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Journal of Occupational Rehabilitation

Erschienen in:

01.06.2007 | Original Paper

Association of Low Back Pain, Impairment, Disability & Work Limitations in Nurses

verfasst von: Suzanne Denis, Harry S. Shannon, Jean Wessel, Paul Stratford, Iris Weller

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 2/2007

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Abstract

Introduction: Health care professionals use measures of pain and impairment to identify potential disability and subsequently to predict workers’ ability to do their work. However, there is little evidence that measures used are associated with ability to do one’s job. Methods: A cross-sectional study was conducted. Nurses (n = 100) were classified into either off/modified work (due to LBP) or regular work groups. Trunk ROM, trunk muscular endurance, pain and disability were measured relative to the outcomes work status and Work Limitations Questionnaire (WLQ) score. Results: Regression analyses which included Roland Morris Questionnaire (RMQ, disability) and Sørenson (back extensor endurance) in the final models correctly classified the work status of 87% of the participants and accounted for 60% of variance in the WLQ score. Conclusions: Use of the RMQ and Sørenson test as diagnostic and prognostic tools should be considered in assisting return to work and treatment decision-making in female nurses with LBP.

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Anderson GBJ. Epidemiological features of chronic low-back pain. Lancet 1999;354(Aug. 14):581–585.CrossRef

Frank JW, Kerr MS, Brooker A, DeMaio SE, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain part I: What do we know about primary prevention? A review of the scientific evidence before disability begins. Spine 1996;21(24):2908–17.PubMedCrossRef

Cassidy DJ, Carroll LJ, Cote P. The Saskatchewan health and back pain survey: The prevalence of low back pain and related disability in Saskatchewan adults. Spine 1998;23(17):1860–6.PubMedCrossRef

Jensen RC. Disabling back injuries among nursing personnel: Research needs. Res Nurs Health 1987;10:29–38.PubMedCrossRef

Pheasant S, Stubbs D. Back pain in nurses: epidemiology and risk assessment. Appl Ergon 1992;23(4):226–32.PubMedCrossRef

Hignett S. Work-related back pain in nurses. J Adv Nurs 1996;23(6):1238–46.PubMedCrossRef

Smedley J, Egger P, Cooper C, Coggon D. Prospective cohort study of predictors of low back pain in nurses. Br Med J 1997;314(26):1225–8.

Yassi A, Khokhar J, Tate R, Cooper J, Snow C, Vallentyne S. The epidemiology of back injuries in nurses at a large Canadian tertiary care hospital: implications for prevention. Occup Med 1995;45(4):215–20.CrossRef

Magora A. Investigation of the relationship between low back pain and occupation. Scand J Rehabil Med 1974;6:81–8.PubMed

10.

Baty D, Stubbs DA. Postural stress in geriatric nursing. Int J Nurs Stud 1987;24(4):339–44.PubMedCrossRef

11.

Nordin M, Örtengren R, Anderson GBJ. Measurement of trunk movements during work. Spine 1984;9(5):465–9.PubMedCrossRef

12.

Gundewall B, Liljeqvist M, Hansson TH. Primary prevention of back symptoms and absence from work. Spine 1993;18(5):587–94.PubMedCrossRef

13.

Punnett L, Fine LJ, Keyserling WM, Herrin GD, Chaffin DB. Back disorders and nonneutral trunk postures of automobile assembly workers. Scand J Work Environ Health 1991;17:337–46.PubMed

14.

Hazard RG, Haugh LD, Green PA, Jones PL. Chronic low back pain. The relationship between patient satisfaction and pain, impairment, and disability. Spine 1994;19(8):881–7.PubMedCrossRef

15.

Jette AM. Outcomes research: Shifting the dominant research paradigm in physical therapy. Phys Ther 1995;75(11):965–70.PubMed

16.

Rainville J, Ahern D, Phalen L, Childs L, Sutherland R. The association of pain with physical activities in chronic low back pain. Spine 1992;17(9):1060–4.PubMedCrossRef

17.

Rigby AS, Rudolpher SM, Badley EM, Brayshaw NC. The relationship between impairment and disability in arthritis: an application of the theory of generalized linear models to the ICIDH. Int Disability Stud 1989;11(2):84–8.

18.

Sullivan SM, Donegan Shoaf L, Riddle DL. The relationship of lumbar flexion to disability in patients with low back pain. Phys Ther 2000;80(3):240–50.PubMed

19.

