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Related Experiment Videos

Risk indicators for low back trouble.

F Biering-Sørensen1, C E Thomsen, J Hilden

  • 1Department of Internal Medicine TTA and TH, Rigshospitalet, Denmark.

Scandinavian Journal of Rehabilitation Medicine
|January 1, 1989
PubMed
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Low back trouble (LBT) indicators vary by sex and experience. Factors like past LBT, sciatica, smoking, and psycho-social pressure influence LBT risk in adults.

Area of Science:

  • Epidemiology
  • Public Health
  • Musculoskeletal Health

Background:

  • Low back trouble (LBT) is a prevalent health issue affecting a significant portion of the adult population.
  • Identifying predictive indicators for LBT is crucial for targeted prevention and management strategies.
  • Understanding risk factors for both first-time LBT and recurrent LBT is essential for comprehensive care.

Purpose of the Study:

  • To identify key indicators associated with the first-time experience of low back trouble (LBT).
  • To determine risk factors for the recurrence or persistence of LBT in a general population sample.
  • To analyze a wide range of variables to predict LBT onset and chronicity.

Main Methods:

  • A health survey was conducted on 928 men and women aged 30-60 years.

Related Experiment Videos

  • 135 variables were analyzed to identify potential LBT indicators.
  • Stepwise logistic regression was employed to determine the most predictive combinations of risk factors for LBT.

    • Main Results:

    • For men, recurrence/persistence of LBT was linked to frequent past LBT, worsening symptoms, sciatica, and living alone.
    • For women, risk indicators included recent LBT episodes, nocturnal awakenings due to LBT, aggravation when standing, gastrointestinal issues, and smoking.
    • First-time LBT was strongly predicted by epigastric pain, daily smoking, and low back muscle isometric endurance. Hospitalizations and long commute distances also predicted first-time LBT in employed individuals.

    Conclusions:

    • Individuals experiencing recurrent or first-time LBT often present with more health problems.
    • Higher psycho-social pressure may be associated with an increased risk of developing or experiencing persistent LBT.
    • Distinct sets of indicators predict first-time LBT versus recurrent or persistent LBT, highlighting the need for tailored approaches.