents a main cause of work disruption. Beyond its societal consequences, occupational inactivity is responsible for a major decrease in physical/mental health in individuals but remains poorly analyzed. We designed a study to prospectively examine Professional Status (PS) evolution and its association with key bio-psychological markers. Data from 151 consecutively included working-age PSPS-T2 patients were analyzed to determine the proportion of professional inactivity and the relationships between PS and Social Gradient of Health (SGH), Numeric Pain Rating Scale (NPRS), EuroQol 5-Dimensional 5-Level (EQ-5D-5L), Oswestry Disability Index (ODI), Hospital Anxiety and Depression Scale (HADS), and Fear-Avoidance Belief Questionnaire work subscale (FABQ-W). Despite optimized medical management, 73.5% of PSPS-T2 patients remained inactive after 1 year of follow-up/p = 0.18. Inactive patients presented a low SGH/p = 0.002, higher NPRS/p = 0.048, lower EQ-5D-5L/p < 0.001, higher ODI/p = 0.018, higher HADS-D/p = 0.019 and higher FABQ-W/p < 0.001. No significant mediation effect of FABQ-W on SGH consequences regarding PS was observed in our structural model/p = 0.057. The link between unemployment and bio-psycho-social pain dimensions appears bidirectional and justifies intense collaboration with social workers. Optimizing therapeutical sequencing towards personalized professional plans implies restoring "Adapted Physical Function" as an initial goal, and tailoring an "Adapted Professional Activity", matching with patient expectations and capabilities, as a final objective.
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Affiliation(s)
- Nicolas Naiditch
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
- Euridol, Neuropôle de Strasbourg, Faculty of Life Science, University of Strasbourg, 67000 Strasbourg, France
| | - Maxime Billot
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Lisa Goudman
- Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; (L.G.); (M.M.)
- Stimulus Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium
| | - Philippe Cornet
- Department of General Medicine, Sorbonne University, 75012 Paris, France;
| | - Manuel Roulaud
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Amine Ounajim
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Philippe Page
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Bertille Lorgeoux
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Sandrine Baron
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Kevin Nivole
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
| | - Pierre Pries
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Yassine Abdollah Moufid
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Cécile Swennen
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Simon Teyssedou
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Tanguy Vendeuvre
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
| | - Elodie Charrier
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | - Laure Poupin
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | - Delphine Rannou
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | | | - Pierre François Descoins
- Pain Evaluation and Treatment Centre, Nord Deux-Sèvres Hospital, 79000 Niort, France; (P.F.D.); (B.R.-M.)
| | - Brigitte Roy-Moreau
- Pain Evaluation and Treatment Centre, Nord Deux-Sèvres Hospital, 79000 Niort, France; (P.F.D.); (B.R.-M.)
| | - Nelly Grimaud
- Pain Evaluation and Treatment Centre, Centre Clinical Elsan, 16800 Soyaux, France;
| | - Romain David
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
- Physical and Rehabilitation Medicine Unit, Poitiers University Hospital, University of Poitiers, 86021 Poitiers, France
| | - Maarten Moens
- Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; (L.G.); (M.M.)
- Stimulus Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium
| | - Philippe Rigoard
- Prismatics Lab., Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery, Poitiers University Hospital, 86021 Poitiers, France; (M.R.); (A.O.); (B.L.); (S.B.); (K.N.); (R.D.); (P.R.)
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; (P.P.); (P.P.); (Y.A.M.); (C.S.); (S.T.); (T.V.)
- Pprime Institute UPR 3346, CNRS, ISAE-ENSMA, University of Poitiers, 86360 Chasseneuil-du-Poitou, France
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Ibrahim AA, Akindele MO, Ganiyu SO, Kaka B, Bello B. The Hausa Back Beliefs Questionnaire: Translation, cross-cultural adaptation and psychometric assessment in mixed urban and rural Nigerian populations with chronic low back pain. PLoS One 2021; 16:e0249370. [PMID: 33848295 PMCID: PMC8043379 DOI: 10.1371/journal.pone.0249370] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Accepted: 03/17/2021] [Indexed: 12/19/2022] Open
Abstract
INTRODUCTION Negative attitudes and beliefs about low back pain (LBP) can lead to reduced function and activity and consequently disability. One self-report measure that can be used to assess these negative attitudes and beliefs and to determine their predictive nature is the Back Beliefs Questionnaire (BBQ). This study aimed to translate and cross-culturally adapt the BBQ into Hausa and assess its psychometric properties in mixed urban and rural Nigerian populations with chronic LBP. METHODS The BBQ was translated and cross-culturally adapted into Hausa (Hausa-BBQ) according to established guidelines. To assess psychometric properties, a consecutive sample of 200 patients with chronic LBP recruited from urban and rural clinics of Nigeria completed the questionnaire along with measures of fear-avoidance beliefs, pain catastrophizing, functional disability, physical and mental health, and pain. One hundred of the 200 patients completed the questionnaire twice at an interval of 7-14 days to assess test-retest reliability. Internal construct validity was assessed using exploratory factor analysis, and external construct validity was assessed by examining convergent, divergent, and known-groups validity. Reliability was assessed by calculating internal consistency (Cronbach's α), intraclass correlation coefficients (ICC), standard error of measurement (SEM), minimal detectable change at 95% confidence interval (MDC95), and limits of agreement using Bland-Altman plots. Reliability (ICC, SEM and MDC95) was also assessed separately for rural and urban subgroups. RESULTS The factor analysis revealed a four-factor solution explaining 58.9% of the total variance with the first factor explaining 27.1%. The nine scoring items loaded on the first factor hence supporting a unidimensional scale. The convergent and divergent validity were supported as 85% (6:7) of the predefined hypotheses were confirmed. Known-groups comparison showed that the questionnaire discriminated well for those who differed in education (p < 0.05), but not in age (p > 0.05). The internal consistency and ICC (α = 0.79; ICC = 0.91) were adequate, with minimal SEM and MDC95 (1.9 and 5.2, respectively). The limits of agreements were -5.11 to 5.71. The ICC, SEM and MDC95 for the urban and rural subgroups were comparable to those obtained for the overall population. CONCLUSIONS The Hausa-BBQ was successfully adapted and psychometrically sound in terms of internal and external construct validity, internal consistency, and test-retest reliability in mixed urban and rural Hausa-speaking populations with chronic LBP. The questionnaire can be used to detect and categorize specific attitudes and beliefs about back pain in Hausa culture to prevent or reduce potential disability due to LBP.
