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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

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Frequency and interrelations of risk factors for chronic low back pain in a primary care setting

Marie-Martine Lefevre-Colau1, Fouad Fayad, François Rannou

  • 1Department of Physical Medicine and Rehabilitation, Corentin-Celton Hospital (AP-HP), Paris Descartes University, Issy-les-Moulineaux, France. marie-martine.lefevre-colau@ccl.aphp.fr

Plos One
|March 17, 2009
PubMed

Insights

This study explored chronic low back pain (cLBP) risk factors in general practice patients. Work-related factors, like job satisfaction and posture, were most significant for working individuals.

Area of Science:

  • Occupational Health
  • Epidemiology
  • Musculoskeletal Disorders

Background:

  • Chronic low back pain (cLBP) is prevalent, with numerous identified risk factors.
  • Limited research exists on the interrelations between these cLBP risk factors.
  • Understanding these interrelations is crucial for effective clinical management.

Purpose of the Study:

  • To investigate the frequency of cLBP risk factors in patients consulting general practitioners (GPs).
  • To analyze the interrelations between various cLBP risk factors.
  • To identify key risk factor dimensions in working and nonworking populations.

Main Methods:

  • A national cross-sectional survey involving 2068 GPs.
  • Inclusion of at least one patient consulting for cLBP per GP, totaling 4522 patients.
  • Multiple correspondence analysis (MCA) to explore risk factor interrelations.

Main Results:

  • The most common risk factors were a history of recurrent LBP (72.1%) and initial limitations in daily activities (66.4%).
  • For working patients, beliefs about work-related postures (79.0%) and heavy lifting (65.5%) were significant.
  • MCA revealed three main risk-factor dimensions, with professional factors dominating for working patients, influenced by job satisfaction and recognition.

Conclusions:

  • This study provides novel insights into the interrelations and contributions of cLBP risk factors.
  • Work-related factors constitute a significant dimension of cLBP risk in the working population.
  • Findings emphasize the importance of occupational aspects in managing chronic low back pain.
Abstract

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