Gender Differences In The Cause Of Low Back Pain In British Soldiers

Strowbridge, N F

doi:10.1136/jramc-151-02-02

Cited by 20 publications

(9 citation statements)

References 23 publications

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“…22,23 Our results from patients in primary care are in accordance with findings from national and international population surveys studies that found women to be more affected by LBP. [2][3][4][5][6][7][8][9][10] The finding that women had more pain in other parts of the body associated with LBP was also found by others, 2,24 along with the observed higher prevalence of a positive depression score. 2,25 Unlike in a Dutch cohort study, sex was not a significant factor associated with sick leave for LBP.…”

Section: Meaning Of the Results And Comparison With Other Studiessupporting

confidence: 75%

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Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Chenot¹,

Becker

Leonhardt

et al. 2008

The Clinical Journal of Pain

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Section: Meaning Of the Results And Comparison With Other Studiessupporting

confidence: 75%

“…6 British female soldiers were more than 2 times more likely to report LBP then male soldiers. 7 Other studies found female sex to be associated with higher disability from LBP [8][9][10] and more days of sickness absence. 11 It is, therefore, conceivable that women have a higher and different utilization of healthcare service for LBP than men.…”

mentioning

confidence: 99%

Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Chenot¹,

Becker

Leonhardt

et al. 2008

The Clinical Journal of Pain

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“…It may be that the high levels of cardiovascular fitness helps to reduce sex-based differences in injury rates. Several researchers have concluded that sex is an independent factor in predicting injury rates (George et al 2012;Strowbridge 2005), but when corrected for fitness this relationship no longer holds true (Bell et al 2000;Blacker et al 2008;Knapik et al 2011a). …”

Section: Sex Differences In Musculoskeletal Injury (Msi) In Physicallmentioning

confidence: 99%

Current considerations related to physiological differences between the sexes and physical employment standards

Roberts

Gebhardt²,

Gaskill

et al. 2016

Appl. Physiol. Nutr. Metab.

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The use of physical employment standards (PES) has helped ensure that workers have the physical attributes necessary to complete their jobs in a safe and efficient manner. However, PES used in the selection processes have not always reflected the critical physical requirements of the job tasks. Women generally have smaller anthropometric stature than men, less muscle mass, and therefore less strength, power, and endurance, particularly in the upper body. Nonetheless, these attributes in themselves are not valid grounds for exclusion from employment in physically demanding occupations. Selection standards based upon size or strength, irrespective of the job requirements, have resulted in the barring of capable women from physically demanding jobs, claims of gender bias, and costly litigations. To ensure all individuals are provided with equal access to employment, accurate characterization of the critical physical requirements of the job is paramount. This paper summarizes the existing research related to disparities between the sexes that contribute to sex differences in job performance in physically demanding occupations including physical and legal factors. Strategies for mitigating these differences in the setting of PES and the meeting of minimum employment standards are discussed. Where available, injury rates for women and men in physically demanding occupations are presented and the etiology considered. Finally, areas for further research are identified.

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“…Unemployed and married females performing household activities have reported worse LBP [ 28 ]. Strowbridge [ 29 ] reported that females engaged in physical military training experienced more LBP than men, which was not observed in women who played sports. Taylor et al [ 30 ] identified 5,690 patients with degenerative lumbosacral pathologies and reported a greater prevalence of instability, spondylosis, and spinal stenosis among females and of herniated nucleus pulposus among males.…”

Section: Discussionmentioning

confidence: 99%

Lumbosacral Transitional Vertebra-Related Low Back Pain: Resolving the Controversy

Gopalan

Yerramshetty

2018

Asian Spine J

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Study DesignCase control study.PurposeThe association of lumbosacral transitional vertebra (LSTV) with low back pain (LBP) is controversial, as is the role of occupational physical activity and radiological spinal abnormalities suggestive of other spinal disorders (OSDs) such as spinal degeneration and instability. This study aimed to determine if any association of LSTV with LBP exists. If so, the association of the level of physical activity and presence of OSD with LSTV-related LBP was determined.Overview of LiteratureThe cause of LBP has been linked to proximal level disc degeneration, arthritic pseudoarticulation between LSTV and the sacral ala, facet joint degeneration, and nerve root compression due to a broadened transverse process. LSTV associated with LBP is present among individuals who are involved in high-level physical activity, including military recruits and athletes.MethodsThis was an unmatched study comprising 372 cases and 224 controls consecutively recruited with clinical and radiographic documentation. The relationship between LSTV and LBP was analyzed, and the effects of LSTV and OSD on this relationship were also assessed and statistically controlled.ResultsThe presence of LSTV (p =0.039) was significantly associated with LBP, and the presence of OSD was associated with LTSV-related LBP, after statistically controlling for the level of physical activity (p =0.024). The level of physical activity was not associated with LBP. Demographic analysis revealed female predominance with an advanced age (>45 years) among those with LSTV-related LBP who have OSD.ConclusionsThe presence of LSTV was associated with an increased prevalence of LBP. This association was probably due to the confounding effect of OSD. The level of occupational physical activity was not associated with LSTV-related LBP. We speculate that advanced age and female sex caused the spurious association of LSTV with LBP in our study, rendering LSTV-related LBP controversial in published literature.

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Gender Differences In The Cause Of Low Back Pain In British Soldiers

Cited by 20 publications

References 23 publications

Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

Current considerations related to physiological differences between the sexes and physical employment standards

Lumbosacral Transitional Vertebra-Related Low Back Pain: Resolving the Controversy

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