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Affiliation(s)
- Aminu Alhassan Ibrahim
- Faculty of Allied Health Sciences, Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
- Department of Physiotherapy, Muhammad Abdullahi Wase Teaching Hospital, Hospitals Management Board, Kano, Kano State, Nigeria
| | - Mukadas Oyeniran Akindele
- Faculty of Allied Health Sciences, Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
| | - Sokunbi Oluwaleke Ganiyu
- Faculty of Allied Health Sciences, Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
| | - Bashir Kaka
- Faculty of Allied Health Sciences, Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
| | - Bashir Bello
- Faculty of Allied Health Sciences, Department of Physiotherapy, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
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Bryson-Campbell M, Shaw L, Cooper L, Chedore B. Developing guidelines to support injured workers who live and work with chronic pain. Work 2021; 66:383-404. [PMID: 32568155 DOI: 10.3233/wor-203180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Living and working with chronic pain requires persons to alter lifestyles and have the knowledge as well as support to manage unforeseen challenges. Knowledge for persons living with pain who want to participate in meaningful paid and unpaid work is not easily accessible. While there is literature on chronic pain management, work transitions and return to work, less emphasis has been placed on the complexity of living and working with chronic pain. The Creating a Way Forward Project was envisioned to address this gap and to identify the informational needs of workers with pain, health/helping professionals (workers' advisors, return to work specialists, legal representatives), and stakeholders. The overarching aim of the project was to use evidence and experiential knowledge to inform the development of a foundation for educational guides and toolkits to support workers with pain to achieve their outcomes for remaining at work. METHODS Phase one of the project involved a scoping review of chronic pain and work. Phase two involved stakeholder consultations, a focus group and knowledge integration of the literature and experiential insights. Knowledge synthesis drew on a Template Analysis of multiple sources of data. RESULTS Knowledge domains and key components were identified for persons with pain and for the health/helping professions. CONCLUSION These domains reflect a foundation for knowledge in practical training and the development of curriculum for education in self-management program and in inter professional health profession education. These knowledge domains provide a basis for future research in integrated approaches and knowledge use toward improving transitions for persons living with chronic pain who want to participate in productive paid and unpaid work. Ongoing research in knowledge domains that health providers and persons with pain need will expand the potential for improving health outcomes in living with and managing pain.
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Affiliation(s)
| | - Lynn Shaw
- Dalhousie University, Halifax, Nova Scotia, Canada
| | | | - Bill Chedore
- Canadian Injured Workers Alliance, Kitchener, Canada
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Yoshimoto T, Oka H, Ochiai H, Ishikawa S, Kokaze A, Muranaga S, Matsudaira K. Presenteeism and Associated Factors Among Nursing Personnel with Low Back Pain: A Cross-Sectional Study. J Pain Res 2020; 13:2979-2986. [PMID: 33239906 PMCID: PMC7682615 DOI: 10.2147/jpr.s269529] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 10/21/2020] [Indexed: 11/23/2022] Open
Abstract
Background A decrease in work productivity due to presenteeism among healthcare workers with low back pain (LBP) is a major problem in the workplace. It is important to determine the factors associated with presenteeism to successfully manage work productivity among nursing staff with LBP. This study aimed to identify the factors associated with presenteeism among nursing personnel with LBP through the evaluation of several aspects, including individual, occupational, and psychological factors. Methods We conducted a cross-sectional study with 668 nursing personnel who had experienced LBP within the 4 weeks before study enrollment at a tertiary hospital in Japan. Information on demographics (eg, sex, age, height, weight, etc.), LBP intensity (Numerical Rating Scale, NRS), kinesiophobia (Tampa Scale for Kinesiophobia-11, TSK-11), depressive condition (K6), workaholism, overworking hours, frequency of shift work, sleep problem, work-related stress, and presenteeism (Work Productivity and Activity Impairment-General Health) were collected using a self-administered questionnaire. Multiple linear regressions were applied to examine the factors related to presenteeism. We further used a multiple imputation by chained equations for missing data in the model. Results Multiple linear regression analysis after adjusting for covariates showed that NRS (regression coefficient β = 2.275), TSK-11 (1.112), K6 (0.616), and sleep duration (−1.990) were significantly associated with presenteeism. These results with complete-case analyses were similar to those with multiple imputation analyses. Conclusion Psychological factors, such as kinesiophobia and depressive symptoms, were associated with presenteeism independently of LBP intensity among nursing staff with LBP. Our findings suggest that the above-mentioned factors may need to be considered for the development of strategies to increase work productivity among nursing staff with LBP.
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Affiliation(s)
- Takahiko Yoshimoto
- Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.,Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Hiroyuki Oka
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Hirotaka Ochiai
- Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan
| | - Shuhei Ishikawa
- Department of Rehabilitation, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Akatsuki Kokaze
- Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan
| | - Shingo Muranaga
- Department of Rehabilitation, Kameda Medical Center, Kamogawa, Chiba, Japan
| | - Ko Matsudaira
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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Tsuboi Y, Murata S, Naruse F, Ono R. Association between pain-related fear and presenteeism among eldercare workers with low back pain. Eur J Pain 2018; 23:495-502. [PMID: 30289190 DOI: 10.1002/ejp.1323] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Revised: 08/06/2018] [Accepted: 10/01/2018] [Indexed: 01/07/2023]
Abstract
BACKGROUND Presenteeism (work productivity loss at work) and low back pain (LBP) are prevalent among eldercare workers. Presenteeism is a serious emerging problem in an occupational setting. While many studies report the impact of pain-related fear on absenteeism, its impact on presenteeism remains unclear. METHODS We conducted a cross-sectional study to investigate the association between pain-related fear and presenteeism among 505 eldercare workers with LBP. We measured pain-related fear using the 11-item Tampa Scale for Kinesiophobia (TSK-11). We used the Work Limitations Questionnaire (WLQ) to estimate productivity loss due to presenteeism with items including Time Management, Mental-Interpersonal Demands, Physical Demands and Output Demands. The presenteeism was categorized into no (<5%), mild (5%-10.9%), moderate (11%-16.9%) and severe presenteeism (≥17%). We further performed ordinal logistic regression analyses, and the covariates were age, sex, pain intensity, pain disability and psychosocial factors. Multiple imputation was conducted to provide informed estimates for observations with missing data. RESULTS After adjustment, a higher TSK score was significantly associated with a higher presenteeism (proportional OR = 1.10, 95% CI = 1.06-1.15). A significant association of TSK with all WLQ subscales was retained even after the adjustment (Time Management: proportional OR = 1.04, 95% CI = 1.01-1.08; Mental-Interpersonal Demands: proportional OR = 1.08, 95% CI = 1.04-1.12; Physical Demands: proportional OR = 1.04, 95% CI = 1.01-1.08; and Output Demands: proportional OR = 1.06, 95% CI = 1.02-1.10). CONCLUSIONS Our findings suggest that pain-related fear is an important factor related to presenteeism among eldercare workers with LBP. SIGNIFICANCE This study describes an independent association of pain-related fear with presenteeism among eldercare workers with low back pain. Pain-related fear could be considered a vital factor of presenteeism in addition to absenteeism.
