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Recent News and Articles on the Keywords: back pain + advice + worker  Related to the article below (Last Update: 5/12/2008)


San Diego Union Tribune
As problems beset church, worshippers left in droves
San Diego Union Tribune, United States - May 9, 2008
In 2005, the same year Ambassador moved into its new two-story home, Carolyn Limon, a church office worker, filed for divorce from Vincent Limon, ...
Health calendar: May 9
Gloucester Daily Times,  USA - May 9, 2008
Classes focus on safety, breathing exercises, reducing common pregnancy discomforts, improving circulation and easing back pain. ...
Sex for money, not love
San Francisco Chronicle,  USA - Apr 23, 2008
How each individual sex worker navigates sex for money is unique. Even though I am not a porn performer, I am often asked by total strangers how to "get ...
'Local men have a special liking for foreign girls - but they want ...
Guardian, UK - Apr 21, 2008
Showers after each session didn't seem to help her get her strength back. She had to carry on doing the job through her periods, with a dull pain lasting ...
Tobias, Campbell and Bell JAA
Mondaq News Alerts (subscription), UK - Apr 16, 2008
On 31 August 2005, the Worker's solicitor made a claim upon the Employer for lump sum compensation under s 66 and compensation for pain and suffering under ...
Me and my big mouth
Sunday Herald, UK - Apr 26, 2008
"I have to follow the advice of my lawyers on how to deal with this," he says. "It's always instinctive for me to punch back if I'm hit, but I can't punch ...
Baby born on kitchen floor
Manchester Evening News, UK - Apr 14, 2008
But doctors gave her tablets and told her to come back when the pain got worse. Just hours later her mum, Joanne Stevenson, heard her screaming at the ...

PopSugar.com
Pop Watch: Brothers & Sisters, Ep 4 "States of the Union"
PopSugar.com, CA - Apr 21, 2008
The rest of the family spent most of the episode in pairs: Rebecca and Justin were dealing (or not) with his pain medication issues; Holly was dealing (or ...
MAN DIED AFTER BROKEN NECK 'NOT DIAGNOSED'
Gloucester Citizen, UK - Apr 24, 2008
He discharged himself against the advice of the hospital social worker." Questioned by Gloucestershire coroner Alan Crickmore, Mr Henderson said he felt at ...

Telegraph.co.uk
Lifeclass: surviving a death in the family
Telegraph.co.uk, United Kingdom - Apr 21, 2008
But it is only since I have stopped fighting the pain and let myself believe that I am allowed to hurt that I have started to feel that I might, one day, ...
Source: Google News

Occupational health guidelines for the management of low back pain at work: evidence review -
G Waddell, AK Burton - Occupational Medicine, 2001 - Soc Occupational Med
... Return to work with back pain ... A recent study has highlighted the variability in
physician advice on return to work and that recommendations often ...

Work conditioning, work hardening and functional restoration for workers with back and neck pain.
E Schonstein, DT Kenny, J Keating, BW Koes - ncbi.nlm.nih.gov
... follow-up by an average of 45 days, when compared to general practitioner usual
care or advice, for workers with chronic back pain. For work-related outcomes ...

Information and Advice to Patients With Back Pain Can Have a Positive Effect: A Randomized … -
AK Burton, G Waddell, KM Tillotson, N Summerton - Spine, 1999 - spinejournal.com
... review of 16 RCTs confirmed that advice to stay ... faster recovery, faster return to
work, less chronic ... is also increasing evidence that back pain and disability ...

Physical Conditioning Programs for Workers With Back and Neck Pain: A Cochrane Systematic Review. -
E Schonstein, D Kenny, J Keating, B Koes, RD … - Spine, 2003 - spinejournal.com
... compared to general practitioner care or advice for workers with chronic back pain.
There was little evidence of an effect on time lost from work of specific ...

Population based intervention to change back pain beliefs and disability: three part evaluation -
R Buchbinder - BMJ, 2001 - pubmedcentral.nih.gov
... provide sharply focused, unambiguous advice directed towards ... for prolonged periods,
and remaining at work. 16. ... who had successfully managed their back pain. ...

… on Pain, Back Function, and Work Resumption in Patients With Chronic Low Back Pain: A Prospective 2 … -
TH Hansson, EK Hansson - Spine, 2000 - spinejournal.com
... chiropractors, and others on long-lasting back problems, all ... Besides the patients'
wishes of pain relief and ... a physician for evaluation and advice within the ...

