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Risk factors for back pain in marines; a prospective cohort study.

Andreas Monnier1,2, Mats Djupsjöbacka3, Helena Larsson4,5

  • 1Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden. andreas.monnier@ki.se.

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PubMed
Summary

Previous back pain and tall stature are key risk factors for future back pain episodes in marines. Early preventive actions are crucial for maintaining operational readiness and work ability in this population.

Keywords:
LongitudinalMilitaryMovement controlMusculoskeletal disordersMusculoskeletal injuryOccupational exposurePreventionWork abilityWork exposure

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Area of Science:

  • Military medicine
  • Occupational health
  • Musculoskeletal disorders

Background:

  • Back pain (BP) significantly impacts soldier operational readiness and work ability.
  • Identifying risk factors for BP is essential for effective prevention and safety in military personnel.
  • This study focuses on active duty marines, a population facing unique occupational demands.

Purpose of the Study:

  • To identify risk factors for developing back pain in active duty marines.
  • To determine risk factors for back pain that limits work ability within 6 and 12-month periods.
  • To inform preventive strategies and enhance safety within the marine community.

Main Methods:

  • A prospective cohort study involving 137 Swedish marines.
  • Data collected via questionnaires on demographics, health, and occupational exposures.
  • Multivariable logistic regression analysis used to determine odds ratios (OR) and 95% confidence intervals (CI).

Main Results:

  • Previous back pain (BP) was a significant risk factor for future BP within 6 and 12 months.
  • Tall body height (≥1.86 m) was also identified as a risk factor for BP at 6 and 12 months.
  • Previous BP and tall stature increased the risk of BP limiting work ability within 12 months.

Conclusions:

  • Marines with a history of back pain are at higher risk for recurrent episodes, underscoring the need for early intervention.
  • Tall body height is an important risk factor, potentially due to ill-fitting equipment and tasks.
  • Further research is needed to elucidate the mechanisms linking tall stature to back pain in this cohort.