2003, Number 3
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2003; 41 (3)
Low Back Pain Epidemiology in Active Workers
Atenógenes Humberto Saldívar González, Diego Leoncio Cruz Torres, Leopoldo Serviere Zaragoza, Francisco Vázquez Nava, Víctor Manuel Joffre Velázquez
Language: Spanish
References: 28
Page: 203-208
PDF size: 71.34 Kb.
ABSTRACT
Objective: Our objective was to determine preva-lence and risk factor for low back pain in active workers.
Material and Methods: Observational, retrospective open, and cross-sectional study of 3000 workers at General Regional Hospital # 6 of the Instituto Mexicano del Seguro Social (IMSS) in Madero City, Tamaulipas State, Mexico, with influence area, age between 18 and 60 years, and sex indistinct. A descriptive diagnostic analysis was done with symptoms and severity by measuring prevalence of low back pain. Two groups were conformed for risk factors, one with and the other without low back pain, measuring odds ratio (OR) and confidence interval (CI).
Results: A total of 434 tests were eliminated because they were incompleted; of 2566 complete tests, 1077 applicants mentioned experiencing low back pain (prevalence 42 %); 63.2 % were men and > 70 % < 40 years of age, 58.7 % mentioned lifting heavy objects as the most important risk factor identified (p = 0.001, OR = 233.54); factors that increased pain were the following: cough (p = 0.001, OR = 155.20) and straining (p = 0.001, OR = 0.70), 70 % had decreased pain when relaxed (p = 0.001) and 32.7 % experienced ra-diating pain to lower limbs; 80 % of pain was acute, 48 % received IMSS medical care, and 13.1 % required work disability at the rate of 12.21 days per case.
Conclusions: Low back pain in this area is a major health problem and requires establishing strategies to limit negative impact in the worker, health system, and industry.
REFERENCES
1. Frymoyer JW. Back pain and sciatica. N Engl J Med 1988;318:291-300.
2. Waddell GA. New clinical model for the treatment of low-back pain. Spine 1987;12:632-644.
3. Nachemson AL. Newest knowledge of low back pain. A critical look. Clin Orthop 1992;279:8-20.
4. Deyo RA, Bass JE. Lifestyle and low-back pain. The influence of smoking and obesity. Spine 1989; 14:501-506.
5. Deyo RA, Weinstein JN. Low back pain. N Engl J Med 2001;344:363-370.
6. Battie MC, Videman T, Gill K, Moneta GB, Nyman R, et al. Smoking and lumbar intervertebral disc degeneration: An MRI of identical twins. Spine 1991;16:1015-1021.
7. Han TS, Schouten JS, Lean ME, Seidell JXC. The prevalence of low-back pain and associations with body fatness, fat distribution and height. Int J Obes Relat Metab Disor 1997;21:600-607.
8. Salter RB. Trastornos y lesiones del sistema músculo esquelético, diagnóstico diferencial del lumbago. Segunda edición. México: Masson-Salvat Medicina; 1998.
9. Borenstein DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low-back pain. Curr Opin Rheumatol 1997;9:144-150.
Barberá CED, Cisneros DF. Alteraciones estructu-rales de la columna lumbosacra y su relación con el dolor lumbar. Rev Med IMSS 1993;31(3):207-212.
Bratton RL. Assessment and management of acute low-back pain. Am Fam Physician 1999;60:2299-2306.
Carey TS, Garret J, Jackman A, McLaughlin C, Fryer J, Smucker DR. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Engl J Med 1995;333:913-917.
Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a US National survey. Spine 1995;20:11-19.
Hadler NM. Workers with disabling back pain (editorial). N Engl J Med 1997;337:341-343.
Wheeler AH. Diagnosis and management of low back pain and sciatica. Am Fam Physician 1995;52: 1333-1341.
Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin N Am 1991;22:263-271.
Mayer TG, Gatcher RJ. Functional restoration for spinal disorders: The sports medicine approach. Philadelphia: Lea and Febiger; 1988.
Deyo RA, Cherkin D, Conrad D, Volinn E. Cost, controversy, crisis: Low back pain and the health of the public. Annu Rev Public Health 1991;12:141-156.
Patel AT, Ogle AA. Diagnosis and management of acute low back pain. Am Fam Physician 2000; 61:1769-1786.
Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain. JAMA 1992;268:760-765.
Anderson GB, Svensson HO, Oden A. The intensity of work recovery in low back pain. Spine 1983;8: 880-884.
Von Korf M, Saunders K. The course of back pain in primary care. Spine 1996;21:2833-2837.
Swedlow A, Johnson G, Smithline N. Increased costs and rates of use in the California workers’ com-pensation system as a result of self-referral by physicians. N Engl J Med 1992;327:1502-1506.
Anderson GBJ, Lucent T, Davis AM, Keppler RE, Lipton JA, Leurgans S. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. N Engl J Med 1999; 341:1426-1431.
Ghoname EA, Craig WF, White PF, Ahmed HE, Hamza MA, Henderson BN, Gajraj NM, et al. Percutaneous electrical nerve stimulation for low back pain. A randomized cross over study. JAMA 1999;281: 818-823.
Chrubasik S, Eisenberg E, Balan E, Weinberger T, Luzzati R, Conradt Ch. Treatment of low back pain exacerbations with willow bark extract: A randomized double-blind study. Am J Med 2000; 109:9-14.
Browning R, Jackson JL, O’Malley PG. Cycloben-zaprine and back pain. Arch Intern Med 2000;161: 1613-1620.
Haro GL, Chaín CTJ. Lumbalgia en trabajadores. Estrategias para su prevención laboral. Rev Med IMSS 1996;34(4):265-267.