Context. - Low back pain is a frequent and costly health problem.
Prevention of low back pain is important both for the individual patient and from an economic perspective.
To assess the efficacy of lumbar supports and education in the prevention of low back pain in industry.
- A randomized controlled trial with a factorial design.
- The cargo department of an airline company in the Netherlands.
- A total of 312 workers were randomized, of whom 282 were available for the 6-month follow-up.
Interventlons-Subjects were randomly assigned to 4 groups : (1) education (lifting instructions) and lumbar support, (2) education, (3) lumbar support, and (4) no intervention.
Education consisted of 3 group sessions on lifting techniques with a total duration of 5 hours.
Lumbar supports were recommended to be used during working hours for 6 months.
Low back pain incidence and sick leave because of back pain during the 6-month intervention period.
- Ompliance with wearing the lumbar support at least half the time was 43%. In the 282 subjects for whom data were available, no statistically significant differences in back pain incidence (48 [36% ] of 134 with lumbar support vs 51 [34% ] of 148 without, P=81) or in sick leave because of low back pain (mean, 0.4 days per month with lumbar support vs 0.4 days without, P=52) were found among the intervention groups. (...)
Mots-clés Pascal : Lombalgie, Industrie, Randomisation, Support, Education, Essai thérapeutique contrôlé, Incidence, Prévention, Facteur efficacité, Analyse coût, Homme, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Technique, Economie santé
Mots-clés Pascal anglais : Low back pain, Industry, Randomization, Support, Education, Controlled therapeutic trial, Incidence, Prevention, Effectiveness factor, Cost analysis, Human, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia, Technique, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0321287
Code Inist : 002B15F. Création : 27/11/1998.