A longitudinal study of low back pain in student nurses

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Abstract

Results from a longitudinal study of low back pain in 199 student nurses followed up for 20 months show that 37% reported back pain which lasted for at least 3 consecutive days. The first incidence peaked markedly between 9 and 12 months into training, and coincided with work on wards described by the nurses as “heavy”. A combination of personal characteristics are also associated with back pain reports, within this group of nurses. These include attitudes to health as measured by the Health Locus of Control, low levels of trait anxiety, increased neuroticism, and emotional disturbance as measured by the General Health Questionnaire, the strength endurance of the thigh muscles (quadriceps), and height. Recommendations are made for (1) the consideration of a modified training programme for lifting and handling; and (2) the need for a standardized system of recording back problems as suggested by the DHSS-commissioned Robens Institute (University of Surrey) Report.

References (47)

  • D. Baty et al.

    Postural stress in geriatric nursing

    Int. J. Nurs. Stud.

    (1987)
  • S. Crown

    Psychosocial factors in low back pain

    Clinics in Rheumatic Diseases: Low Back Pain

    (1980)
  • M. Scholey

    Back stress: the effect of training to lift patients in a clinical setting

    Int. J. Nurs. Stud.

    (1983)
  • R. Addison et al.

    Trunk strength in patients seeking hospitalization for chronic low back disorders

    Spine

    (1980)
  • G. Andersson

    Low back pain in industry

    Scand. J. Rehab. Med.

    (1979)
  • M.H. Banks et al.

    The use of the General Health Questionnaire as an indicator of mental health in occupational studies

    J. Occup. Psychol.

    (1980)
  • F.I.N. Biering-Sorensen

    A prospective study of low back pain in a general population

    Scand. J. Rehab. Med.

    (1983)
  • F.I.N. Biering-Sorensen

    Physical measurements as risk indicators for low back trouble over a one year period

    Spine

    (1984)
  • P. Brinckmann et al.

    Fatigue fracture of human lumbar vertebrae

    Clinical Biomechanics

    (1988)
  • P.A. Buckle

    A Multidisciplinary Investigation of Factors Associated with Low Back Pain

  • L.D. Cady et al.

    Strength and fitness and subsequent injuries in firefighters

    J. Occup. Med.

    (1979)
  • D.B. Chaffin et al.

    Pre-employment strength testing

    J. Occup. Med.

    (1978)
  • D.B. Chaffin et al.

    A longitudinal study of low back pain as associated with lifting factors

    American Industrial Hygene Association Journal

    (1973)
  • J.M. Cox et al.

    Exercise and smoking habits in patients

    Journal of Manipulation and Physiological Therapeutics

    (1987)
  • C. Cust et al.

    The prevalence of low back pain in nurses

    Int. Nurs. Rev.

    (1972)
  • R.A. Deyo et al.

    Life style and low back pain

    Spine

    (1989)
  • DHSS

    Letter to General Managers in Health Authorities

    (1986)
  • J. Eckholm et al.

    Activation of abdominal muscles during some physiotherapeutic exercises

    Scand. J. Rehab. Med.

    (1979)
  • H.J. Eysenck et al.
  • J.W. Frymoyer et al.

    Risk factors in low back pain

    Journal of Bone and Joint Surgery

    (1983)
  • B. Girling et al.

    Prevention of musculo-skeletal stress in hospital employees: an ergonomic approach to training

  • N. Grew

    Intra-abdominal pressure response to loads applied to torso in normal subjects

    Spine

    (1980)
  • H. Hall et al.

    Backschool

    Clinics of Orthopaedic & Related Research

    (1983)
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