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. 2003 Jul;60(7):497–503. doi: 10.1136/oem.60.7.497

Course of low back pain among nurses: a longitudinal study across eight years

I Maul 1, T Laubli 1, A Klipstein 1, H Krueger 1
PMCID: PMC1740571  PMID: 12819283

Abstract

Aims: To describe the course of low back pain (LBP) among nurses across eight years.

Methods: A longitudinal study was performed with a follow up at 1 and 8 years among nurses employed by a large university hospital in Switzerland. A modified version of the Nordic Questionnaire was distributed to obtain information about demographic data, occupational activities, and various aspects of LBP. A clinical examination and several functional tests were used to overcome the problems associated with subjective pain reporting. Nurses having answered the questionnaire on all three occasions (n = 269) were classified into subgroups according to their pain intensity. For each subgroup the course of LBP was recorded.

Results: LBP was highly prevalent with an annual prevalence varying from 73% to 76%. A large percentage (38%) indicated the same intensity of LBP on all three occasions. The proportion of nurses reporting repeated increase of LBP (19%) was approximately as large as the proportion who complained about repeated decrease of LBP (17%).

Conclusion: It became evident that LBP poses a persistent problem among nurses. Over an eight year period almost half of the nurses indicated the same intensity of LBP, thus supporting a recurrent rather than a progressive nature of LBP.