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Affiliation(s)
- Yamato Tsuboi
- Department of Community Health Sciences, Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan.,Japan Society for the Promotion of Science, Chiyoda, Tokyo, Japan
| | - Shunsuke Murata
- Department of Community Health Sciences, Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan.,Japan Society for the Promotion of Science, Chiyoda, Tokyo, Japan
| | | | - Rei Ono
- Department of Public Health Sciences, Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan
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Stevens ML, Boyle E, Hartvigsen J, Mansell G, Søgaard K, Jørgensen MB, Holtermann A, Rasmussen CDN. Mechanisms for reducing low back pain: a mediation analysis of a multifaceted intervention in workers in elderly care. Int Arch Occup Environ Health 2018; 92:49-58. [PMID: 30173369 DOI: 10.1007/s00420-018-1350-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 08/28/2018] [Indexed: 01/08/2023]
Abstract
PURPOSE A multifaceted workplace intervention consisting of participatory ergonomics, physical training, and cognitive-behavioural training (CBT) has shown effectiveness for reducing low back pain (LBP). However, the mechanisms of action underlying these intervention components are not well understood. METHODS This was a mediation analysis of a cluster-randomised controlled trial of a multifaceted intervention in 420 workers in elderly care. Mediation analysis was carried out via structural equation modelling. Potential mediators investigated were: fear-avoidance beliefs, perceived muscle strength, use of assistive devices at work and perceived physical exertion at work. LBP outcomes assessed were: days with LBP, LBP intensity and days with bothersome LBP. RESULTS There were no significant indirect effects of the intervention on LBP outcomes. There were significant effects of the intervention on both fear-avoidance measures [β = - 0.63, 95% CI (1.23, 0.03); β = - 1.03, 95% CI (- 1.70, - 0.34)] and the use of assistive devices [β = - 0.55, 95% CI (- 1.04, - 0.05)], but not on perceived muscle strength [β = - 0.18, 95% CI (- 0.50, 0.13)] or physical exertion [β = - 0.05, 95% CI (- 0.40, 0.31)]. The only potential mediator with a significant effect on LBP outcomes was physical exertion, which had a significant effect on LBP intensity [β = 0.14, 95% CI (0.04, 0.23)]. CONCLUSIONS A multifaceted intervention consisting of participatory ergonomics, physical training, and CBT was able to decrease fear-avoidance beliefs and increase use of assistive devices in the workplace. However, these changes did not explain the effect of any of the intervention components on days with LBP, LBP intensity and days with bothersome LBP.
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Affiliation(s)
- Matthew L Stevens
- Musculoskeletal Health Sydney, School of Public Health, The University of Sydney, PO Box M179, Missenden Rd, Sydney, NSW, 2050, Australia.
| | - Eleanor Boyle
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
| | - Gemma Mansell
- Research Institute for Primary Care and Health Sciences, Keele University, Staffordshire, UK
| | - Karen Søgaard
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Marie B Jørgensen
- The National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Andreas Holtermann
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.,The National Research Centre for the Working Environment, Copenhagen, Denmark
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Morton L, de Bruin M, Krajewska M, Whibley D, Macfarlane GJ. Beliefs about back pain and pain management behaviours, and their associations in the general population: A systematic review. Eur J Pain 2018; 23:15-30. [PMID: 29984553 PMCID: PMC6492285 DOI: 10.1002/ejp.1285] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2018] [Indexed: 12/19/2022]
Abstract
Previous mass media campaigns have aimed to influence how people manage back pain, with mixed success. Campaigns should target beliefs which are related to the behaviours they aim to change. This systematic review brings together research that has measured the prevalence of beliefs about back pain in the general population and factors associated with these beliefs, including future pain‐related outcomes. Five databases were searched up until April 2017. Quantitative studies which reported a measure of agreement with a belief about back pain, cross‐sectional associations, or associations between beliefs and future outcomes were eligible. Eligibility was assessed and data extracted independently by two authors. Results were tabulated and narratively synthesized. Nineteen studies from 10 countries were eligible (median study n [IQR] = 990.5 [524.75–2387.5]). Beliefs were measured using eight questionnaires and 57 stand‐alone items. Beliefs about back pain's negative consequences were common across countries and populations, whereas most samples did not hold fear‐avoidance beliefs. Beliefs about back pain's consequences were associated with pain and disability, but only one study investigated this specific relationship prospectively. No studies investigated whether beliefs are associated with future pain management behaviours. Agreement with certain beliefs (e.g. about negative consequences) was associated with sociodemographic characteristics (e.g. older age) and poorer self‐rated health. Interventions may benefit from targeting beliefs about the perceived negative consequences of back pain in these populations. However, future research should explore how beliefs prospectively influence the management of back pain. Significance This review brings together studies which have assessed the prevalence of beliefs about back pain, and factors associated with holding them. It highlights that whether or not these beliefs represent important determinants of how people manage pain remains unknown.
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Affiliation(s)
- L Morton
- Epidemiology Group, University of Aberdeen, UK.,Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, UK.,Health Psychology Group, University of Aberdeen, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton, UK
| | - M de Bruin
- Health Psychology Group, University of Aberdeen, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton, UK
| | - M Krajewska
- Department of Medical Informatics, Biometry and Epidemiology, Ludwig Maximilian University of Munich, Germany
| | - D Whibley
- Epidemiology Group, University of Aberdeen, UK.,Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton, UK
| | - G J Macfarlane
- Epidemiology Group, University of Aberdeen, UK.,Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, Southampton, UK
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Dlungwane T, Voce A, Knight S. Prevalence and factors associated with low back pain among nurses at a regional hospital in KwaZulu-Natal, South Africa. Health SA 2018; 23:1082. [PMID: 31934378 PMCID: PMC6917379 DOI: 10.4102/hsag.v23i0.1082] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 02/14/2018] [Indexed: 11/05/2022] Open
Abstract
Background Low back pain (LBP) is a public health problem worldwide and is a common cause of work-related disorder among workers, especially in the nursing profession. Recruitment and retention of nurses is a challenge, and the nursing shortage has been exacerbated by the burden of occupational injuries such as LBP and related disabilities. The physiotherapy clinical records revealed that caseload of nurses presenting for the management of LBP was increasing. The prevalence and factors associated with LBP were unclear. Methods A cross-sectional study design with an analytic component was implemented. Data were collected utilising a self-administered questionnaire to determine the prevalence and factors associated with LBP among nurses at a regional hospital. Bivariate analyses were performed to determine the factors associated with LBP. Results The point prevalence of current LBP in nurses was 59%. The highest prevalence was recorded among enrolled nurses (54%), respondents aged 30–39 (46%), overweight respondents (58%) and those working in obstetrics and gynaecology (49%). Bending (p = 0.002), prolonged position (p = 0.03) and transferring patients (p = 0.004) were strongly associated with LBP. Nurses with more than 20 years in the profession reported a high prevalence of LBP. The prevalence of LBP was higher among the participants who were on six-month rotations (76%) compared with those on yearly rotation (16%). Conclusion A high proportion of nurses reported to have LBP. Occupational factors are strongly associated with LBP. Education programmes on prevention and workplace interventions are required in order to reduce occupational injuries.
