Prevalence and associated risk factors of work-related lower back pain among Indian radiographers: A cross-sectional
D N Jijo1, O U Gaonkar2, S K Shetty2
1Yenepoya (Deemed to be University), Yenepoya School of Allied Health Sciences, Department of Medical Imaging Technology, Mangalore, Karnataka, 575018, India.
Introduction:
This study aimed to investigate the prevalence, contributing occupational factors, and consequences of lower back pain (LBP) among diagnostic radiographers in India, a population for whom existing data is sparse. It also assessed associations between ergonomic practices, manual handling, and the career impact of LBP.
Methods:
A cross-sectional online survey was distributed to registered diagnostic radiographers across India. The validated questionnaire, covered demographics, LBP history, workload, ergonomic practices, and career impact. Data from 294 respondents were analysed using SPSS v23.0 with descriptive statistics and chi-square tests (p < 0.05).
Results:
Nearly half of the participants (47.3 %) reported current LBP, and (50.3 %) had experienced it in the past year. Contributing factors included frequent bending (48.7 %), patient transfers (45.6 %), pushing/pulling equipment (46.3 %), and prolonged use of lead aprons (40.5 %). Although (53.4 %) received manual handling training, (44.6 %) reported transferring patients with inadequate staff, primarily due to time constraints or lack of help. Career impact was notable: (35 %) reported reduced work activity, and (47.3 %) feared long-term effects. Such strain may reduce efficiency, increase fatigue, and impair task performance, affecting patient care.
Conclusion:
LBP is highly prevalent among Indian radiographers, linked to ergonomic strain and limited staffing. Compared with global reports (56-75 %), the rates observed in this study are consistent and significantly higher than those of the general population. Targeted ergonomic interventions, realistic training, staffing support, and access to assistive devices are essential to protect radiographers' health, maintain performance, and support workforce IMPLICATIONS FOR PRACTICE: Ergonomic interventions, frequent and realistic manual handling training, and better resource allocation are crucial to protect radiographers from LBP. Staffing ratios, mechanical lifting aids, and monitoring systems to evaluate compliance with safe handling practices should also be integrated.
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