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Occupational back pain--an unhelpful polemic

J W Frank1, I R Pulcins, M S Kerr

  • 1Institute for Work & Health, Toronto, Ontario, Canada.

Scandinavian Journal of Work, Environment & Health
|February 1, 1995
PubMed
Summary

Occupational back pain is a growing epidemic. Methodological issues in research perpetuate incomplete views, hindering solutions for work-related back pain and disability.

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Area of Science:

  • Epidemiology
  • Occupational Health

Background:

  • Rising rates of disability and work absence due to occupational back pain in industrialized nations.
  • Current explanations for occupational back pain are categorized into clinical pathology, biomechanical exposures, and perverse incentives.

Purpose of the Study:

  • To review methodological challenges in occupational back pain etiology research from an epidemiologic perspective.
  • To argue that research limitations perpetuate incomplete understandings of occupational back pain.

Main Methods:

  • Epidemiologic review of existing research on occupational back pain.
  • Analysis of methodological hurdles in studying the causes of occupational back pain.

Main Results:

  • Methodological issues in research have contributed to distinct, yet incomplete, views on occupational back pain.
  • Existing research frameworks fail to fully address the complexity of occupational back pain.

Conclusions:

  • A broader, interdisciplinary approach is needed to resolve the ongoing debate on occupational back pain.
  • New research directions are proposed to overcome current methodological limitations and advance understanding of occupational back pain.

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