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Affiliation(s)
| | - Anna Voce
- Discipline of Public Health Medicine, University of KwaZulu-Natal, South Africa
| | - Stephen Knight
- Discipline of Public Health Medicine, University of KwaZulu-Natal, South Africa
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de Wit M, Wind H, Hulshof CTJ, Frings-Dresen MHW. Person-related factors associated with work participation in employees with health problems: a systematic review. Int Arch Occup Environ Health 2018; 91:497-512. [PMID: 29700608 PMCID: PMC6002456 DOI: 10.1007/s00420-018-1308-5] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 04/18/2018] [Indexed: 11/29/2022]
Abstract
PURPOSE The objective of this systematic review was to explore and provide systematically assessed information about the association between person-related factors and work participation of people with health problems. The research question was: what is the association between selected person-related factors and work participation of workers with health problems? METHODS A systematic review was carried out in PubMed and PsycINFO to search for original papers published between January 2007 and February 2017. The risk of bias of the studies included was assessed using quality assessment tools from the Joanna Briggs Institute. The quality of evidence was assessed using the GRADE framework for prognostic studies. RESULTS In total, 113 studies were included, all of which addressed the association between person-related factors and work participation. The factors positively associated with work participation were positive expectations regarding recovery or return to work, optimism, self-efficacy, motivation, feelings of control, and perceived health. The factors negatively associated with work participation were fear-avoidance beliefs, perceived work-relatedness of the health problem, and catastrophizing. Different coping strategies had a negative or a positive relationship with work participation. CONCLUSIONS The results of this review provide more insight into the associations between different cognitions and perceptions and work participation. The results of this study suggest that person-related factors should be considered by occupational- and insurance physicians when they diagnose, evaluate or provide treatment to employees. Further research is required to determine how these physicians could obtain and apply such information and whether its application leads to a better quality of care.
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Affiliation(s)
- Mariska de Wit
- Department Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands.
| | - Haije Wind
- Department Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Carel T J Hulshof
- Department Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Monique H W Frings-Dresen
- Department Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
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Kajiki S, Izumi H, Hayashida K, Kusumoto A, Nagata T, Mori K. A randomized controlled trial of the effect of participatory ergonomic low back pain training on workplace improvement. J Occup Health 2017; 59:256-266. [PMID: 28320978 PMCID: PMC5478512 DOI: 10.1539/joh.16-0244-oa] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives: This study aimed to determine the effects of participatory workplace improvement (PWI) -based provision of ergonomic training and ergonomic action checklists (ACLs) to on-site managers on workplace improvement activities for low back pain (LBP). Methods: A randomized controlled trial (RCT) was conducted at a manufacturing company in Japan. Teams entered in the study were randomly assigned to a control and an intervention group. A total of three interventional training sessions on methods of ergonomics were provided to on-site managers in the intervention group, with 1-month intervals between sessions. Ergonomic ACLs were provided at the same time. After completion of the training sessions, each team then provided a report of improvements each month for the next 10 months. Two people in charge of safety and health chose two major objectives of the implemented activities from the five categories. The reported number of improvements was analyzed using a Poisson regression model. Results: In the intervention group, although the incident rate ratio (IRR) of PWIs in countermeasures for the LBP category was significantly elevated after the training sessions, the IRR of improvements decreased over time during the 10-month follow-up period. No significant difference was observed in the IRR of total PWIs in either the control or intervention group. Conclusions: PWI-based provision of ergonomic training sessions and ergonomics ACLs to on-site managers was shown to be effective for workplace improvement activities targeted at LBP. However, because the effects decrease over time, efforts should be made to maintain the effects through regular interventions.
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Affiliation(s)
- Shigeyuki Kajiki
- Department of Occupational Health Practice and Management, Institute of Industrial Ecological Science, University of Occupational and Environmental Health
| | - Hiroyuki Izumi
- Department of Ergonomics, Institute of Industrial Ecological Science, University of Occupational and Environmental Health
| | - Kenshi Hayashida
- Department of Medical Informatics and Management, University of Occupational and Environmental Health
| | - Akira Kusumoto
- Department of Occupational Health Practice and Management, Institute of Industrial Ecological Science, University of Occupational and Environmental Health
| | - Tomohisa Nagata
- Department of Occupational Health Practice and Management, Institute of Industrial Ecological Science, University of Occupational and Environmental Health
| | - Koji Mori
- Department of Occupational Health Practice and Management, Institute of Industrial Ecological Science, University of Occupational and Environmental Health.,Occupational Health Training Center, University of Occupational and Environmental Health
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Dubois JD, Cantin V, Piché M, Descarreaux M. Physiological and Psychological Predictors of Short-Term Disability in Workers with a History of Low Back Pain: A Longitudinal Study. PLoS One 2016; 11:e0165478. [PMID: 27783666 PMCID: PMC5082621 DOI: 10.1371/journal.pone.0165478] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 10/12/2016] [Indexed: 11/18/2022] Open
Abstract
Despite an elusive pathophysiology, common characteristics are often observed in individuals with chronic low back pain (LBP). These include psychological symptoms, altered pain perception, altered pain modulation and altered muscle activation. These factors have been explored as possible determinants of disability, either separately or in cross-sectional studies, but were never assessed in a single longitudinal study. Therefore, the objective was to determine the relative contribution of psychological and neurophysiological factors to future disability in individuals with past LBP. The study included two experimental sessions (baseline and six months later) to assess cutaneous heat pain and pain tolerance thresholds, pain inhibition, as well as trunk muscle activation. Both sessions included the completion of validated questionnaires to determine clinical pain, disability, pain catastrophizing, fear-avoidance beliefs and pain vigilance. One hundred workers with a history of LBP and 19 healthy individuals took part in the first experimental session. The second experimental session was exclusively conducted on workers with a history of LBP (77/100). Correlation analyses between initial measures and disability at six months were conducted, and measures significantly associated with disability were used in multiple regression analyses. A first regression analysis showed that psychological symptoms contributed unique variance to future disability (R2 = 0.093, p = .009). To control for the fluctuating nature of LBP, a hierarchical regression was conducted while controlling for clinical pain at six months (R2 = 0.213, p < .001) where pain inhibition contributed unique variance in the second step of the regression (R2 change = 0.094, p = .005). These results indicate that pain inhibition processes may constitute potential targets for treatment to alleviate future disability in individuals with past or present LBP. Then again, the link between psychological symptoms and pain inhibition needs to be clarified as both of these factors are linked together and influence disability in their own way.
