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Postural control in nurses with and without low back pain.

Navah Z Ratzon¹, Paul Froom

¹Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.

Work (Reading, Mass.)

|February 16, 2006

Summary

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Nurses experiencing low back pain (LBP) use more postural adjustments to maintain balance. This suggests postural control may be linked to LBP in this population.

Area of Science:

Occupational Health
Biomechanics
Musculoskeletal Disorders

Background:

Low back pain (LBP) is prevalent among nurses.
The relationship between LBP and objective postural control measurements is not well understood.
Objective functional measures could aid in LBP evaluation, disability prediction, and understanding chronic LBP pathophysiology.

Purpose of the Study:

To investigate the association between low back pain and postural control in nurses.
To determine if objective measurements of postural control differ in nurses with and without LBP.

Main Methods:

A cross-sectional study involving 81 nurses.
Utilized a computerized postural sway measurement system to assess postural adjustments and lateral sway.
Collected data on present and past low back pain history.

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Main Results:

Over 56% of nurses reported current LBP, and nearly 15% had a history of LBP.
Nurses with LBP demonstrated a significantly higher number of postural adjustments (p<0.003).
Postural adjustments were positively correlated with pain severity in some instances, but lateral sway was not significantly associated with LBP.

Conclusions:

Nurses with current or past LBP exhibit altered postural control, specifically increased postural adjustments.
Further research is needed to explore the predictive value of postural testing for LBP development.
Investigate the potential of postural assessments for guiding preventive strategies against LBP in nursing.