Cargando…

The relationship between low back pain and professional driving in young military recruits

BACKGROUND: Episodes of low back pain (LBP) are very common among workers. A number of occupational risk factors have been shown to increase the risk for LBP. One of these risk factors is exposure to whole body vibration, which is a known characteristic in driving professions. The aim of this study...

Descripción completa

Detalles Bibliográficos
Autores principales: Zack, Oren, Levin, Regina, Krakov, Ayala, Finestone, Aharon S., Moshe, Shlomo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891960/
https://www.ncbi.nlm.nih.gov/pubmed/29631573
http://dx.doi.org/10.1186/s12891-018-2037-3
_version_ 1783313085321183232
author Zack, Oren
Levin, Regina
Krakov, Ayala
Finestone, Aharon S.
Moshe, Shlomo
author_facet Zack, Oren
Levin, Regina
Krakov, Ayala
Finestone, Aharon S.
Moshe, Shlomo
author_sort Zack, Oren
collection PubMed
description BACKGROUND: Episodes of low back pain (LBP) are very common among workers. A number of occupational risk factors have been shown to increase the risk for LBP. One of these risk factors is exposure to whole body vibration, which is a known characteristic in driving professions. The aim of this study was to assess the impact of driving on LBP amongst young professional drivers. METHODS: This is an historical-prospective cohort study based on the Israel Defense Forces (IDF) database of male soldiers drafted between the years 1997–2006. Subjects’ medical history with specific reference to LBP medical history, clinical and radiographic findings were taken as part of the recruitment process to the IDF. The study group included subjects (n = 80,599) from three occupational groups: administrative units (AU), car drivers (CD) and truck drivers (TD) that were followed for 3 years. The incidence and recrudescence rates of LBP were calculated based on standardized LBP severity tiers. RESULTS: The total incidence rate for LBP was 0.65%, 0.7% and 0.34% for AU, CD and TD respectively. In a comparison between subjects without a history of LBP (category 1) to subjects with a history of LBP without clinical findings (category 2) and subjects with a history of LBP with mild clinical / radiographic findings (category 3), the relative risk (RR) for severe LBP exacerbation was 1.4 (p < 0.001) and 3.8 (p < 0.01), respectively. The LBP exacerbation rates within different severity tiers yielded a similar trend amongst all profession groups. CONCLUSIONS: This study included 80,000 soldiers who represent a population of driving and administrative occupations aged 18–21. The significant risk factors for developing LBP were a previous history of LBP and presence of LBP symptoms at the start of work. A correlation was identified between severity of LBP at the initial examination and further exacerbation of LBP in all examined occupations. Driving as a profession in our (young) age-group was not identified as a risk factor for LBP.
format Online
Article
Text
id pubmed-5891960
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-58919602018-04-11 The relationship between low back pain and professional driving in young military recruits Zack, Oren Levin, Regina Krakov, Ayala Finestone, Aharon S. Moshe, Shlomo BMC Musculoskelet Disord Research Article BACKGROUND: Episodes of low back pain (LBP) are very common among workers. A number of occupational risk factors have been shown to increase the risk for LBP. One of these risk factors is exposure to whole body vibration, which is a known characteristic in driving professions. The aim of this study was to assess the impact of driving on LBP amongst young professional drivers. METHODS: This is an historical-prospective cohort study based on the Israel Defense Forces (IDF) database of male soldiers drafted between the years 1997–2006. Subjects’ medical history with specific reference to LBP medical history, clinical and radiographic findings were taken as part of the recruitment process to the IDF. The study group included subjects (n = 80,599) from three occupational groups: administrative units (AU), car drivers (CD) and truck drivers (TD) that were followed for 3 years. The incidence and recrudescence rates of LBP were calculated based on standardized LBP severity tiers. RESULTS: The total incidence rate for LBP was 0.65%, 0.7% and 0.34% for AU, CD and TD respectively. In a comparison between subjects without a history of LBP (category 1) to subjects with a history of LBP without clinical findings (category 2) and subjects with a history of LBP with mild clinical / radiographic findings (category 3), the relative risk (RR) for severe LBP exacerbation was 1.4 (p < 0.001) and 3.8 (p < 0.01), respectively. The LBP exacerbation rates within different severity tiers yielded a similar trend amongst all profession groups. CONCLUSIONS: This study included 80,000 soldiers who represent a population of driving and administrative occupations aged 18–21. The significant risk factors for developing LBP were a previous history of LBP and presence of LBP symptoms at the start of work. A correlation was identified between severity of LBP at the initial examination and further exacerbation of LBP in all examined occupations. Driving as a profession in our (young) age-group was not identified as a risk factor for LBP. BioMed Central 2018-04-10 /pmc/articles/PMC5891960/ /pubmed/29631573 http://dx.doi.org/10.1186/s12891-018-2037-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Zack, Oren
Levin, Regina
Krakov, Ayala
Finestone, Aharon S.
Moshe, Shlomo
The relationship between low back pain and professional driving in young military recruits
title The relationship between low back pain and professional driving in young military recruits
title_full The relationship between low back pain and professional driving in young military recruits
title_fullStr The relationship between low back pain and professional driving in young military recruits
title_full_unstemmed The relationship between low back pain and professional driving in young military recruits
title_short The relationship between low back pain and professional driving in young military recruits
title_sort relationship between low back pain and professional driving in young military recruits
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891960/
https://www.ncbi.nlm.nih.gov/pubmed/29631573
http://dx.doi.org/10.1186/s12891-018-2037-3
work_keys_str_mv AT zackoren therelationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT levinregina therelationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT krakovayala therelationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT finestoneaharons therelationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT mosheshlomo therelationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT zackoren relationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT levinregina relationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT krakovayala relationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT finestoneaharons relationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits
AT mosheshlomo relationshipbetweenlowbackpainandprofessionaldrivinginyoungmilitaryrecruits