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Affiliation(s)
- Jean-Daniel Dubois
- Département de psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
- * E-mail: (MD); (JDD)
| | - Vincent Cantin
- Département des sciences de l’activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
| | - Mathieu Piché
- Département de chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
| | - Martin Descarreaux
- Département des sciences de l’activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
- * E-mail: (MD); (JDD)
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Ng SK, Cicuttini FM, Wang Y, Wluka AE, Fitzgibbon B, Urquhart DM. Negative beliefs about low back pain are associated with persistent high intensity low back pain. PSYCHOL HEALTH MED 2016; 22:790-799. [PMID: 27687703 DOI: 10.1080/13548506.2016.1220602] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
While previous cross-sectional studies have found that negative beliefs about low back pain are associated with pain intensity, the relationship between back beliefs and persistent low back pain is not well understood. This cohort study aimed to examine the role of back beliefs in persistent low back pain in community-based individuals. A hundred and ninety-two participants from a previous musculoskeletal health study were invited to take part in a two-year follow-up study. Beliefs about back pain were assessed by the Back Beliefs Questionnaire (BBQ) at baseline and low back pain intensity was measured by the Chronic Pain Grade Questionnaire at baseline and follow-up. Of the 150 respondents (78.1%), 16 (10.7%) reported persistent high intensity low back pain, 12 (8.0%) developed high intensity low back pain, in 16 (10.7%) their high intensity low back pain resolved and 106 (70.7%) experienced no high intensity low back pain. While participants were generally positive about low back pain (BBQ mean (SD) = 30.2 (6.4)), those with persistent high intensity pain reported greater negativity (BBQ mean (SD) = 22.6 (4.9)). Negative beliefs about back pain were associated with persistent high intensity low back pain after adjusting for confounders (M (SE) = 23.5 (1.6) vs. >30.1 (1.7), p < .001). This study found negative back beliefs were associated with persistent high intensity low back pain over 2 years in community-based individuals. While further longitudinal studies are required, these findings suggest that targeting beliefs in programs designed to treat and prevent persistent high intensity low back pain may be important.
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Affiliation(s)
- Sin Ki Ng
- a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine , Monash University, Alfred Hospital , Melbourne , Australia.,b Monash Alfred Psychiatry Research Centre, Central Clinical School , Monash University , Melbourne , Australia
| | - Flavia M Cicuttini
- a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine , Monash University, Alfred Hospital , Melbourne , Australia
| | - Yuanyuan Wang
- a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine , Monash University, Alfred Hospital , Melbourne , Australia
| | - Anita E Wluka
- a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine , Monash University, Alfred Hospital , Melbourne , Australia
| | - Bernadette Fitzgibbon
- b Monash Alfred Psychiatry Research Centre, Central Clinical School , Monash University , Melbourne , Australia
| | - Donna M Urquhart
- a Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine , Monash University, Alfred Hospital , Melbourne , Australia
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Dhaini SR, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, Schwendimann R. Are nursing home care workers' health and presenteeism associated with implicit rationing of care? A cross-sectional multi-site study. Geriatr Nurs 2016; 38:33-38. [PMID: 27492884 DOI: 10.1016/j.gerinurse.2016.07.003] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 06/27/2016] [Accepted: 07/04/2016] [Indexed: 11/17/2022]
Abstract
To explore associations between care workers' health and implicit rationing of care. Diverse studies have linked impaired health to reduced work performance - a factor measured through omission of required tasks. This cross-sectional study gathered data from 3239 care workers in 162 Swiss nursing homes. Data were analyzed via a linear logistic regression model using general estimating equations. Overall, rationing of care occurred "never" to "seldom." Rationing of activities of daily living was positively associated with care workers' joint pain (β 0.04, CI 0.001-0.07), emotional exhaustion (β 0.11, CI 0.07-0.15), and presenteeism (β 0.05, CI 0.004-0.09). Rationing of caring, rehabilitation, and monitoring was positively associated with care workers' joint pain (β 0.05, CI 0.01-0.09) and emotional exhaustion (β 0.2, CI 1.16-0.24). Care workers health complaints are strongly associated with rationing of tasks directly related to resident care.
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Affiliation(s)
- Suzanne R Dhaini
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
| | - Franziska Zúñiga
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland.
| | - Dietmar Ausserhofer
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; Claudiana, University of Applied Science, Lorenz-Böhler-Str. 13, I-39100 Bozen/Bolzano, Italy
| | - Michael Simon
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; University Hospital Inselspital Bern, Nursing & Midwifery Research Unit, 3010 Bern, Switzerland
| | - Regina Kunz
- Swiss Academy of Insurance Medicine, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland
| | - Sabina De Geest
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; Academic Center of Nursing and Midwifery, KU-Leuvin, Belgium
| | - Rene Schwendimann
- Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
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Frederiksen P, Karsten MMV, Indahl A, Bendix T. What Challenges Manual Workers' Ability to Cope with Back Pain at Work, and What Influences Their Decision to Call in Sick? JOURNAL OF OCCUPATIONAL REHABILITATION 2015; 25:707-16. [PMID: 25808992 DOI: 10.1007/s10926-015-9578-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
INTRODUCTION Although back pain (BP) is a very common cause for sickness absence, most people stay at work during BP episodes. Existing knowledge on the factors influencing the decision to stay at work despite pain is limited. The aim of this study was to explore challenges for coping with BP at work and decisive factors for work attendance among workers with high physical work demands. METHODS Three focus groups (n = 20) were conducted using an explorative inductive method. Participants were public-employed manual workers with high physical work demands. All had personal BP experience. Thematic analysis was used for interpretation. Results were matched with the Flags system framework to guide future recommendations. RESULTS Workers with BP were challenged by poor physical work conditions and a lack of supervisor support/trust (i.e. lack of adjustment latitude). Organization of workers into teams created close co-worker relationships, which positively affected BP coping. Workers responded to BP by applying helpful individual adjustments to reduce or prevent pain. Traditional ergonomics was considered inconvenient, but nonetheless ideal. When pain was not decisive, the decision to call in sick was mainly governed by workplace factors (i.e. sick absence policies, job strain, and close co-workers relationships) and to a less degree by personal factors. CONCLUSION Factors influencing BP coping at work and the decision to report sick was mainly governed by factors concerning general working conditions. Creating a flexible and inclusive working environment guided by the senior management and overall work environment regulations seems favourable.