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Selected References

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  1. Abenhaim L., Suissa S., Rossignol M. Risk of recurrence of occupational back pain over three year follow up. Br J Ind Med. 1988 Dec;45(12):829–833. doi: 10.1136/oem.45.12.829. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Astrand N. E., Isacsson S. O. Back pain, back abnormalities, and competing medical, psychological, and social factors as predictors of sick leave, early retirement, unemployment, labour turnover and mortality: a 22 year follow up of male employees in a Swedish pulp and paper company. Br J Ind Med. 1988 Jun;45(6):387–395. doi: 10.1136/oem.45.6.387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Biering-Sørensen F. A prospective study of low back pain in a general population. III. Medical service--work consequence. Scand J Rehabil Med. 1983;15(2):89–96. [PubMed] [Google Scholar]
  4. Biering-Sørensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine (Phila Pa 1976) 1984 Mar;9(2):106–119. doi: 10.1097/00007632-198403000-00002. [DOI] [PubMed] [Google Scholar]
  5. Bongers P. M., de Winter C. R., Kompier M. A., Hildebrandt V. H. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993 Oct;19(5):297–312. doi: 10.5271/sjweh.1470. [DOI] [PubMed] [Google Scholar]
  6. Engels J. A., van der Gulden J. W., Senden T. F., van't Hof B. Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey. Occup Environ Med. 1996 Sep;53(9):636–641. doi: 10.1136/oem.53.9.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Estryn-Behar M., Kaminski M., Peigne E., Maillard M. F., Pelletier A., Berthier C., Delaporte M. F., Paoli M. C., Leroux J. M. Strenuous working conditions and musculo-skeletal disorders among female hospital workers. Int Arch Occup Environ Health. 1990;62(1):47–57. doi: 10.1007/BF00397848. [DOI] [PubMed] [Google Scholar]
  8. Heap D. C. Low back injuries in nursing staff. J Soc Occup Med. 1987 Summer;37(2):66–69. [PubMed] [Google Scholar]
  9. Josephson M., Lagerström M., Hagberg M., Wigaeus Hjelm E. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period. Occup Environ Med. 1997 Sep;54(9):681–685. doi: 10.1136/oem.54.9.681. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Karras D. J. Statistical methodology: II. Reliability and variability assessment in study design, Part A. Acad Emerg Med. 1997 Jan;4(1):64–71. doi: 10.1111/j.1553-2712.1997.tb03646.x. [DOI] [PubMed] [Google Scholar]
  11. Knibbe J. J., Friele R. D. Prevalence of back pain and characteristics of the physical workload of community nurses. Ergonomics. 1996 Feb;39(2):186–198. doi: 10.1080/00140139608964450. [DOI] [PubMed] [Google Scholar]
  12. Kuorinka I., Jonsson B., Kilbom A., Vinterberg H., Biering-Sørensen F., Andersson G., Jørgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987 Sep;18(3):233–237. doi: 10.1016/0003-6870(87)90010-x. [DOI] [PubMed] [Google Scholar]
  13. Lagerström M., Hansson T., Hagberg M. Work-related low-back problems in nursing. Scand J Work Environ Health. 1998 Dec;24(6):449–464. doi: 10.5271/sjweh.369. [DOI] [PubMed] [Google Scholar]
  14. Lagerström M., Wenemark M., Hagberg M., Hjelm E. W. Occupational and individual factors related to musculoskeletal symptoms in five body regions among Swedish nursing personnel. Int Arch Occup Environ Health. 1995;68(1):27–35. doi: 10.1007/BF01831630. [DOI] [PubMed] [Google Scholar]
  15. Läubli T., Thomas C., Hinnen U., Hünting W., Zeier H., Mion H. Erfassung muskuloskeletaler Beschwerden mittels Fragebogen. Soz Praventivmed. 1991;36(1):25–33. doi: 10.1007/BF01322297. [DOI] [PubMed] [Google Scholar]
  16. Mayer T. G., Barnes D., Kishino N. D., Nichols G., Gatchel R. J., Mayer H., Mooney V. Progressive isoinertial lifting evaluation. I. A standardized protocol and normative database. Spine (Phila Pa 1976) 1988 Sep;13(9):993–997. doi: 10.1097/00007632-198809000-00005. [DOI] [PubMed] [Google Scholar]
  17. Mayer T. G., Barnes D., Nichols G., Kishino N. D., Coval K., Piel B., Hoshino D., Gatchel R. J. Progressive isoinertial lifting evaluation. II. A comparison with isokinetic lifting in a disabled chronic low-back pain industrial population. Spine (Phila Pa 1976) 1988 Sep;13(9):998–1002. [PubMed] [Google Scholar]
  18. Niedhammer I., Lert F., Marne M. J. Back pain and associated factors in French nurses. Int Arch Occup Environ Health. 1994;66(5):349–357. doi: 10.1007/BF00378369. [DOI] [PubMed] [Google Scholar]
  19. Smedley J., Egger P., Cooper C., Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995 Mar;52(3):160–163. doi: 10.1136/oem.52.3.160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Smedley J., Egger P., Cooper C., Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995 Mar;52(3):160–163. doi: 10.1136/oem.52.3.160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Stubbs D. A., Buckle P. W., Hudson M. P., Rivers P. M., Worringham C. J. Back pain in the nursing profession. I. Epidemiology and pilot methodology. Ergonomics. 1983 Aug;26(8):755–765. doi: 10.1080/00140138308963397. [DOI] [PubMed] [Google Scholar]
  22. Thorbjörnsson C. O., Alfredsson L., Fredriksson K., Köster M., Michélsen H., Vingård E., Torgén M., Kilbom A. Psychosocial and physical risk factors associated with low back pain: a 24 year follow up among women and men in a broad range of occupations. Occup Environ Med. 1998 Feb;55(2):84–90. doi: 10.1136/oem.55.2.84. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Venning P. J., Walter S. D., Stitt L. W. Personal and job-related factors as determinants of incidence of back injuries among nursing personnel. J Occup Med. 1987 Oct;29(10):820–825. [PubMed] [Google Scholar]
  24. Videman T., Nurminen T., Tola S., Kuorinka I., Vanharanta H., Troup J. D. Low-back pain in nurses and some loading factors of work. Spine (Phila Pa 1976) 1984 May-Jun;9(4):400–404. doi: 10.1097/00007632-198405000-00013. [DOI] [PubMed] [Google Scholar]

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