Waddell G. A new clinincal model for the treatment of low back pain. Spine 1987;12(7):632–44.PubMedCrossRef

20.

Seçkin Ü, Bölükbasi N, Gürsel G, Eröz S, Sepici V, Ekim N. Relationship between pulmonary function and exercise tolerance in patients with ankylosing spondylitis. Clin Exp Rheumatol 2000;28:503–6.

21.

Dionne CE, Von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H. A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 1999;24(22):2339–45.PubMedCrossRef

22.

Stratford PW, Binkley JM. A comparison study of the back functional scale and Roland Morris questionnaire. J Rheumatol 2000;27:1928–36.PubMed

23.

Stratford P, Spadoni G. The reliability, consistency, and clinical application of a numeric pain rating scale. Physiother Can 2001;53(2):88–91.

24.

Roland M, Morris R. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low-back pain. Spine 1983;78(11):141–4.CrossRef

25.

MacRae IF, Wright V. Measurement of back movement. Ann Rheum Dis 1969;28:584–9.PubMed

26.

Moll JMH, Wright V. Normal range of spinal mobility. Ann Rheum Dis 1971;30:381–6.PubMedCrossRef

27.

Beattie P, Rothstein JM, Lamb RL. Reliability of the attraction method for measuring lumbar spine backward bending. Phys Ther 1987;67(3):364–9.PubMed

28.

Lerner D, Amick III BC, Rogers WH, Malspeis S, Bungay K, Cynn D. The Work Limitations Questionnaire. Med Care 2001;39(1):72–85.PubMedCrossRef

29.

Lerner D, Reed JI, Massarotti E, Wester LM, Burke TA. The Work Limitations Questionnaire’s validity and reliability among patients with osteoarthritis. J Clin Epidemiol 2002;55:197–208.PubMedCrossRef

30.

Fletcher RH, Fletcher SW, Wagner EH. Chapter 3/diagnosis. In: Satterfield TS, editor. Clinical epidemiology: the essentials. 3rd ed. Baltimore: Williams & Wilkins; 1996. p. 43–74.

31.

Norman GR, Streiner DL. Chapter 15: Logistic regression. In: Biostatistics, the bare essentials. 2nd ed. Hamilton: B.C. Descker Inc.; 2000. p. 139–44.

32.

Kerr MS, Frank JW, Shannon HS, Norman RWK, Wells RP, Neumann PW, et al. Biomechanical and psychosocial risk factors for low back pain at work. Am J Public Health 2001;91(7):1069–75.PubMedCrossRef

33.

Rantanen P. Physical measurements and questionnaires as diagnostic tools in chronic low back pain. J Rehabil Med 2001;33:31–5.PubMedCrossRef

34.

Luoto S, Heliövaara M, Hurri H, Alaranta H. Static back endurance and the risk of low-back pain. Clin Biomech 1995;10(6):323–4.CrossRef

35.

Hultman G, Nordin M, Saraste H, Ohlsèn H. Body composition, enduranace, strength, cross-sectional area, and density of MM erector spinae in men with and without low back pain. J Spinal Disord 1993;6(2):114–23.PubMedCrossRef

36.

Latimer J, Maher CG, Refshauge K, Colaco I. The reliability and validity of the Biering-Sorenson test in asymptomatic subjects and subjects reporting current or previous nonspecific low back pain. Spine 1999;24(20):2085–90.PubMedCrossRef

37.

Holmström E, Moritz U, Andersson M. Trunk muscle strength and back muscle endurance in construction workers with and without low back disorders. Scand J Rehabil Med 1992;24:3–10.PubMed

38.

Nicolaisen T, Jørgensen K. Trunk strength, back muscle endurance and low-back trouble. Scand J Rehabil Med 1985;17:121–7.PubMed

39.

Payne N, Gledhill N, Katzmarzyk PT, Jamnik V. Health-related fitness, physical activity, and history of back pain. Can J Appl Physiol 2000;25(4):236–49.PubMed

40.

Kankaanpää M, Laaksonen D, Taimela S, Kokko S-M, Airaksinen O, Hänninen O. Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric sørensen back endurance test. Arch Phys Med Rehabil 1998;79:1069–75.

41.

