The Factors That Correlated with Back Pain in Physiotherapists

Yıl 2015, Cilt: 5 Sayı: 4, 215 - 219, 29.12.2015

Ozge Cınar Bulent Elbasan İrem Duzgun Muhammed Kılınc

https://doi.org/10.5455/musbed.20150831012038

Öz

Objective: Depending on the occupational loading, back pain is frequently encountered in physiotherapists. The aim of this study was to investigate the correlation of age, body mass index (BMI), working posture and time with back pain in physiotherapists.

Methods: Twenty-nine physiotherapists were included to study. Working-years and daily-working hours were recorded. Complaints about back pain were assessed with “Quebec Back Pain Disability Scale” (QUEBEC), working posture with “Owako Working Posture Analyze System” (OWAS). The relation between back pain and age, “body mass index” (BMI), working posture, working time and daily-working hours were investigated by Spearman correlation coefficient. Mann-Whitney U test was used to set the differences in age, BMI, working posture, working-years and daily-working hours of the physiotherapists which were having back pain and having no pain.

Results: There were a statistically significant correlation between QUEBEC score and age (r=0.44, p=0.01). Working year was correlated with working posture (r=0.38, p=0.04) and BMI (r=0.41, p=0.027). There were a statistically significant difference between ages of physiotherapists which had back pain and which didn’t have back pain (p<0.05).

Conclusions: The results of our study showed that age is related with back pain related disability in physiotherapists. Deterioration of working posture and BMI with aging may trigger back pain in physiotherapists.

Anahtar Kelimeler

Physiotherapist, posture, back pain

Fizyoterapistlerde Bel Ağrısı ile İlişkili Etkenler

Öz

 

Amaç: Fizyoterapistlerde
mesleki yüklenmelere bağlı olarak bel ağrısı sıklıkla görülen bir durumdur. Bu çalışmanın
amacı fizyoterapistlerde yaş, vücut kitle indeksi, çalışma postürü ve çalışma yılının
bel ağrısı ile ilgili özürlülük düzeyi üzerine etkisini incelemektir.

Yöntem: Yirmi
dokuz fizyoterapist çalışmaya dahil edildi. Çalışma yılı ve günlük çalışma
saatleri kaydedildi. Olguların bel ağrısı ile ilgili şikâyetleri “Quebec Bel Ağrısı
Kısıtlılık Ölçeği” (QUEBEC) ile, çalışma postürleri “Owako Çalışma Postürü
Analiz Sistemi” (OWAS) ile değerlendirildi. Bel ağrısı ile yaş, vücut kitle
indeksi (VKİ) , çalışma postürü, çalışma yılı ve günlük çalışma saati arasındaki
ilişki Spearman korelasyon katsayısı kullanılarak incelendi. Bel ağrısı olan ve
olmayan fizyoterapistlerin yaş, VKİ, çalışma yılı, günlük çalışma saati ve çalışma
postürleri arasındaki fark Mann-Whitney U test ile değerlendirildi.

Bulgular: QUEBEC
skoru ile yaş arasında pozitif yönde orta derecede istatistiksel olarak anlamlı
ilişki bulundu (r=0.44, p=0.01). Çalışma yılı ile çalışma postürü (r=0.38,
p=0.04) ve VKİ (r=0.41, p=0.027) arasında ilişki olduğu görüldü. Bel ağrısı
olan ve olmayan fizyoterapistlerin yaşları ista­tistiksel olarak birbirinden
farklı bulundu (p<0.05).

Sonuçlar: Çalışmamızda
fizyoterapistlerde ilerleyen yaşın bel ağrısı ile ilgili özürlülük düzeyini
etkilediği görüldü. Ayrıca çalışma yılı arttıkça çalışma postürünün bozulması
ve VKİ’nin artmasının bel ağrısını tetikle­yebilecek faktörler olduğu görüldü.

