INVESTIGATION OF THE RELATIONSHIP BETWEEN LOW BACK PAIN RISK AND FUNCTIONAL STATUS IN UNİVERSITY STAFF AND STUDENTS

Öz

Abstract Purpose: Low back pain is the most common musculoskeletal disorder and remains a prevalent health issue, increasing despite advancements in modern medicine. It reduces quality of life, leads to productivity losses, and imposes a burden on the healthcare system. Therefore, identifying risk factors is crucial. This study aims to investigate the relationship between low back pain risk and functional status in university staff and students. Material and Method: The study included university staff and students (44 academic and administrative staff, 111 students). Participants' low back pain risk was assessed using the Low Back Pain Risk Scale (BARS), and their functional status was evaluated with the Functional Assessment Index (FAI). Results: It was determined that as the functional status of university academic and administrative staff and students deteriorated, the risk of low back pain increased. We believe that promoting physical activity is essential for reducing the risk of low back pain and improving physical condition in both employees and students.

Anahtar Kelimeler

• low back pain
• risk
• functional status
• administrative personnel
• students

ÜNİVERSİTE ÇALIŞANLARI VE ÖĞRENCİLERİNDE BEL AĞRISI RİSKİ İLE FONKSİYONEL DURUM ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Öz

Özet Amaç: Bel ağrısı kas iskelet sistemi ağrılarında en yaygın olarak görülen ve modern tıptaki gelişmelerle azalmayıp aksine artış gösteren bir sağlık problemidir. Yaşam kalitesini azaltarak iş gücünde kayıplara yol açmakta, aynı zamanda sağlık sistemi üzerinde yük oluşturmaktadır. Bu nedenle risk faktörlerinin tanımlanması önemlidir. Çalışmanın amacı üniversite personel ve öğrencilerinde bel ağrısı riskinin fonksiyonel durumla ilişkisinin incelenmesidir. Gereç Yöntem: Çalışmaya üniversite personeli ve öğrencileri (44 akademik ve idari personel, 111 öğrenci) dâhil edildi. Katılımcıların bel ağrısı riskleri, Bel Ağrısı Risk Skalası (BARS); fonksiyonel durumları, Fonksiyonel Değerlendirme İndeksi (FDİ) ile değerlendirildi. Bulgular: Yine üniversite akademik ve idari BARS ve FDİ arasındaki ilişki incelendiğinde istatistiksel olarak pozitif yönde orta derecede anlamlı ilişki bulundu (p<0,001, r=0,529)..Öğrencilerde BARS ve FDİ arasındaki ilişki incelendiğinde istatistiksel olarak pozitif yönde orta derecede anlamlı ilişki bulundu (p<0,001, r=0,538). Sonuç: Üniversite akademik ve idari personelleri ile öğrencilerin fonksiyonel durumu kötüleştikçe bel ağrısı riskinin arttığı belirlenmiştir. Hem çalışan bireyler, hem de öğrencilerin bel ağrısı riskini azaltmak ve fiziksel durumu iyileştirmek için fiziksel aktivitenin teşvik edilmesi gerektiğini düşünmekteyiz.

Anahtar Kelimeler

• bel ağrısı
• risk
• fonksiyonel durum
• idari personel
• öğrenciler

Kaynakça

1. Allan DB, Waddell G. An historical perspective on low back pain and disability. Acta Orthop Scand. 1989;60(Suppl 234):1–23.
2. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736–47.
3. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012;379(9814):482–91.
4. Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(6):968–74.
5. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–67.
6. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028–37.
7. da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010;53(3):285–323.
8. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002;27(5):E109– 17.

9. Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000;25(9):1148–56.
10. Yang H, Haldeman S, Lu ML, Baker D. Low back pain prevalence and related workplace psychosocial risk factors: a study using data from the 2010 National Health Interview Survey. J Manipulative Physiol Ther. 2020;43(2):133–40.
11. Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational low back pain. Eur Spine J. 2007;16(2):283–98.
12. Waongenngarm P, Rajaratnam BS, Janwantanakul P. Ergonomic risk factors for low back pain in university students and sedentary workers: A literature review. J Back Musculoskelet Rehabil. 2015;28(4):613–25.
13. Shariat A, Tamrin SBM, Arumugam M, Danaee M. Prevalence of low back pain and its associated factors among university students. J Occup Health. 2018;60(4):325–30.
14. Alshagga MA, Nimer AR, Yan LP, Ibrahim IA, Al-Ghamdi SS, Radman Al-Dubai SA. Prevalence and factors associated with low back pain among university students. J Occup Health. 2013;55(4):232–8.
15. Alshagga MA, Nimer AR, Yan LP, Ibrahim IA, Al-Ghamdi SS, Al-Dubai SAR. Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College. BMC Res Notes. 2013;6(1):244.
16. Noormohammadpour P, Rostami M, Mansournia MA, et al. Low back pain status of female university students in relation to different sport activities. Eur Spine J. 2015;24(3):455–62.
17. Shariat A, Cleland JA, Danaee M, et al. Prevalence of low back pain and its relationship with sitting behavior among Iranian office workers. Work. 2018;60(3):335–42.
18. NWANEUROSURGERY. Back Pain Risk Scale [Internet]. Available from: http://nwaneurosurgery.com/back-pain-risk-scale/
19. Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine. 2001;26(1):78–87.
20. Bayar B, Bayar K, Yakut E, Yakut Y. Reliability and validity of the Functional Rating Index in older people with low back pain: preliminary report. Aging Clin Exp Res. 2004;16(1):49–52.
21. Katırcı Kırmacı ZI, Sağdiç E, Gündüz M, Adıgüzel H, Ergen Hİ, Uzun M, et al. Risk levels analysis of low back pain of Sanko University personnel and students. International Conference on Innovative (Eco) Technology, Entrepreneurship and Regional Development; 2018 Mar 20; Kaunas, Lithuania. Poster presentation.
22. Waongenngarm P, Rajaratnam BS, Janwantanakul P. Internal oblique and transversus abdominis muscle fatigue induced by slumped sitting posture after 1 hour of sitting in office workers. Saf Health Work. 2016;7(1):49–54.
23. Lee H, Hubscher M, Moseley GL, Kamper SJ, Traeger AC, Mansell G, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain. 2018;159(3):614–22.
24. Dionne CE, Dunn KM, Croft PR. Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing. 2006;35(3):229–34.
25. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4: European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):S192– 300.
26. Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJEM, Ostelo RWJG, Guzman J, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2015;(9):CD000963.
27. Fazli M, Ramezani R, Dehghani M, Masoumi M. Association between body mass index and low back pain: a systematic review and meta-analysis. Clin Spine Surg. 2019;32(6):E263–E267.
28. Wang Y, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2017;378(9793):815–25.
29. Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2012;26(6):769–81.
30. Kopec JA, Sayre EC. Work disability associated with low back pain: a population-based study using the National Population Health Survey data. Spine (Phila Pa 1976). 2004;29(4):411–7.