Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Back Injuries”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,351 records · Page 75Linked to original sources

Extract from the Norwegian National Report on Physical Activity and Health.

In 1999 the National Council on Nutrition and Physical Activity in Norway appointed a committee to look into the relationship between health and physical activity, and to provide some guidelines to various populations regarding physical activity. The committee, which consisted of Sigmund B. Strömme, Sigmund A. Anderssen, Ingvar Hjermann, Jorunn Sundgot-Borgen, Sigbjõrn Smeland, Sverre Maehlum, and Anita Andaas Aadland, produced a comprehensive 84-page report (rapport nr. 2/2000) on physical activity and health based on the currently available scientific evidence. An extract from the first part of the report, which concentrates on the significance of physical activity for various population groups follows below.

Accidental Falls↗

Do they practise what we teach? A survey of manual handling practice amongst student nurses.

Experience of training students of nursing in manual handling suggested that they did not practise the techniques they had been taught. A search of the literature revealed that there was indeed a theory-practice gap. The aim of the project was to answer three questions: do students know what they should be doing, do they do what they should be doing, and if not, why not. A survey design was used, with questionnaires designed specifically for the study. Self report questionnaires were distributed to students of nursing (n = 148) on the adult branch in one higher education institution in England. One hundred and thirty-nine completed questionnaires were returned. Results showed that students' knowledge of whether particular techniques were 'recommended' was fair. They indicated however, that they were frequently unable to use recommended techniques in practice. The most frequent explanation given was the influence of other nurses. Results of this small study indicated that male students and younger students were more susceptible to socialization into poor ward practice than others. Other reasons for not using recommended techniques were unavailability of manual handling aids, lack of time and patient needs. The complexity of relationships within the nursing team emerged, with students ever aware of the impression they were making with regard to their assessment of practice, and their need to be accepted as a member of the team. Changes to training are suggested, to help reduce the theory-practice gap.

Adult↗

Subjective perceptual methods for comparing backpacks in the field.

Subjective perceptual methods have provided useful information in the laboratory about small differences in backpack design when physiological and biomechanical comparisons are ineffective, but have never been used in the field. This study therefore evaluated, in a controlled field trial with 10 male participants, the suitability of quantitative and qualitative subjective perceptual approaches to distinguish between subtle design differences in two backpacks, each loaded to 15 kg. In addition, initial quantitative subjective impressions about the two backpacks during a 15 min simulated 'in-shop' trial were compared with post-field trial backpack preference. In the simulated 'in-shop' trial the participants 'tried out' the backpack in a manner that was very similar to the way that they would normally try out a backpack as if they were considering buying one in an 'outdoor' shop. It included donning and doffing the pack several times and walking around the room wearing the backpack. In the controlled field trial, participants carried the two backpacks for approximately 15 min around a 1313 m hilly outdoor track at a self-selected walking pace which elicited a moderate exercise intensity. Seven participants preferred backpack A. Three preferred backpack B. The qualitative approach, which required participants to provide free-format written responses to semi-structured open-ended questions immediately after the field trial, successfully identified specific reasons underlying participants' preferences. The main reasons for preferring backpack A were better balance, weight distribution, stability up and down hill and over obstacles, fewer pressure points on their back and easier strap location and adjustment. The quantitative approach, which involved participants responding to written post-field trial questions on visual analogue or category ratio rating scales, was generally unsuccessful in distinguishing between backpacks. Thus, qualitative subjective perceptual methods appeared to be more useful than quantitative ones in distinguishing between backpacks and in identifying positive and negative design features under controlled field conditions in which participants carry a backpack at a moderately intense self-selected exercise level. However, since the quantitative approach had been successful in distinguishing between backpacks in an earlier similar study, in which participants exercised more intensely by walking uphill on a treadmill at a fixed pace, it is possible that the quantitative subjective perceptual approach may be capable of distinguishing between backpacks in the field if a fixed pace eliciting higher exercise intensity were to be used. Finally, since quantitative responses to questions about the backpacks after a short simulated 'in-shop' trial closely agreed with participants' post-field trial overall backpack preference, it is concluded that initial subjective impressions may be a good guide to backpack preference after limited field usage.

