Disability Resulting From Occupational Low Back Pain

Frank, John; Brooker, Ann-Sylvia; DeMaio, Suzanne E.; Kerr, Mickey; Maetzel, Andreas; Shannon, Harry S.; Sullivan, Terry J.; Norman, Robert W.; Wells, Richard

doi:10.1097/00007632-199612150-00025

Cited by 372 publications

(39 citation statements)

References 42 publications

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“…Evidence favours supervised, graduated and early return to work for improving role functioning among patients with chronic symptoms and disability. For example, studies of patients with low back pain suggest that a return to modified work can be successful (Frank et al 1996), while work restrictions diminish the likelihood of return to work and do not reduce absenteeism or back pain recurrences (Burton & Erg 1997). …”

Section: (D) Intensive Rehabilitative Carementioning

confidence: 99%

Managing future Gulf War Syndromes: international lessons and new models of care

Engel

Hyams

Scott

2006

Phil. Trans. R. Soc. B

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After the 1991 Gulf War, veterans of the conflict from the United States, United Kingdom, Canada, Australia and other nations described chronic idiopathic symptoms that became popularly known as 'Gulf War Syndrome'. Nearly 15 years later, some 250 million dollars in United States medical research has failed to confirm a novel war-related syndrome and controversy over the existence and causes of idiopathic physical symptoms has persisted. Wartime exposures implicated as possible causes of subsequent symptoms include oil well fire smoke, infectious diseases, vaccines, chemical and biological warfare agents, depleted uranium munitions and post-traumatic stress disorder. Recent historical analyses have identified controversial idiopathic symptom syndromes associated with nearly every modern war, suggesting that war typically sets into motion interrelated physical, emotional and fiscal consequences for veterans and for society. We anticipate future controversial war syndromes and maintain that a population-based approach to care can mitigate their impact. This paper delineates essential features of the model, describes its public health and scientific underpinnings and details how several countries are trying to implement it. With troops returning from combat in Afghanistan, Iraq and elsewhere, the model is already getting put to the test.

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Section: (D) Intensive Rehabilitative Carementioning

confidence: 99%

Managing future Gulf War Syndromes: international lessons and new models of care

Engel

Hyams

Scott

2006

Phil. Trans. R. Soc. B

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“…2 In Germany, about 14% of the days lost from work are due to back disorders 1. Some trades are characterised by a comparatively high prevalence of musculoskeletal disorders with the construction industry ranking third for sickness absence due to LBP in Germany 1…”

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confidence: 99%

“…Most knowledge on risk factors of LBP stems from cross sectional studies which cannot evaluate the temporal sequence between a risk factor and the occurrence of pain 7. Three different groups of potential risk factors have been identified2 7: ( a ) individual factors such as body weight and age, ( b ) biomechanical factors such as heavy physical load, lifting, twisted postures, and vibration, and ( c ) psychosocial factors such as job control and job satisfaction. The increased risk for bricklayers has been attributed to inclined work postures and by repetitive lifting of bricks which weigh 5–24 kg, depending on the type and size 5…”

mentioning

confidence: 99%

Cohort study of occupational risk factors of low back pain in construction workers

Latza

Karmaus

Stürmer³

et al. 2000

Occup Environ Med

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Objectives-To identify work related risk factors of future low back pain (LBP) in a cohort of construction workers free of LBP at the start of follow up. Methods-The Hamburg construction worker study comprises 571 male construction workers who have undergone two comprehensive interview and physical examination surveys. A cohort of 285 subjects without LBP at baseline was identified. After a follow up of 3 years, the 1 year prevalence of self reported LBP was determined in the 230 men followed up (80.7%). Prevalence ratios (PRs) with 95% confidence intervals (95% CIs) of LBP at follow up according to self reported work tasks of construction workers measured at baseline were estimated from Cox's regression models which were adjusted for age, and anthropometric measures. Results-At follow up 71 out of 230 workers (30.9%) reported LBP during the preceding 12 months. Four work tasks (scaVolding, erecting roof structures, sawing wood, laying large sandstones) with an increased risk of 1 year prevalence of LBP at follow up were further evaluated. After further adjustment for occupation the relative risk was increased for workers who had reported >2 hour/ shifts laying large sandstones (PR=2.6; 95% CI 1.1 to 6.5). Work load of bricklayers was additionally estimated by an index on stone load (high exposure: PR=4.0; 95% CI 0.8 to 19.8), and an index for laying huge bricks/blocks (yes/no: PR=1.7; 95% CI 0.5 to 5.7). Conclusions-The results suggest that self reported diVerences in brick characteristics (size and type of stone) and temporal aspects of the work of bricklayers (average hours per shift laying specified stones) can predict the future prevalence of LBP. The data have to be interpreted with caution because multiple risk factors were tested.

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“…† 15,22,23 The severity measures include back and leg pain intensity (NRS-101), functional disability (Roland-Morris scale), and health-related quality of life (mental and physical components of the Short Form-12). ‡ 24 -26 Each of these standard measures represents a slightly different expression of the severity of back pain although there are substantial overlaps among them.…”

Section: Datamentioning

confidence: 99%

It Pays to be Nice: Employer-Worker Relationships and the Management of Back Pain Claims

Butler

Johnson

Côté

2007

Journal of Occupational and Environmental Medicine

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Disability Resulting From Occupational Low Back Pain

Cited by 372 publications

References 42 publications

Managing future Gulf War Syndromes: international lessons and new models of care

Managing future Gulf War Syndromes: international lessons and new models of care

Cohort study of occupational risk factors of low back pain in construction workers

It Pays to be Nice: Employer-Worker Relationships and the Management of Back Pain Claims

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