1. Workplace Intervention to Reduce Back Pain Through the Control of Early Morning Flexion
- Author
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Brogmus, George, Robbins, Wendie1, Brogmus, George, Brogmus, George, Robbins, Wendie1, and Brogmus, George
- Abstract
The goal of this research was to test the hypothesis that a brief workplace training session on control of early morning flexion (bending – and other spine-loading activities) can significantly reduce back pain incidence, claims, disability and the associated costs. Back pain is the leading cost driver for workers’ compensation claims, globally the leading cause of days lived with disability, and one of the leading reasons people seek medical care outside of workers’ compensation. Diagnostic methods, including imaging, have not proven to result in improved outcomes. Treatments by health care professionals, regardless of specialty, have been shown to be equally effective, and comparable to education-only results. In this context, self-care approaches have garnered attention. One such approach that has shown promise for chronic low back pain sufferers is the control of early morning flexion. The current study tested this intervention in a workplace setting through a training session to control spine-loading activities within the first two hours of rising from sleep in a prospective cluster-randomized partial cross-over controlled intervention. 157 of 290 eligible university custodial services workers’ completed a baseline questionnaire and were randomly assigned (by supervisor group) into treatment and sham groups then given either treatment (bending) or sham training (lifting technique training known to have no significant impact on back pain). The questionnaire contained demographic, back pain history, workplace, activity, and exercise questions. After one year, the questionnaire was completed again and all subjects were then given the treatment training. After one more year, the questionnaire was completed again. Analysis of the baseline data revealed that when time between rising from sleep and leaving for work were less than two hours, LBP risk increased by 119%, and sciatica risk increased 152%. Bending, sitting, and lifting (objects over 10 pounds) during the f
- Published
- 2021