Are Occupational Drivers at an Increased Risk for Developing Musculoskeletal Disorders?

Magnusson, Marianne; Pope, Malcolm H.; Wilder, David G.; Areskoug, Björn

doi:10.1097/00007632-199603150-00010

Cited by 231 publications

(156 citation statements)

References 29 publications

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“…Four out of six studies showed a moderate positive association (average OR=2.1) between sitting and LBP [7,9,22,44]. The remaining two studies found an almost null association between professional driving and LBP [6,53].…”

Section: Lbpmentioning

confidence: 88%

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Association between sitting and occupational LBP

et al. 2006

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Low back pain (LBP) has been identified as one of the most costly disorders among the worldwide working population. Sitting has been associated with risk of developing LBP. The purpose of this literature review is to assemble and describe evidence of research on the association between sitting and the presence of LBP. The systematic literature review was restricted to those occupations that require sitting for more than half of working time and where workers have physical co-exposure factors such as whole body vibration (WBV) and/or awkward postures. Twenty-five studies were carefully selected and critically reviewed, and a model was developed to describe the relationships between these factors. Sitting alone was not associated with the risk of developing LBP. However, when the co-exposure factors of WBV and awkward postures were added to the analysis, the risk of LBP increased fourfold. The occupational group that showed the strongest association with LBP was Helicopter Pilots (OR=9.0, 90% CI 4.9-16.4). For all studied occupations, the odds ratio (OR) increased when WBV and/or awkward postures were analyzed as co-exposure factors. WBV while sitting was also independently associated with non-specific LBP and sciatica. Vibration dose, as well as vibration magnitude and duration of exposure, were associated with LBP in all occupations. Exposure duration was associated with LBP to a greater extent than vibration magnitude. However, for the presence of sciatica, this difference was not found. Awkward posture was also independently associated with the presence of LBP and/or sciatica. The risk effect of prolonged sitting increased significantly when the factors of WBV and awkward postures were combined. Sitting by itself does not increase the risk of LBP. However, sitting for more than half a workday, in combination with WBV and/or awkward postures, does increase the likelihood of having LBP and/or sciatica, and it is the combination of those risk factors, which leads to the greatest increase in LBP.

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Section: Lbpmentioning

confidence: 88%

“…Bus drivers were the subject of two separate studies. Although the OR in both studies was not equal, both studies showed a positive association between sitting and reported LBP ( ‡1.5) [9,44]. In fact, Bovenzi and Zadini [9] reported an OR of 2.57 (95% CI 1.52-4.35) while Magnusson et al [44] reported an OR of 1.79 (95% CI 1.16-2.75).…”

Section: Lbpmentioning

confidence: 89%

Association between sitting and occupational LBP

et al. 2006

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“…Low job satisfaction was suggested to be associated with back complaints (39,53,56,57) in the cross-sectional studies although null associations were found in surveys among professional drivers and firefighters (44,46). In a prospective study among aircraft workers, the employee's job dissatisfaction was found to be the strongest predictor of subsequent back injury, with a relative risk of 1.70 and an attributable fraction of 41%.…”

Section: Psychological Risk Factorsmentioning

confidence: 96%

Positive and negative evidence of risk factors for back disorders

Burdorf¹,

Sorock²

1997

Scand J Work Environ Health

534

318

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The scientific literature on work-related back disorders was reviewed to identify consistent rislc factors and to determine the strength of the association between the two. Thirty-five publications were selected with quantitative information. Lifting or carrying loads, whole-body vibration, and frequent bending and twisting proved to be the physical load risk factors consistently associated with work-related baclc disorders. Job dissatisfaction and low job decision latitude proved to be important, but the evidence was not consistent across different studies and study designs. The epidemiologic studies illustrated the importance of several confounders, especially age, smoking habits, and education. In this review, gender, height, weight, exercise, and marital status were consistently not associated with back disorders in occupational populations.

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“…19 This is explained not only by the above-mentioned mechanical factors but also by the presence of stress to which drivers are subjected in general, triggering musculoskeletal pain. 20,21 Thus, given the high incidence of low back pain and the high costs of its consequences, studies have been conducted to estimate the most effective measures to control symptoms, although preventing the onset of low back pain can be more efficient and cost-effective. This requires knowledge of the triggering factors and the profile of the individuals who are more susceptible to the onset of low back pain.…”

Section: Introductionmentioning

confidence: 99%

Study of the Prevalence and Risk Factors for Low Back Pain in Truck Drivers in the State of São Paulo, Brazil

Andrusaitis

Oliveira

Filho

2006

Clinics

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Andrusaitis SF, Oliveira RP, Barros Filho TEP. Study of the prevalence and risk factors for low back pain in truck drivers in the state of São Paulo, Brazil. CLINICS. 2006;61(6):503-10. OBJECTIVE:To investigate the prevalence of low back pain in truck drivers and check for possible risk factors related to the presence of low back pain. METHODS: A questionnaire was developed including personal factors such as age, practice of physical and sports activities, general health habits, occupation-related issues, and factors associated with low back pain. The body mass index (ratio of body weight to the square of height, kg/m 2 ) was calculated. Of 489 male truck drivers assessed, 410 were enrolled into the study. The statistical analysis was divided into 2 stages: descriptive analysis of data, and binary logistical regression, where the response (dependent) variable (presence of low back pain) was associated with each independent variable to check for correlation with low back pain. RESULTS: Of the 410 truck drivers evaluated, 242 (59%) presented with low back pain, while 168 (41%) did not have low back pain. The only factor correlated with the presence of low back pain was the number of working hours; the other factors had no correlation with low back pain. CONCLUSION: The prevalence of low back pain in truck drivers was 59%. The number of working hours was the only variable associated with occurrence of low back pain, with an average of about 1 hour longer work time for drivers with low back pain compared to those without it and with an odds ratio of 1.07 (P = 0.026).

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Are Occupational Drivers at an Increased Risk for Developing Musculoskeletal Disorders?

Abstract: Vibration (resulting from driving) and lifting cause back, neck, and shoulder pain, whereas inability to work seems affected by stress at work.

Cited by 231 publications

References 29 publications

Association between sitting and occupational LBP

Association between sitting and occupational LBP

Positive and negative evidence of risk factors for back disorders

Study of the Prevalence and Risk Factors for Low Back Pain in Truck Drivers in the State of São Paulo, Brazil

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