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Affiliation(s)
- Pernille Frederiksen
- Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark.
- Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
| | - Mette Marie V Karsten
- Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark
- Department of Anthropology, Faculty of Social Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Aage Indahl
- Department of Research and Development, Clinic Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Stavern, Norway
- Uni Health, University of Bergen, Bergen, Norway
| | - Tom Bendix
- Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark
- Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Elfering A, Müller U, Rolli Salathé C, Tamcan Ö, Mannion AF. Pessimistic back beliefs and lack of exercise: a longitudinal risk study in relation to shoulder, neck, and back pain. PSYCHOL HEALTH MED 2015; 20:767-80. [DOI: 10.1080/13548506.2015.1017824] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Achim Elfering
- Department of Psychology, Institute for Psychology, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland
- National Centre of Competence in Research, Affective Sciences, University of Geneva, CISA, Geneva, Switzerland
| | - Urs Müller
- Institute for Evaluative Research in Orthopaedic Surgery, University of Bern, Bern, Switzerland
| | - Cornelia Rolli Salathé
- Department of Psychology, Institute for Psychology, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland
| | - Özgür Tamcan
- Institute for Evaluative Research in Orthopaedic Surgery, University of Bern, Bern, Switzerland
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Back pain beliefs are related to the impact of low back pain in baby boomers in the Busselton Healthy Aging Study. Phys Ther 2015; 95:180-9. [PMID: 25256742 DOI: 10.2522/ptj.20140064] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND Back pain beliefs (BPBs) are an important modifiable factor related to disability associated with low back pain (LBP). Back pain beliefs have not been characterized in baby boomers, a group at risk for decreased activity levels and reduced productivity. OBJECTIVE The aims of this study were: (1) to identify factors related to BPBs and (2) to evaluate the association between LBP disability and beliefs. DESIGN A cross-sectional survey of community-dwelling baby boomers (born 1946-1964) was conducted. METHODS Nine hundred fifty-eight baby boomers (mean age=56.2 years) participating in the Busselton Healthy Aging Study provided their history of LBP, BPBs, LBP behaviors related to care seeking (taking medication, seeking professional help) and activity modification (missing work, interference with normal activities, interference with recreational activities), LBP-related disability, and additional covariates with known associations with BPBs. Regression analyses were used to: (1) identify factors associated with more positive beliefs and (2) test the association between more positive BPBs and lower LBP disability, independent of other correlates of BPBs. RESULTS More positive BPBs were associated with younger age, better mental well-being, and higher income, whereas more negative BPBs were associated with receiving sickness or disability benefits and the experience of LBP in the previous month. In participants who reported experiencing LBP within the previous month, more positive BPBs were associated with lower disability scale scores and a decreased probability of interference with usual activities, independent of pain intensity, age, mental well-being, income, and employment status. LIMITATIONS Cross-sectional analysis limits assessment of causality. CONCLUSIONS Poorer BPBs were associated with greater disability. Characterization of the relationships between BPBs and LBP-associated behaviors and disability in baby boomers can assist in developing interventions to improve activity participation and productivity, potentially reducing the burden of LBP in this age group.
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Construct validity and responsiveness of the single-item presenteeism question in patients with lower back pain for the measurement of presenteeism. Spine (Phila Pa 1976) 2014; 39:409-16. [PMID: 24365900 DOI: 10.1097/brs.0000000000000162] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Validity and responsiveness study using a randomized clinical trial and prospective cohort study of patients with low back pain (LBP). OBJECTIVE To provide evidence for construct validity and responsiveness to change of a single-item presenteeism question (SIPQ) in patients with LBP. SUMMARY OF BACKGROUND DATA The SIPQ is a simple, easy to administer tool that has been used to measure the impact of back pain on reduced productivity at work (presenteeism) as a standalone measure. Evidence supporting the validity and responsiveness of the SIPQ among patients with back pain is however lacking. METHODS The SIPQ was administered to patients consulting for back pain in a randomized controlled trial (N = 851) and a cohort intervention study (N = 922). Construct validity was assessed using convergent, divergent, and known-group validity. The validity investigation included assessing associations between the SIPQ and pain, disability, psychological, health status, and quality of life measures. Responsiveness was assessed using external indicators of change as comparators, evaluating correlation of clinical change scores and effect size statistics. RESULTS Moderate to strong correlations were found between presenteeism and pain (r: 0.44-0.77), disability (r: 0.53-0.70), and 12-Item Short Form Health Survey physical dimensions (r: -0.66 to -0.55). Presenteeism was strongly associated with disease-specific pain and disability scales. The SIPQ was responsive to changes in productivity-presenteeism change scores indicated strong correlation with change scores, and high responsiveness in distribution- and anchor-based testing. CONCLUSION The SIPQ is a potentially valid and responsive tool for assessing the impact of back pain on presenteeism. This SIPQ could, with relative ease, facilitate further research on the estimation of presenteeism within economic evaluation studies of musculoskeletal conditions, thus providing policymakers with estimates of economic impact of musculoskeletal disease. Further evidence is, however, merited to assess its relationship with standardized presenteeism questionnaires. LEVEL OF EVIDENCE 2.
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Beliefs of Australian Physical Therapists Related to Lumbopelvic Pain Following a Biopsychosocial Workshop. ACTA ACUST UNITED AC 2014. [DOI: 10.1097/00001416-201407000-00014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
STUDY DESIGN Cross sectional population-based survey. OBJECTIVE To investigate the relationship between low back pain (LBP) beliefs and care seeking in LBP. SUMMARY OF BACKGROUND DATA Not all people experiencing LBP seek care for their problem. Consistent predictors of care-seeking behavior seem to be female sex and high perceived disability; the role of beliefs about LBP has not been investigated sufficiently. METHODS A questionnaire booklet was mailed to a random sample of 2860 individuals otherwise participating in an epidemiological study of musculoskeletal health. It contained the Back Beliefs Questionnaire (BBQ), the Fear-Avoidance Beliefs Questionnaire (FABQ; physical activity and work scales), and questions about sociodemographics, LBP characteristics, and LBP-related care seeking in the last month ("yes" = visit to specialist, general practitioner, physiotherapist, or other health care practitioner; "no" = none of these). Logistic regression was used to identify whether beliefs made a significant contribution to care-seeking behavior, beyond known predictors conceptualized in the behavioral model of health services use. RESULTS A total of 2507 of 2860 (88%) individuals completed the questionnaire; 1071 (43%) reported current LBP, 301 (28%) of which had sought care. In univariate analyses the following were all significantly related to care seeking (all P < 0.01): female sex; increasing age; not working full time; lower income; greater LBP frequency, LBP intensity, and limitations in activities of daily living; worse general health; higher FABQ-Physical Activity, FABQ-Work, and Back Beliefs Questionnaire scores. In multiple regression, female sex (odds ratio [OR], 1.731; 95% confidence interval [CI], 1.174-2.551; P = 0.006), LBP frequency (OR, 1.492; 95% CI, 1.249-1.783; P < 0.0001), limitations in activities of daily living (OR, 1.010; 95% CI, 1.001-1.020; P = 0.037), and high FABQ-Work Scores (OR, 1.025; 95% CI, 1.005-1.044, P = 0.012) contributed significantly to the final model. CONCLUSION That the odds of seeking care are higher in fear-avoidant individuals, even when controlling for other established predictors, emphasizes the importance of addressing such beliefs during the consultation; public health education programs may serve to underpin the delivery of positive messages, ultimately reducing health care demands.