Mannion AF, Dolan P. Electromyographic median frequency changes during isometric contraction of the back extensors to fatigue. Spine 1994;19(11):1223–9.PubMedCrossRef

42.

Mannion AF, Connolly B, Wood K, Dolan P. The use of surface EMG power spectral analysis in the evaluation of back muscle function. J Rehabil Res Dev 1997;34(4):427–39.PubMed

43.

Simmonds MJ, Olson SL, Jones S, Hussein T, Lee CE, Novy DM, et al. Psychometric characteristics and clinical usefulness of physical performance tests in patients with low back pain. Spine 1998;23(22):2412–2421.PubMedCrossRef

44.

Moffroid M, Reid S, Henry SN, Haugh LD, Ricamato A. Some endurance measures in persons with chronic low back pain. J Orthop Sports Phys Ther 1994;20(2):81–7.PubMed

45.

Alaranta H, Hurri H, Heliövaara M, Soukka A, Harju R. Non-dynamometric trunk performance tests: Reliability and normative data. Scand J Rehabil Med 1994(26):211–5.PubMed

46.

Moreland J, Finch E, Stratford P, Balsor B, Gill C. Interrater reliability of six tests of trunk muscle function and endurance. J Orthop Sports Phys Ther 1997;26(4):200–8.PubMed

47.

Biering-Sørensen F. A prospective study of low back pain in a general population. Scand J Rehabil Med 1983;15:71–9.PubMed

48.

Nordin M, Kahanovitz N, Verderame R, Parnianpour M, Yabut S, Viola K, et al. Normal trunk muscle strength and endurance in women and the effect of exercises and electrical stimulation part 1: Normal endurance and trunk muscle strength in 101 women. Spine 1987;12(2):105–11.PubMedCrossRef

49.

Mannion AF, Junge A, Taimela S, Müntener M, Lorenzo K, Dvorak J. Active therapy for chronic low back pain. Part 3. Factors influencing self-rated disability and its change following therapy. Spine 2001;26(8):920–9.PubMedCrossRef

50.

Yip Yb. A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. J Adv Nurs 2001;36(6):794–804.PubMedCrossRef

51.

Zimmerman T. The effectiveness of different intervention strategies in preventing back pain in members of the nursing population and the general population. Work 1998;11:221–31.CrossRef

52.

Buckle P. Epidemiological aspects of back pain within the nursing profession. Int J Nurs Stud 1987;24(4):319–24.PubMedCrossRef

53.

O’Brien-Pallas L, Thomson D, Alksnis C, Luba M, Pagneiello A, Ray K, et al. Stepping to success and sustainability: An analysis of Ontario’s nursing workforce. Toronto: Nursing Effectiveness, Utilization, Outcomes and Research Unit, University of Toronto; 2003 November.

54.

Kramer D. The changing world of health care. Toronto: Institute for Work and Health; 2001 June. Report No.: 22a.

55.

Parks KA, Crichton KS, Goldford RJ, McGill SM. A Comparison of Lumbar range of motion and functional ability scores in patients with low back pain. Spine 2003;28(4):380–4.PubMedCrossRef

56.

Jackson AW, Morrow Jr JR, Brill PA, Kohl HW, Gordon NF, Blair SN. Relations of sit-up and sit-and-reach tests to low back pain in adults. J Orthop Sports Phys Ther 1998;27(1):22–6.PubMed

57.

Lubrano E, Helliwell P. Deterioration in anthropometric measures over six years in patients with ankylosing spondylitis. Physiotherapy 1999;85(3):138–43.CrossRef

58.

Grönblad M, Hurri H, Kouri J-P. Relationships between spinal mobility, physical performance tests, pain intensity and disability assessments in chronic low back pain patients. Scand J Rehabil Med 1997;29:17–24.PubMed

59.

Gilmor J. Body mass index and health. Statistics Canada. http://www.statcan.ca/english/ads/82-003-XPB/toc.htm.

60.

McGill S, Childs A, Liebenson C. Endurance times for low back stabilization exercises: Clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 1999;80(August):941–944.PubMedCrossRef

Titel: Association of Low Back Pain, Impairment, Disability & Work Limitations in Nurses
verfasst von: Suzanne Denis
Harry S. Shannon
Jean Wessel
Paul Stratford
Iris Weller
Publikationsdatum: 01.06.2007
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Journal of Occupational Rehabilitation / Ausgabe 2/2007
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-007-9065-4

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