Backbelt use for prevention of occupational low back pain: A systematic review

被引:19
作者
Ammendolia, C
Kerr, MS
Bombardier, CR
机构
[1] Inst Work & Hlth, Toronto, ON M5G 2E9, Canada
[2] Canadian Mem Chiropract Coll, Toronto, ON, Canada
[3] Univ Toronto, Fac Med, Inst Med Sci, Toronto, ON, Canada
[4] Univ Western Ontario, Sch Nursing, London, ON, Canada
[5] Univ Toronto, Med & Rheumatol Div, Toronto, ON, Canada
[6] Univ Toronto, Hlth Network, Clin Decis Making & Hlth care Div, Toronto, ON, Canada
[7] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada
关键词
low back pain; prevention; effectiveness; back belts; review literature;
D O I
10.1016/j.jmpt.2005.01.009
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Back pain continues to be the leading overall cause of morbidity and lost productivity in the workplace. Recently, there has been a renewed interest in the use of back belts by industry to reduce occupational low back pain (LBP). Objectives: To examine the literature and evaluate the effectiveness of back belt use for the primary prevention of occupational LBP. Methods: MEDLINE, CINAHL, EMBASE, and HEALTHSTAR were searched for relevant articles published up to July 2003. Studies were included if participants were material handlers, and outcomes included the incidence and/or duration of lost time of reported LBP among workers who wore back belts compared with those who did not. The quality of the evidence was scored independently by 2 reviewers using a double rating method, first according to research design followed by an internal validity rating. Final synthesis of the evidence was performed in which the evidence was classified as good, fair, conflicting, or insufficient. Results: Ten epidemiologic studies meeting inclusion criteria were identified. Of 5 randomized controlled trials, 3 showed no positive results with back belt use; 2 cohort studies had conflicting results; and 2 nonrandomized controlled studies and 1 survey showed positive results. Conclusions: Currently, because of conflicting evidence and the absence of high-quality trials, there is no conclusive evidence to support back belt use to prevent or reduce lost time from occupational LBP.
引用
收藏
页码:128 / 134
页数:7
相关论文
共 53 条
[1]  
ALEXANDER A, 1995, PROF SAF, V40, P22
[2]  
ANDERSON CK, 1993, EFFECTIVENESS USING
[3]  
BARNARD BP, 1997, MUSCULOSKELETAL DISO, P6
[4]   A PROSPECTIVE-STUDY OF WORK PERCEPTIONS AND PSYCHOSOCIAL FACTORS AFFECTING THE REPORT OF BACK INJURY [J].
BIGOS, SJ ;
BATTIE, MC ;
SPENGLER, DM ;
FISHER, LD ;
FORDYCE, WE ;
HANSSON, TH ;
NACHEMSON, AL ;
WORTLEY, MD .
SPINE, 1991, 16 (01) :1-6
[5]  
BIGOS SJ, 1994, PUBLICATION US DEP H
[6]   PSYCHOSOCIAL FACTORS AT WORK AND MUSCULOSKELETAL DISEASE [J].
BONGERS, PM ;
DEWINTER, CR ;
KOMPIER, MAJ ;
HILDEBRANDT, VH .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 1993, 19 (05) :297-312
[7]  
BURDORF A, 1992, SCAND J WORK ENV HEA, V18, P1
[8]   Positive and negative evidence of risk factors for back disorders [J].
Burdorf, A ;
Sorock, G .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 1997, 23 (04) :243-256
[9]  
*CAN CTR OCC HLTH, 1995, 03651WPF CAN CTR OCC
[10]   Disability resulting from occupational low back pain .2. What do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins [J].
Frank, JW ;
Brooker, AS ;
DeMaio, SE ;
Kerr, MS ;
Maetzel, A ;
Shannon, HS ;
Sullivan, TJ ;
Norman, RW ;
Wells, RP .
SPINE, 1996, 21 (24) :2918-2929