Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 25 , ISSUE 2 ( June, 2014 ) > List of Articles

RESEARCH ARTICLE

Association of Low Back Pain with Common Risk Factors: A Community Based Study

Mohammad Moin Uddin, Aminuddin A Khan, Ahsanul Hoque Chowdhury, Ranjan Kumar Guha

Citation Information : Uddin MM, Khan AA, Chowdhury AH, Guha RK. Association of Low Back Pain with Common Risk Factors: A Community Based Study. Indian J Phy Med Rehab 2014; 25 (2):50-55.

DOI: 10.5005/ijopmr-25-2-50

Published Online: 00-06-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Low back pain is very common in Asian communities. It is a major cause of activity limitation. Its risk factors were not studied well in Asian communities. This study was performed in the rural area to see the association of some common posture related and modifiable risk factors of low back pain.

Methods

This is a community based case-control study. Participants of both sexes between 30 and 60 years were selected who had low back pain. Data were collected with a semi-structured questionnaire and fifty-one participants were interviewed from which 32 had back pain (cases). Risk factor association was compared with age and ethnicity matched 19 patients without low back pain (control group).

Results

The point prevalence of low backache was 63%. Mean age of the patients was 45.8 (±10.8 SD) years. Seventy per cent of the back pain patients were females and 30% were males. Back pain was significantly associated with the risk factor ‘bending and twisting movements of the body’ (OR= 4.6 with 95% CI= 1.1 to 18.9, p= 0.041). It was not found to be significantly associated with the other studied risk factors.

Conclusion

Low back pain had a very high prevalence in rural Bangladesh. Bending and twisting movements of spine was the only posture related significant risk factor of low back pain.


