Occupational and Ergonomic Factors Associated With Low Back Pain Among Car-patrol Police Officers

Douma, Nabiha Benyamina; Coté, Charles J.; Lacasse, Anaïs

doi:10.1097/ajp.0000000000000617

Cited by 22 publications

(27 citation statements)

References 50 publications

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“…LBP has multifactorial consequences in tactical populations. Current evidence has shown the importance of assessing psychosocial and physical function outcomes in tactical personnel [18,19]. Douma et al [18] found that police officers with chronic LBP had lower levels of quality of life in emotional and mental domains when compared to police officers without LBP.…”

Section: Discussionmentioning

confidence: 99%

“…Current evidence has shown the importance of assessing psychosocial and physical function outcomes in tactical personnel [18,19]. Douma et al [18] found that police officers with chronic LBP had lower levels of quality of life in emotional and mental domains when compared to police officers without LBP. Due to the nature (stressful and dangerous) and the requirements (physical and mental) of the work of tactical personnel, LBP is highly likely to continue to be present in these professions, harming personnel, their agencies, and society in general.…”

Section: Discussionmentioning

confidence: 99%

“…Noting that, with the high prevalence of NSLBP in tactical personnel [14,18], there are no published guidelines for management of this condition in this population. As such, this review provides important findings regarding the efficacy, or lack thereof, for several types of interventions that are of use to guide current treatment and future research.…”

Section: Discussionmentioning

confidence: 99%

“…Apart from load carriage, other factors are also associated with LBP in these populations including a lack of physical fitness, higher fat mass, and long periods of sitting [18,19]. The nature of police and firefighter work, which includes shift work, is known to have a negative impact on fitness and body composition levels within these populations.…”

Section: Introductionmentioning

confidence: 99%

“…For military soldiers, long periods of deployment have been found to likewise lead to lower levels of fitness and higher fat mass [21]. Both of these factors (lower levels of fitness and increased fat mass) are also associated with an increased risk of LBP as are long periods of sitting [17][18][19]. Furthermore, sitting can be further exacerbated by load carriage requirements causing increased discomfort and impacting on the range of motion in the trunk and hip [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials

et al. 2020

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Limited evidence exists about non-specific low back pain (NSLBP) interventions among tactical personnel (police officers, firefighters, or army forces). The aim was to identify and systematically review the findings of randomized control trials (RCTs) investigating conservative interventions for the treatment NSLBP in tactical personnel. A search of seven databases for randomized controlled trials RCTs were conducted. Two independent reviewers extracted data and assessed the risk of bias (PEDro scale). Five RCTs (n = 387 military subjects; median PEDro score = 7/10) were included. The trials were highly heterogeneous, differing in pain and disability outcome measures, duration of NSLBP symptoms (acute, nonacute, nonchronic, and chronic), types of intervention (exercise, manual therapy, and physical therapy), types of control groups, and intervention durations (4–12 weeks). Two studies reported that strengthening exercise interventions were not effective for reducing pain or disability in military personnel with chronic or nonacute NSLBP. Manual therapy treatment was more effective than usual activities in current pain and pain typical symptoms in soldiers with acute NSLBP after four weeks. A multidimensional intervention reduced disability in military personnel with non-chronic NSLBP after four weeks. Strong evidence does not exist for the efficacy of any conservative interventions in the reduction of pain and disability in tactical populations with NSLBP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials

et al. 2020

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A cross-sectional analysis of the muscle strength, spinal shrinkage, and recovery during a working day of military police officers

Hoflinger

Rodacki²,

Tavares³

et al. 2021

Journal of Occupational Health

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Objective Military personnel has a large prevalence of back pain, especially those involved in patrolling routines, as they wear heavy protective equipment. Patrolling includes long periods of sustaining the protective equipment in a sitting or in a motor vehicle (motorcycle or car). Thus, understanding spinal loading of military police officers after patrolling by car (CAR; n = 14), motorcycle (MOT; n = 14), and administrative (ADM; n = 14) routines is relevant to establish preventive strategies. Methods The torque of the trunk and working and anthropometric characteristics were assessed to explain spinal loading using stature variation measures. Precise stature measures were performed before and after a 6 h journey (LOSS) and 20 min after a resting posture (RECOV). The trunk extensor (PTE BM −1 ) and flexor (PTF BM −1 ) muscles' isometric peak torque were measured before the working journey. Results The LOSS was similar between CAR and MOT (4.8 and 5.8 mm, respectively) after 6 h of patrolling. The ADM presented the lowest LOSS (2.8 mm; P < .05). No changes in RECOV between groups were observed ( P > .05). Vibration may explain the greater spinal loading involved in patrolling in comparison to the ADM. A GLM analysis revealed that BMI was the only explanatory factor for stature loss. No independent variables explained RECOV. The ability of the trunk muscles to produce force did not influence LOSS or RECOV. Conclusions Military police officers involved in patrolling may require greater post‐work periods and strategies designed to reduce the weight of the protective apparatus to dissipate spinal loading. The external load used in patrolling is a relevant spinal loading factor.

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Kognition und Kraftfahreignung bei chronischem Schmerzsyndrom

et al. 2022

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ZusammenfassungKognitive Auffälligkeiten bei Patienten mit chronischen Schmerzen finden in wissenschaftlichen Untersuchungen zunehmend Beachtung. Die Folgen dieser kognitiven Störungen in Bezug auf die Schmerzbewältigung, die Alltagsgestaltung und die Kraftfahreignung werden in der klinischen Praxis jedoch kaum berücksichtigt, obwohl die Hälfte aller Patienten davon betroffen ist. Die vorliegende Arbeit fasst die aktuelle Studienlage zusammen und diskutiert Möglichkeiten der Integration in die klinische und therapeutische Versorgung.

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Occupational and Ergonomic Factors Associated With Low Back Pain Among Car-patrol Police Officers

Cited by 22 publications

References 50 publications

Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials

Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials

A cross-sectional analysis of the muscle strength, spinal shrinkage, and recovery during a working day of military police officers

Kognition und Kraftfahreignung bei chronischem Schmerzsyndrom

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