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Lobo ME, Kanagaraj R, Jidesh V. An insight into adolescents' knowledge and attitudes on low back pain and its occurrence. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2013. [DOI: 10.12968/ijtr.2013.20.5.246] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Michelle Emelia Lobo
- Lecturer in Department of Physiotherapy, Father Muller Medical College and Hospital, Mangalore, India
| | - Rengaramanujam Kanagaraj
- Former Associate Professor, Department of Physiotherapy, Father Muller Medical College and Hospital, Mangalore, India and currently lecturer, in the Medical Rehabilitation Department, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Viswambharan Jidesh
- Former Assistant Professor, Department of Physiotherapy, Father Muller Medical College and Hospital, Mangalore, India and currently a Physiotherapist in Hamad General Hospital, Doha, Qatar
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de Vries HJ, Reneman MF, Groothoff JW, Geertzen JHB, Brouwer S. Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. JOURNAL OF OCCUPATIONAL REHABILITATION 2013; 23:1-10. [PMID: 22661341 PMCID: PMC3563949 DOI: 10.1007/s10926-012-9373-1] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
PURPOSE To assess self-reported work ability and work performance of workers who stay at work despite chronic nonspecific musculoskeletal pain (CMP), and to explore which variables were associated with these outcomes. METHODS In a cross-sectional study we assessed work ability (Work Ability Index, single item scale 0-10) and work performance (Health and Work Performance Questionnaire, scale 0-10) among 119 workers who continued work while having CMP. Scores of work ability and work performance were categorized into excellent (10), good (9), moderate (8) and poor (0-7). Hierarchical multiple regression and logistic regression analysis was used to analyze the relation of socio-demographic, pain-related, personal- and work-related variables with work ability and work performance. RESULTS Mean work ability and work performance were 7.1 and 7.7 (poor to moderate). Hierarchical multiple regression analysis revealed that higher work ability scores were associated with lower age, better general health perception, and higher pain self-efficacy beliefs (R(2) = 42 %). Higher work performance was associated with lower age, higher pain self-efficacy beliefs, lower physical work demand category and part-time work (R(2) = 37 %). Logistic regression analysis revealed that work ability ≥8 was significantly explained by age (OR = 0.90), general health perception (OR = 1.04) and pain self-efficacy (OR = 1.15). Work performance ≥8 was explained by pain self-efficacy (OR = 1.11). CONCLUSIONS Many workers with CMP who stay at work report poor to moderate work ability and work performance. Our findings suggest that a subgroup of workers with CMP can stay at work with high work ability and performance, especially when they have high beliefs of pain self-efficacy. Our results further show that not the pain itself, but personal and work-related factors relate to work ability and work performance.
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Affiliation(s)
- Haitze J de Vries
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, P.O. Box 30.002, 9750, RA Haren, The Netherlands,
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Influences of Chronic Pain on Proximal Job Retention Outcomes: A Systematic Literature Review. AUSTRALIAN JOURNAL OF REHABILITATION COUNSELLING 2012. [DOI: 10.1017/jrc.2012.12] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective. The study examined the evidence for the influence of chronic pain on proximal work participation behaviours important for job retention such as presenteeism, absenteeism and job satisfaction.Method. A comprehensive literature search was undertaken using various databases including PsycINFO, Medline, Scopus and other sources which resulted in the identification of 353 articles of which 15 articles were chosen for analysis and inclusion. Eligibility was based on a mixed methodological framework using the Consolidated Standards of Reporting Trials (CONSORT) checklist.Results. There is evidence to suggest that chronic pain influences work participation qualities including absenteeism, presenteeism and job satisfaction. Personality and work content factors mediate the relationship between chronic pain and the proximal work participation variables.Conclusion. Interventions targeting proximal work context behaviours appear to hold promise for long-term work participation by people with chronic pain. Rehabilitation interventions for job retention with chronic pain will likely be successful with attention to ongoing, changeable work participation behaviours that predict job retention.
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Abstract
BACKGROUND Disability in adults with low back pain (LBP) is associated with negative back pain beliefs (BPBs). Adult BPBs can be positively influenced with education, resulting in reduced LBP disability. By late adolescence, the prevalence of LBP reaches adult levels. The relationship among LBP experience, LBP impact, and BPBs has not been investigated in late adolescence. OBJECTIVE The aim of this study was to document unknown relationships among LBP experience, LBP impact, and BPBs in 17-year-olds. Design A cross-sectional study design was used. METHODS Adolescents (n=1,126) in the Raine Study provided full information on LBP, LBP impact (sought professional advice or treatment, taken medication, missed school or work, interfered with normal activities, interfered with physical activities), BPBs, and a number of covariates. RESULTS Back pain beliefs were more positive in participants with experience of LBP (X=30.2, SD=5.6) than in those without experience of LBP (X=28.5, SD=5.1). Individuals with LBP without activity modification impacts had more positive BPBs than those with activity modification impacts, even after adjustment for mental well-being and sex. The adjusted difference in BPBs between participants with experience of LBP but no activity modification impacts and those reporting all 3 activity modification impacts was 2.9 points (95% confidence interval=1.7 to 4.2). Participants with no activity modification impacts had more positive BPBs than those with no experience of LBP (adjusted difference=2.2 points, 95% confidence interval=1.4 to 2.9). More positive BPBs also were associated with female sex, lower body mass index, higher family income, better 36-Item Short-Form Health Survey (SF-36) Mental Health scale scores, and more positive primary caregiver beliefs. Limitations Cause and effect cannot be ascertained with the cross-sectional design. CONCLUSION Differences in BPBs are associated with different levels of LBP impact at 17 years of age. This finding provides a potential target for intervention early during the life course.
