Daily spinal mechanical loading as a risk factor for acute non-specific low back pain: a case-control study using the 24-Hour Schedule.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Eric W P BakkerB W Koes

Abstract

A case-control study was conducted to assess the daily loading of the spine as a risk factor for acute non-specific low back pain (acute LBP). Acute LBP is a benign, self-limiting disease, with a recovery rate of 80-90% within 6 weeks irrespective of the treatment type. Unfortunately, recurrence rates are high. Therefore, prevention of acute LBP could be beneficial. The 24-Hour Schedule (24HS) is a questionnaire developed to quantify physical spinal loading, which is regarded as a potential and modifiable risk factor for acute and recurrent low back pain. A total of 100 cases with acute LBP and 100 controls from a primary care setting were included. Cases and controls completed questionnaires regarding acute LBP status and potential risk factors. Trained examiners blinded to subjects' disease status (acute LBP or not) assessed spinal loading using the 24HS. The mean difference of 24HS sum-scores between groups was statistically significant (P < 0.0001). After multivariate regression analysis, previous episode(s), the 24HS and the Nottingham Health Profile were associated with the presence of acute LBP. High 24HS scores, indicating longer and more intensive spinal loading in flexed position, are strongly associated with acute LBP.

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Citations

Apr 13, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Eric W P BakkerBart W Koes
Jan 12, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Michel Benoist
May 31, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·H WatsonP E Riches
Jan 7, 2011·The Journal of Bone and Joint Surgery. American Volume·Peter G PassiasGuoan Li
Sep 20, 2015·Methods : a Companion to Methods in Enzymology·Stephen M RichardsonAli Mobasheri
Feb 2, 2012·The Journal of Manual & Manipulative Therapy·Stephen MaySampada Pingle
May 17, 2015·Clinical Biomechanics·Xiaopeng Ning, Maury A Nussbaum
Jul 23, 2015·Cadernos de saúde pública·Paulo Roberto Carvalho do Nascimento, Leonardo Oliveira Pena Costa
Sep 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Crystian B OliveiraGustavo C Machado

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