Management of Occupational LBP in Health Care Professionals: Difference between revisions

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Treatment


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References  

Revision as of 12:43, 18 May 2020

Epidemiology

Hospital workers experience more occupational health problems than other professional groups, the most common being low back pain (LBP) (Karahan et al., 2009). LBP is responsible for high treatment costs, frequent sick leave, prolonged back pain and potentially sometimes job loss which may lead to psychological problems like depression (Punnett et al., 2005). For the purpose of this Wiki page we will be discussing the literature regarding Nursing & Physiotherapist professionals. The majority of the literature reports the prevalence of LBP to be high in both Nurses and Physiotherapists as compared to other health care professions. However, the prevalence of LBP within these professions varies significantly between different countries.

The lifetime perveance of LBP in Nurses has been reported as 63% in Iran (Azizpour et al., 2017), 59.1% in Bangladesh (Islam et al., 2020), 61.7% in Saudi Arabia (Gaowgzeh, 2019), 59% in South Africa (Dlungwane et al., 2018), 55.3% in Nigeria (Awosan et al., 2017) and 77.1% in Turkey (Karahan et al., 2009). In contrast he lifetime prevalence of LBP in Physiotherapists has been reported as 35% in Australia (West & Gardner, 2001), 73.7% in Slovenia (Rugeli, 2003), 60.8% in Bangladesh (Mondal et al., 2016), 49.2% in Canada (Mierzejewski & Kumar, 1997), 33.3% in Nigeria (Awosan et al., 2017) and 72.7% in Turkey (Karahan et al, 2009). However only two of these studies directly compared the prevalence of LBP in Nurses to Physiotherapists. These studies reported a prevalence of 77.1% & 55.3% in Nurses compared to 72.7% & 33.3% in physiotherapists across Hospitals in Turkey (Karahan et al, 2009) and Nigeria (Awosan et al., 2017).

Aetiology

The majority of cases (78.3%) of LBP among Nurses and Physiotherapists are reported to have occurred after starting work (Karahan et al., 2009). The likely cause of LBP is therefore attributed to the common actions and movements involved with these professions. These include:

1. Lifting of heavy objects/patients including patient manual handling (Awosan et al., 2017, Dlungwane et al., 2018, Gaowgzeh, 2019, Islam et al., 2020, Karahan et al., 2009, Mierzejewski & Kumar, 1997, Rugeli, 2003, West & Gardner, 2001).

2. Frequent bending/trunk flexion (Mierzejewski & Kumar, 1997, West & Gardner, 2001).

3. Pulling patients up the bed (Dlungwane et al., 2018, Mierzejewski & Kumar, 1997, West & Gardner, 2001).

4. Prolonged positioning/bad posture (Awosan et al., 2017, Dlungwane et al., 2018, Islam et al., 2020, West & Gardner, 2001).

5. Standing for long hours (Awosan et al., 2017).

6. High workload/Treating excessive number of patients in 1 day (West & Gardner, 2001).

7. Performing manual therapy (West & Gardner, 2001).

8. 6-month rotational roles (76%) have an increased prevalence compared to 12-month rotational roles (16%) (Dlungwane et al., 2018).


Treatment

References

Awosan, K.J., Yikawe, S.S., Oche, O.M. and Oboirien, M., 2017. Prevalence, perception and correlates of low back pain among healthcare workers in tertiary health institutions in Sokoto, Nigeria. Ghana medical journal, 51(4), pp.164-174.

Azizpour, Y., Delpisheh, A., Montazeri, Z. and Sayehmiri, K., 2017. Prevalence of low back pain in Iranian nurses: a systematic review and meta-analysis. BMC nursing, 16(1), p.50.

Dlungwane, T., Voce, A. and Knight, S., 2018. Prevalence and factors associated with low back pain among nurses at a regional hospital in KwaZulu-Natal, South Africa. Health SA Gesondheid, 23(1).

Gaowgzeh, R.A.M., 2019. Low back pain among nursing professionals in Jeddah, Saudi Arabia: Prevalence and risk factors. Journal of back and musculoskeletal rehabilitation, 32(4), pp.555-560.

Islam, M.J., Haseen, F., Saha, S.K., Khasru, M.R., Morshed, M. and Salek, A.K.M., 2020. Prevalence and Risk Factors of Low Back Pain among Medical Professionals Working In Selected Tertiary Hospitals in Dhaka City. Bangladesh Journal of Neurosurgery, 9(2), pp.135-141.

Karahan, A., Kav, S., Abbasoglu, A. and Dogan, N., 2009. Low back pain: prevalence and associated risk factors among hospital staff. Journal of advanced nursing, 65(3), pp.516-524.

Mierzejewski, M. and Kumar, S., 1997. Prevalence of low back pain among physical therapists in Edmonton, Canada. Disability and Rehabilitation, 19(8), pp.309-317.

Mondal, R., Sarker, R.C., Akter, S., Banik, P.C. and Baroi, S.K., 2018. Prevalence of low back pain and its associated factors among physiotherapists in Dhaka city of Bangladesh in 2016. Journal of Occupational Health and Epidemiology, 7(2), pp.70-74.

Punnett, L., Prüss‐Ütün, A., Nelson, D.I., Fingerhut, M.A., Leigh, J., Tak, S. and Phillips, S., 2005. Estimating the global burden of low back pain attributable to combined occupational exposures. American journal of industrial medicine, 48(6), pp.459-469.

Rugelj, D., 2003. Low back pain and other work-related musculoskeletal problems among physiotherapists. Applied ergonomics, 34(6), pp.635-639.

West, D.J. and Gardner, D., 2001. Occupational injuries of physiotherapists in North and Central Queensland. Australian Journal of Physiotherapy, 47(3), pp.179-190.

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