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Melloh M, Elfering A, Salathé CR, Käser A, Barz T, Röder C, Theis JC. Predictors of sickness absence in patients with a new episode of low back pain in primary care. INDUSTRIAL HEALTH 2012; 50:288-298. [PMID: 22673362 DOI: 10.2486/indhealth.ms1335] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This study examines predictors of sickness absence in patients presenting to a health practitioner with acute/ subacute low back pain (LBP). Aims of this study were to identify baseline-variables that detect patients with a new LBP episode at risk of sickness absence and to identify prognostic models for sickness absence at different time points after initial presentation. Prospective cohort study investigating 310 patients presenting to a health practitioner with a new episode of LBP at baseline, three-, six-, twelve-week and six-month follow-up, addressing work-related, psychological and biomedical factors. Multivariate logistic regression analysis was performed to identify baseline-predictors of sickness absence at different time points. Prognostic models comprised 'job control', 'depression' and 'functional limitation' as predictive baseline-factors of sickness absence at three and six-week follow-up with 'job control' being the best single predictor (OR 0.47; 95%CI 0.26-0.87). The six-week model explained 47% of variance of sickness absence at six-week follow-up (p<0.001). The prediction of sickness absence beyond six-weeks is limited, and health practitioners should re-assess patients at six weeks, especially if they have previously been identified as at risk of sickness absence. This would allow timely intervention with measures designed to reduce the likelihood of prolonged sickness absence.
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Affiliation(s)
- Markus Melloh
- Western Australian Institute for Medical Research, University of Western Australia, Australia
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Abstract
Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted. The mechanism of action of many treatments is unclear, and effect sizes of most treatments are low. Both patient preferences and clinical evidence should be taken into account for pain management, but generally self-management, with appropriate support, is recommended and surgery and overtreatment should be avoided.
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Affiliation(s)
- Federico Balagué
- Department of Rheumatology, Physical Medicine, and Rehabilitation, Hôpital Fribourgeois-Hôpital cantonal, Fribourg and Geneva University, Geneva, Switzerland.
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SUZUKI T, KIMURA A, TANAKA R, WATANABE S. Creation and Investigation of the Reliability and Validity of the Japanese version of the Back Beliefs Questionnaire. ACTA ACUST UNITED AC 2012. [DOI: 10.1589/rika.27.475] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Tetsu SUZUKI
- Department of Physical Therapy, Shimane Rehabilitation College
| | - Aiko KIMURA
- Department of Physical Therapy, Faculty of Health Sciences, Hiroshima International University
| | - Ryo TANAKA
- Department of Physical Therapy, Faculty of Health Sciences, Hiroshima International University
| | - Susumu WATANABE
- Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare
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Factors that affect the occurrence and chronicity of occupation-related musculoskeletal disorders. Best Pract Res Clin Rheumatol 2011; 25:103-15. [PMID: 21663853 DOI: 10.1016/j.berh.2011.01.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2010] [Accepted: 12/16/2010] [Indexed: 11/23/2022]
Abstract
The components that affect the occurrence and chronicity of musculoskeletal disease are multifactorial. The return to work process and prevention of future chronic disability commences at the time of the initial assessment. The clinician can identify, at an early stage, patients with negative expectations of return to work and adopt a care plan oriented to functional adaptation. Medical and psychosocial treatment plans taking account of coping preferences, beliefs and practices are more likely to help prevent chronic disability. Other factors that can influence the long-term disability rate include medically discretionary or unnecessary time off work and litigation itself. Workplace factors can result in unnecessary absenteeism and poorly managed presenteeism.
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Wieser S, Horisberger B, Schmidhauser S, Eisenring C, Brügger U, Ruckstuhl A, Dietrich J, Mannion AF, Elfering A, Tamcan O, Müller U. Cost of low back pain in Switzerland in 2005. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2011; 12:455-67. [PMID: 20526649 PMCID: PMC3160551 DOI: 10.1007/s10198-010-0258-y] [Citation(s) in RCA: 126] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2009] [Accepted: 05/11/2010] [Indexed: 05/24/2023]
Abstract
Low back pain (LBP) is the most prevalent health problem in Switzerland and a leading cause of reduced work performance and disability. This study estimated the total cost of LBP in Switzerland in 2005 from a societal perspective using a bottom-up prevalence-based cost-of-illness approach. The study considers more cost categories than are typically investigated and includes the costs associated with a multitude of LBP sufferers who are not under medical care. The findings are based on a questionnaire completed by a sample of 2,507 German-speaking respondents, of whom 1,253 suffered from LBP in the last 4 weeks; 346 of them were receiving medical treatment for their LBP. Direct costs of LBP were estimated at <euro>2.6 billion and direct medical costs at 6.1% of the total healthcare expenditure in Switzerland. Productivity losses were estimated at <euro>4.1 billion with the human capital approach and <euro>2.2 billion with the friction cost approach. Presenteeism was the single most prominent cost category. The total economic burden of LBP to Swiss society was between 1.6 and 2.3% of GDP.
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Affiliation(s)
- Simon Wieser
- Winterthur Institute of Health Economics WIG, Zurich University of Applied Sciences, P.O. Box 958, St. Georgenstrasse 70, 8401, Winterthur, Switzerland.
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Abstract
Low back pain is common and poses a challenge for clinicians to find effective treatment to prevent it from becoming chronic. Chronic low back pain can have a significant impact on an employee's ability to remain an active and productive member of the work force due to increased absenteeism, duty restrictions, or physical limitations from pain. Low back pain is the most common cause of work-related disability among employees younger than 46 years. Advancing technology and less invasive surgical procedures have not improved outcomes for employees who suffer from low back pain. Most continue to experience some pain and dysfunction after conventional treatments such as injections and surgery. An alternative treatment that could reduce nonspecific chronic low back pain would benefit both employees and employers. Exercising and remaining active are part of most guidelines' routine care recommendations but are not well defined.
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Carter C, Stratton C, Mallory D. Yoga to treat nonspecific low back pain. ACTA ACUST UNITED AC 2011; 59:355-61; quiz 362. [PMID: 21780737 DOI: 10.3928/08910162-20110718-01] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2011] [Accepted: 06/04/2011] [Indexed: 11/20/2022]
Abstract
Low back pain is common and poses a challenge for clinicians to find effective treatment to prevent it from becoming chronic. Chronic low back pain can have a significant impact on an employee's ability to remain an active and productive member of the work force due to increased absenteeism, duty restrictions, or physical limitations from pain. Low back pain is the most common cause of work-related disability among employees younger than 46 years. Advancing technology and less invasive surgical procedures have not improved outcomes for employees who suffer from low back pain. Most continue to experience some pain and dysfunction after conventional treatments such as injections and surgery. An alternative treatment that could reduce nonspecific chronic low back pain would benefit both employees and employers. Exercising and remaining active are part of most guidelines' routine care recommendations but are not well defined.
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