Anahtar Kelimeler

Fizyoterapist, postür, bel ağrısı

Kaynakça

• 1. Hignett S. Fitting the Work to the Physiotherapist. Physiotherapy. 1995; 81(9): 549-552.
• 2. Bork BE, Cook TM, Rosecrance JC, Engelhardt KA, Thomason MEJ, Wauford IJ, et al. Work-related musculoskeletal disorders among physical therapists. Phys Ther. 1996; 76(8): 827-835.
• 3. West DJ, Gardner D. Occupational injuries of physiotherapists in North and Central Queensland. Aust J Physiother. 2001; 47(3): 179- 186. 4. Akıncı AÇ, Dereli E, Sert H. Low back pain among nurses working in Kırklareli and the associated factors. ACU Sağlık Bil Derg. 2014; 5(1): 70-76.
• 5. Ellis BE. Moving and Handling Patients: An evaluation of current training for physiotherapy students. Physiotherapy. 1993; 79(5): 323- 326.
• 6. Glover W. Work-related Strain Injuries in Physiotherapists: Prevalence and prevention of musculoskeletal disorders. Physiotherapy. 2002; 88(6): 364-372.
• 7. Molumphy M, Unger B, Jensen GM, Lopopolo RB. Incidence of work-related low back pain in physical therapists. Phys Ther. 1985; 65(4): 482-486.
• 8. Scholey M, Hair M. Back pain in physiotherapists involved in back care education. Ergonomics. 1989; 32(2): 179-190.
• 9. Rugelj D. Low back pain and other work-related musculoskeletal problems among physiotherapists. Appl Ergon. 2003; 34(6): 635-639.
• 10. Bakker EWP, Verhagen AP, van Trijffel E, Lucas C, Koes BW. Spinal Mechanical Load as a Risk Factor for Low Back Pain - A Systematic Review of Prospective Cohort Studies. Spine. 2009; 34(8): E281-E93.
• 11. Leboeuf-Yde C, Kyvik KO, Bruun NH. Low back pain and lifestyle. Part II - Obesity - Information from a population-based sample of 29,424 twin subjects. Spine. 1999; 24(8): 779-783.
• 12. Heuch I, Hagen K, Heuch I, Nygaard O, Zwart JA. The impact of body mass index on the prevalence of low back pain. The HUNT Study. Spine. 2010; 35(7): 764-768.
• 13. Melikoglu MA, Kocabas H, Sezer I, Bilgilisoy M, Tuncer T. Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. Spine. 2009; 34(6): E219-224.
• 14. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood- Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine. 1995; 20(3): 341-352.
• 15. de Bruijn I, Engels JA, van der Gulden JW. A simple method to evaluate the reliability of OWAS observations. Appl Ergon. 1998; 29(4): 281-283. 16. Boos N, Weissbach S, Rohrbach H, Weiler C, Spratt KF, Nerlich AG. Classification of age-related changes in lumbar intervertebral discs. Spine. 2002; 27(23): 2631-644.
• 17. Benoist M. Natural history of the aging spine. Eur Spine J. 2003; 12 (Suppl 2): S86-89. 18. Fraser RD, Bleael JF, Moskowitz RW. Spinal degeneration. Pathogenesis and medical management. In: Frymoyer J, editor. The adult spine: principles and practice. Philadelphia: Lippincott Raven; 1997. p. 735-758.
• 19. Samartzis D, Karppinen J, Chan D, Luk KDK, Cheung KMC. The association of lumbar intervertebral disc degeneration on magnetic resonance imaging with body mass index in overweight and obese adults: A population-based study. Arthritis Rheum. 2012; 64(5): 1488- 496. 20. DePalma MJ, Ketchum JM, Saullo TR. Multivariable analyses of the relationships between age, gender, and body mass index and the source of chronic low back pain. Pain Med. 2012; 13(4): 498-506. 21. DePalma MJ, Ketchum JM, Saullo T. What Is the Source of Chronic Low Back Pain and Does Age Play a Role? Pain Med. 2011; 12(2): 224- 233. 22. Salik Y, Ozcan A. Work-related musculoskeletal disorders: a survey of physical therapists in Izmir-Turkey. BMC Musculoskelet Disord. 2004; 5: 27.
• 23. Squadroni R, Barbini N. Aging of physical therapists: From musculoskeletal complaints to self-protective behaviours. Int Congr Ser. 2005; 1280(0): 228-233.