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Epidemiological differences between back pain of sudden and gradual onset

Epidemiological differences between back pain of sudden and gradual onset
Epidemiological differences between back pain of sudden and gradual onset
Objective: to explore possible differences in risk factors for low back pain according to its speed of onset.
Methods: we analyzed longitudinal data from 1366 hospital nurses in England who initially had been free from low back pain for at least one month. Risk factors were ascertained from a self-administered baseline questionnaire, and outcomes from serial followup questionnaires. Hazard ratios (HR) for developing a first new episode of low back pain during followup were derived by Cox regression.
Results: low back pain with gradual onset was significantly associated with psychological symptoms measured at baseline [HR 1.7 (95% CI 1.2, 2.4) and higher], but no such association was seen for sudden pain. Low back pain with sudden onset while at work was associated with exposure to specific patient-handling tasks [HR 1.8 (95% CI 1.1, 3.0) to 2.8 (95% CI 1.4, 5.5)]. However, symptoms that came on suddenly elsewhere were not related to occupational activity, and low back pain of gradual onset showed little relation to patient-handling.
Conclusion: these findings suggest that a useful distinction can be made according to the speed and circumstances of onset of low back pain. If confirmed, they have important implications for the evaluation of ergonomic interventions aimed at reducing back pain.
health personnel, lifting, low back pain, occupational diseases, psychosocial factors
0315-162X
528-532
Smedley, Julia
1e718a69-0e0c-4037-82b0-f207e1fc7254
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Buckle, Peter
3fe48da8-4794-4285-aae0-e3aaab99ede3
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Coggon, David
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Smedley, Julia
1e718a69-0e0c-4037-82b0-f207e1fc7254
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Buckle, Peter
3fe48da8-4794-4285-aae0-e3aaab99ede3
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Coggon, David
2b43ce0a-cc61-4d86-b15d-794208ffa5d3

Smedley, Julia, Inskip, Hazel, Buckle, Peter, Cooper, Cyrus and Coggon, David (2005) Epidemiological differences between back pain of sudden and gradual onset. Journal of Rheumatology, 32 (3), 528-532.

Record type: Article

Abstract

Objective: to explore possible differences in risk factors for low back pain according to its speed of onset.
Methods: we analyzed longitudinal data from 1366 hospital nurses in England who initially had been free from low back pain for at least one month. Risk factors were ascertained from a self-administered baseline questionnaire, and outcomes from serial followup questionnaires. Hazard ratios (HR) for developing a first new episode of low back pain during followup were derived by Cox regression.
Results: low back pain with gradual onset was significantly associated with psychological symptoms measured at baseline [HR 1.7 (95% CI 1.2, 2.4) and higher], but no such association was seen for sudden pain. Low back pain with sudden onset while at work was associated with exposure to specific patient-handling tasks [HR 1.8 (95% CI 1.1, 3.0) to 2.8 (95% CI 1.4, 5.5)]. However, symptoms that came on suddenly elsewhere were not related to occupational activity, and low back pain of gradual onset showed little relation to patient-handling.
Conclusion: these findings suggest that a useful distinction can be made according to the speed and circumstances of onset of low back pain. If confirmed, they have important implications for the evaluation of ergonomic interventions aimed at reducing back pain.

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More information

Published date: March 2005
Keywords: health personnel, lifting, low back pain, occupational diseases, psychosocial factors
Organisations: Community Clinical Sciences, Nursing & Midwifery

Identifiers

Local EPrints ID: 24511
URI: http://eprints.soton.ac.uk/id/eprint/24511
ISSN: 0315-162X
PURE UUID: d2465e9c-60bd-49e2-a763-080d45a72f56
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for David Coggon: ORCID iD orcid.org/0000-0003-1930-3987

Catalogue record

Date deposited: 30 Mar 2006
Last modified: 09 Jan 2022 02:52

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Contributors

Author: Julia Smedley
Author: Hazel Inskip ORCID iD
Author: Peter Buckle
Author: Cyrus Cooper ORCID iD
Author: David Coggon ORCID iD

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