PDF Share
  1. Epidemiology of low back pain. Acta Orthop Scand Supplement 1998;281:28-31.
  2. Does back pain prevalence really decrease with increasing age? A systematic review. Age and Ageing 2006;35:229-34.
  3. Refining the measurement of the economic burden of chronic diseases in Canada. Chronic Diseases in Canada 2004;25:13-21.
  4. Cost, controversy, crisis: low back pain and the health of the public. Ann Rev Public Health 1991;12:141-56.
  5. The epidemiology of low back pain in the rest of the world. A review of surveys in low-and middle-income countries. Spine 1997; 22: 1747-54.
  6. Epidemiology of rheumatic disease in rural Thailand: A WHO-ILAR COPCORD study. J Rheumatol 1998; 25: 1382-7.
  7. Low back pain in rural Tibet. Lancet 2003;361:225-6.
  8. Prevalence of low back pain in three occupational groups in Shanghai, People's Republic of China. J Saf Res 2004;35:23-8.
  9. Respiratory disorders, skin complaints, and low-back trouble among tannery workers in Kanpur, India. Am Industrial Hyg Assoc J 1997;58:740-6.
  10. The bone and joint decade 2000-2010. Bull World Health Organ 2003;81:629.
  11. Prognostic factors for duration of sick leave in patients sick listed with acute low back pain: a systematic review of the literature. Occup Environ Med 2005;62:851-60.
  12. The epidemiology of low back pain in primary care. Chiropractic and Osteopathy 2005;13:13.
  13. Functioning in neck and low back pain from a 12-year perspective: a prospective populationbased study. J Rehabil Med 2008;40:555-61.
  14. Prevalence and risk factors of low back pain among Thai and Myanmar migrant seafood processing factory workers in Samut Sakorn Province, Thailand. Ind Health 2010;48:283-91.
  15. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006;15:169-91.
  16. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway. Occup Environ Med 2013;70:296-302.
  17. The prevalence of low back pain among children and adolescents -a nation-wide, cohort based questionnaire survey in Finland. Spine 1997;22:1132-6. [PubMed] [Cross Ref].
  18. The experience of back pain in young Australians. Manual Ther 2001;6:213-20.
  19. At what age does low back pain become a common problem? Spine 1998;23:228-34.
  20. Estimating the prevalence of low back pain in the general population -evidence from the South Mancester back pain survey. Spine 1995;20:1889-94.
  21. Descriptive epidemiology of low-back pain and its related medical care in the United States. Spine 1987;12:264-8.
  22. The efficacy of traction for low back pain: results of a randomized blinded pilot study. Ned T Fysiotherapie 1991;101:37-43.
  23. Low back pain. Best Pract Res Clin Rheumatol 2002;16:761-75.
  24. Chronic musculoskeletal pain, prevalence rates, and socio-demographic associations in a Swedish population study. J Rheumatol 2001;28:1369-77.
  25. Localized low back pain and low back pain as part of widespread musculoskeletal pain: two different disorders? J Rehabil Med 2001;33:21-5.
  26. Pain generators of the lumbar spine. Pain Pract 2001;1:255-73.
  27. A review and proposal for a core set of factors for prospective cohorts in low back pain: a consensus statement. Arthritis Rheum 2008;59:14-24.
  28. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol 2010;24:769-81.
  29. Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine 2000;25:3087-92.
  30. Prognostic factors related to recurrent low-back pain and sickness absence. Scand J Work Environ Health 2004;30:459-67.
  31. Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology (Oxford) 2003;42:959-68.
  32. Risk factors for more severe regional musculoskeletal symptoms: a two-year prospective study of a general working population. Arthritis Rheum 2007;56:1355-64.
  33. Occupational and other predictors of herniated lumbar disc disease-a 33-year follow-up in the Copenhagen male study. Spine (Phila Pa 1976) 2011;36:1541-6.
  34. Employment and physical work activities as predictors of future low back pain. Spine (Phila Pa 1976) 1997;22:1143-9.
  35. Prospective cohort study of predictors of incident low back pain in nurses. BMJ 1997;314:1225-8.
  36. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occup Environ Med 2004; 61: 398-404.
  37. Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies. Spine (Phila Pa 1976) 2009;34:E281-93.
  38. Impact of repetitive manual materials handling and psychosocial work factors on the future prevalence of chronic low-back pain among construction workers. Scand J Work Environ Health 2002;28:314-23.
  39. Stressful psychosocial work environment increases risk for back pain among retail material handlers. Am J Ind Med 2003;43:179-87.
  40. Risk factors for musculoskeletal symptoms and ensuing health care use and sick leave. Spine (Phila Pa 1976) 2005;30:1550-6.
  41. Risk factors for sick leave due to low back pain: a prospective study. J Occup Environ Med 2002;44:451-8.
  42. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR Task Force. Ann Rheum Dis 2009;68:885-91.
  43. Psychosocial factors at work in relation to low back pain and consequences of low back pain; a systematic, critical review of prospective cohort studies. Occup Environ Med 2004;61.
  44. Prevalence of low back pain in a developing urban setting. Spine 2005;30:1093-8.
  45. Prevalence and risk factors for low back pain among professional cooks working in school lunch services. BMC Public Health 2007;7:171.
  46. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand J Work Environ Health 2008;34:411-9.
  47. Occupational and lifestyle factors related to musculoskeletal and fatigue symptoms among middle-aged female workers in a frozen food processing factory. San Ei Shi 1996;38:223-9.
  48. Back pain and osteoporosis. In: John Hopkins White Papers, 1-37, Rebus, 2003. New York:
  49. J Med Assoc Thai 2007;90:2477-81
  50. Model for the workrelatedness of low-back pain. Scand J Work Environ Health 2003;29:431-40.
  51. Alcohol and low-back pain: a systematic literature review. J Manipulative Physiol Ther 2000;23:343-6.
  52. Incidence of low back pain in workage adults in rural North India. Indian J Med Sci 2003;57:145-7
  53. Importance and economic burden of occupational back pain: A study of 2,500 cases representative of Quebec. J Occup Med 1987;29:670-4.
  54. Epidemiology review: the epidemiology and cost of back pain. London: HMSO, 1994.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.