Occupational health guidelines for the management of low back pain: an international comparison. -
JB Staal, H Hlobil, MW van Tulder, G Waddell, AK … - Occupational & Environmental Medicine, 2003 - pt.wkhealth.com
... There is general agreement on advice that low back pain is a ... condition and that
remaining at work or an early (gradual) return to work, if necessary ...

A Population-Based, Randomized Clinical Trial on Back Pain Management. -
P Loisel, L Abenhaim, P Durand, JM Esdaile, S … - Spine, 1997 - spinejournal.com
... All clinical recommendations made by the back pain clinic staff were ... was at liberty
to prescribe the advice or not ... the timing of the patient's return to work. ...

… doctors is an obstacle for return-to-work: a cohort study on low back pain patients sicklisted for … -
JR Anema, AM van der Giezen, PC Buijs, W van … - Occupational & Environmental Medicine, 2002 - pt.wkhealth.com
... shown that in cases of back pain, therapeutic recommendations ... rest or (undesirable)
pain related advice may confirm the patient in his pain avoiding behaviour ...

Randomized controlled trials in industrial low back pain relating to return to work. Part 1. Acute … -
SJ Scheer, KL Radack, DR O'Brien - Archives of Physical Medicine and Rehabilitation, 1995 - Elsevier
... the other half had referred pain as well ... by Donelson and McKenzie) ? The back school
provided ... anatomy lesson, ergonomic and postural advice, recommendations on ...

Source: Google Scholar

Advice, Devices Ineffective In Preventing Worker Back Pain
Back pain is the number one cause of worker-compensation complaints, second only to the common cold in causing lost workdays. Consequently, employers and regulators have pushed training programs to teach specific lifting methods, and some recommend or require the use of assistive devices such as hoists for hospital workers. However, a new review of the research on lifting advice and handling devices has found that they do not prevent work-related back pain.

"According to the studies we have so far, it seems that this is not effective," said lead author Kari-Pekka Martimo, of the Finnish Institute of Occupational Health in Helsinki.
He and his colleagues examined data from more than 18,000 employees in 11 studies. Some studies looked at advice or assistive devices alone and some looked at combining both, but the combinations did not prove effective either.

The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

The advice and devices did not prevent back pain or reduce disability claims or sick leave.

According to Martimo, one explanation for the negative findings could be that "safer" lifting techniques do not really exist so teaching particular tactics would be unlikely to help. "Another possibility is that elevated risk for back pain might not be related to lifting or moving heavy objects themselves, but to other aspects of work," he said. High stress, for example, might link jobs that require lifting to back pain, rather than the lifting itself.

Alternatively, it could be that the teaching is the problem and that workers do not actually adopt better habits. However, the studies looked at many different training methods and did not find any to have a particular advantage. "I don't think it's lack of adequate teaching methods," Martimo said. One complication of considering that there is a "correct" lifting technique that employees should adopt is that "when an employee has back pain, there's a tendency to blame the victim because he didn't [use the techniques or devices] correctly."

"This study confirms that much of what is happening at the workplace is well-intentioned but probably pointless," said Christopher Maher, associate professor of physiotherapy at the University of Sydney in Australia. "We had a pretty good idea that this was the case but this study really does confirm that we need to take a fresh look at the problem," said Maher, who was not involved with the study.
"The frustrating thing is that government bodies and employers concentrate on things that do not work, [such as] back belts, education, lifting devices, workplace redesign and no-lift policies, and ignore the only known effective intervention exercise," Maher added. "We also know that exercise has health benefits beyond prevention of back pain, so you are getting two health benefits (or more) for the price of one."

Martino concluded, "We need more studies and evidence on the chain of events between certain jobs and an elevated risk of back pain. We do not know enough about that chain yet."

Martimo KP, et al. Manual material handling advice and assistive devices for preventing and treating back pain in workers (Review). Cochrane Database of Systematic Reviews 2007, Issue 3.

The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. Visit http://www.cochrane.org for more information.

Health Behavior News Service
Center for the Advancement of Health 2000 Florida Ave. NW, Ste 210
Washington, DC 20009
United States
http://www.hbns.org
 
 
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