Adult↗

Job enlargement and mechanical exposure variability in cyclic assembly work.

Cyclic assembly work is known to imply a high risk for musculoskeletal disorders. To have operators rotate between work tasks is believed to be one way of decreasing this risk, since it is expected to increase variation in mechanical and psychological exposures (physical and mental loads). This assumption was investigated by assessing mechanical exposure variability in three assembly tasks in an electronics assembly plant, each on a separate workstation, as well as in a 'job enlargement' scenario combining all three stations. Five experienced operators worked for 1 h on each station. Data on upper trapezius and forearm extensor muscle activity were obtained by means of electromyography (EMG), and working postures of the head and upper arms were assessed by inclinometry. The cycle-to-cycle variance of parameters representing the three exposure dimensions: level, frequency and duration was estimated using ANOVA algorithms for each workstation separately as well as for a balanced combination of all three. For a particular station, the variability of trapezius EMG activity levels relative to the mean was higher than for extensor EMG: between-cycles coefficients of variation (CV) about 0.15 and 0.10, respectively. A similar relationship between CV applied to the parameter describing frequency of EMG activity. Except for head inclination levels, the between-cycles CV was larger for posture parameters than for EMG. The between-cycles variance increased up to six fold in the job enlargement scenario, as compared to working at only one station. The difference in mean exposure between workstations was larger for trapezius EMG parameters than for forearm extensor EMG and postures, and hence the effect of job enlargement on exposure variability was more pronounced for the trapezius. For some stations, job enlargement even implied less cycle-to-cycle variability in forearm extensor EMG parameters than working at that station only. Whether the changes in exposure variability associated with job enlargement were sufficient to imply a decreased risk for musculoskeletal disorders is not known.

Adult↗

Load spatial pathway and spine loading: how does lift origin and destination influence low back response?

While heavy lifting has been identified as an important risk factor for low back disorders, little is known about workplace spatial layout - the relative positions of shelves and the impact of this on spine loads. The objective of the current study was to investigate how the relative positions of the load origin and destination impact three-dimensional spine loads. Seven females and seven males lifted an 11.4 kg box from an origin shelf to a destination shelf, each defined by height (elbow, knee and shoulder level) and asymmetry (60 degrees clockwise, sagittally symmetric, 60 degrees counter-clockwise) while their spine loading was assessed by an electromyographic-assisted model. The results indicated that the starting and destination heights and starting task asymmetry all had significant impact on spine compression (with an increase of between 400 and 1900 N when compared to the most neutral position) and lateral shear (with a 100 to 150 N increase) while the destination height impacted the anterior - posterior shear forces (with up to 400 N increase). The results of the current study emphasize the importance of proper workplace spatial layout, specifically the importance of specifying starting position of the load relative to the destination. Adjustment of the starting position will impact the three-dimensional spine loads while the destination height and asymmetry influence the shear forces. Furthermore, the influence of the specific pathway (origin relative to destination) indicates there may be a potential preparatory muscle response leading to the loads on the spine. Thus, the pathway of the box plays an important role in the spine responses during lifting, in that longer and non-neutral pathways increase spine loads - indicating the importance of the relative position of the origin and destination shelf.

Accidents, Occupational↗

Manual handling in warehouses: the illusion of correct working postures.

Results from a study on load handling in two warehouses are presented. The loads were mainly handled with the back bent and in twisted postures. The so-called 'correct lifting' method was rare. The dimensional constraints of storing systems and the influence of the environment and load characteristics on handling strategies are described. As a conclusion, it is proposed that training in lifting skills should be replaced by training in manual handling in general, and by ergonomic improvements.

Accidents, Occupational↗