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Back Pain Research Review
Working Conditions Contribute to Back and Neck Pain
Heavy physical labor and poor working environments are often cited as reasons for back pain. There is a clear correlation between reported low back problems and heavy lifting or working positions in which the back is bent or twisted repeatedly and over a longer period of time. This also true for work that involve long period of sitting on “shaky” vehicles such as forklifts, trucks, and tractors. As regards neck problems, studies have found a clear association between repetitive, monotonous work and fixed working positions.
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Psychosocial Aspects of Back and Neck Pain
Many types of pain and their duration and intensity are associated with poor psychosocial conditions in private life and the workplace, including poor work satisfaction. This is particularly true for back and neck pain.
Pain in the neck or low back can influence functional capacity and cause worry, anxiety, and depression. It has been known for some time that mental/emotional states such as worry, anxiety, and depression. this, in turn, can amplify the perception of pain, but only recently have psychological factors been viewed as a link in the causal chain underlying the occurrence and persistence of neck and low back problems. There is well-documented scientific evidence that numerous psychological factors can influence the development and persistence of acute and chronic pain in the neck and low back. These problems occur since mental state, feelings, and behavior are partly dependent on factors such as work demands, time pressure, monotonous work, a low level of influence over the situation, poor social support, experienced pain, stress, worry, and anxiety.
Preventative Measures
Despite the insight on the important roles of these factors, research has contributed little by way of studies to assess preventive interventions against back pain. The studies which have been conducted in the field have focused primarily on rather narrowly defined preventive measures such as ergonomic methods, physical exercise, education on back anatomy, various supportive devices for the lumbar spine, and interventions to influence smoking, overweight, and certain psychosocial factors. The results of these studies are discouraging in the sense that most of the preventive measures studied are shown to be ineffective. The only exception is moderate, but regular physical training or exercise, where the results of several studies show good effects.
It seems likely that the preventative measures employed in most short term or narrowly focused studies were insufficient in themselves to overcome pervasive causal factors that are indicated in back and neck pain.
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