Lifestyle Medicine and Office Ergonomic Strategies for Managing Low Back Pain: Difference between revisions

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== Introduction ==
== Introduction ==
Back pain is a common complaint among persons who spend an extended amount of time in any one position.  When considering the typical office worker, this is often a seated position.  A sedentary lifestyle is becoming more common as an increasing number of people spend an extended amount of time seated for both work and leisure time.  A 2019 study published in Applied Ergonomics found an association between chronic low back pain (LBP) and prolonged static sitting posture.<ref>Bontrup, C., Taylor, W.R., Fliesser, M., Visscher, R., Green, T., Wippert, P.M. and Zemp, R., 2019. [https://www.sciencedirect.com/science/article/pii/S0003687019301279 Low back pain and its relationship with sitting behaviour among sedentary office workers.] Applied Ergonomics, 81, p.102894.</ref>
[[Low Back Pain|Back pain]] is a common complaint among persons who spend an extended amount of time in any one position.  When considering the typical office worker, this is often a seated position.  A sedentary lifestyle is becoming more common as an increasing number of people spend an extended amount of time seated for both work and leisure time.  A 2019 study published in Applied Ergonomics found an association between chronic low back pain (LBP) and prolonged static sitting posture.<ref>Bontrup, C., Taylor, W.R., Fliesser, M., Visscher, R., Green, T., Wippert, P.M. and Zemp, R., 2019. [https://www.sciencedirect.com/science/article/pii/S0003687019301279 Low back pain and its relationship with sitting behaviour among sedentary office workers.] Applied Ergonomics, 81, p.102894.</ref>


LBP is the third highest cause of self-perceived disability<ref>Vos, T., Allen, C., Arora, M., Barber, R.M., Bhutta, Z.A., Brown, A., Carter, A., Casey, D.C., Charlson, F.J., Chen, A.Z. and Coggeshall, M., 2016. [https://www.sciencedirect.com/science/article/pii/S0140673616316786 Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015]. The Lancet, 388(10053), pp.1545-1602.</ref> and causes major burdens on individuals, employers and society<ref>Buruck G, Tomaschek A, Wendsche J, Ochsmann E, Dörfel D. [[/link.springer.com/article/10.1186/s12891-019-2826-3|Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis.]] BMC Musculoskelet Disord. 2019;20(1):480.</ref> identifying risk factors is of high importance when creating an appropriate prevention plan.  For physiotherapists this often involves the use of ergonomics and postural analysis.
LBP is the third highest cause of self-perceived disability<ref>Vos, T., Allen, C., Arora, M., Barber, R.M., Bhutta, Z.A., Brown, A., Carter, A., Casey, D.C., Charlson, F.J., Chen, A.Z. and Coggeshall, M., 2016. [https://www.sciencedirect.com/science/article/pii/S0140673616316786 Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015]. The Lancet, 388(10053), pp.1545-1602.</ref> and causes major burdens on individuals, employers and society<ref>Buruck G, Tomaschek A, Wendsche J, Ochsmann E, Dörfel D. [https://link.springer.com/article/10.1186/s12891-019-2826-3 Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis.] BMC Musculoskelet Disord. 2019;20(1):480.</ref> identifying risk factors is of high importance when creating an appropriate prevention plan.  For physiotherapists this often involves the use of [[ergonomics]] and [[Posture|postural analysis.]]


== Ergonomics and Whole-Person Health ==
== Ergonomics and Whole-Person Health ==
<blockquote>'''Ergonomics''': the science concerned with fitting a job to a person’s anatomical, physiological, and psychological characteristics in a way that enhances human efficiency and well-being.” <ref>Venes D. Tabers’s Cyclopedic Medical Dictionary,  23rd ed. Philadelphia, PA: FA Davis Company; 2017.</ref></blockquote>Physiotherapists are often involved with [[Ergonomics|ergonomic]] assessments of workplace setups, they assess and make recommendations to improve a person’s anatomical or physiological functioning by changing the positions they hold their body while working.
<blockquote>'''Ergonomics''': the science concerned with fitting a job to a person’s anatomical, physiological, and psychological characteristics in a way that enhances human efficiency and well-being.” <ref>Venes D. Tabers’s Cyclopedic Medical Dictionary,  23rd ed. Philadelphia, PA: FA Davis Company; 2017.</ref></blockquote>Physiotherapists are often involved with ergonomic assessments of workplace setups, they assess and make recommendations to improve a person’s anatomical or physiological functioning by changing the positions they hold their body while working.


The following video quickly goes through a seated office computer assessment by a physiotherapist.  <nowiki>https://www.youtube.com/watch?v=Aq1D5Bp3ANo</nowiki>  
The following video quickly goes through a seated office computer assessment by a physiotherapist.  <nowiki>https://www.youtube.com/watch?v=Aq1D5Bp3ANo</nowiki>  

Revision as of 05:01, 19 December 2021

Original Editor - Stacy Schiurring based on the course by Ziya Altug
Top Contributors - Stacy Schiurring, Kim Jackson, Jess Bell, Carin Hunter, Lucinda hampton and Tony Lowe

Introduction[edit | edit source]

Back pain is a common complaint among persons who spend an extended amount of time in any one position.  When considering the typical office worker, this is often a seated position. A sedentary lifestyle is becoming more common as an increasing number of people spend an extended amount of time seated for both work and leisure time.  A 2019 study published in Applied Ergonomics found an association between chronic low back pain (LBP) and prolonged static sitting posture.[1]

LBP is the third highest cause of self-perceived disability[2] and causes major burdens on individuals, employers and society[3] identifying risk factors is of high importance when creating an appropriate prevention plan.  For physiotherapists this often involves the use of ergonomics and postural analysis.

Ergonomics and Whole-Person Health[edit | edit source]

Ergonomics: the science concerned with fitting a job to a person’s anatomical, physiological, and psychological characteristics in a way that enhances human efficiency and well-being.” [4]

Physiotherapists are often involved with ergonomic assessments of workplace setups, they assess and make recommendations to improve a person’s anatomical or physiological functioning by changing the positions they hold their body while working.

The following video quickly goes through a seated office computer assessment by a physiotherapist.  https://www.youtube.com/watch?v=Aq1D5Bp3ANo

Equally important is to consider cognitive and organisational ergonomics.  

ADD SECTION? Ergonomics and whole-person health/integrative medicine (ADD PP PAGE LINK)

Prevention of LBP for the Office Worker[edit | edit source]

Research supports that both prolonged sitting (Internation Journal of Environmental Health) and prolonged standing (Gait and Posture) can both result in LBP and musculoskeletal discomfort.  ADD MORE ARTICLES/BACKGROUND. Needs varying postures.

ADD SECTION ON COVID 19 and WORK FROM HOME

Clinical choices that can help an office worker manage and/or prevent LBP:

  1. What is the intention of the office break?  Is the break needed for physical and/or mental needs?
    1. Physical: the worker may need to move, stretch, or change positions.
    2. Mental: the worker may need to step away from the task at hand or change tasks altogether.
  2. What should the worker do during the break?  Rest in place, stand, sit, bend, stretch, move around?
  3. How long should an office microbreak last? 20 seconds to 120 minutes depending on the work and the need of the worker.
  4. How often should the microbreak occur? 20-120 minutes.
  5. What impact does other formal or scheduled breaks have on LBP? Examples: meal breaks
  6. What impact does chronic overwork over the year without taking a vacation break have on LBP and overall health?

List source the lecture

Practical Strategies for the Office Worker[edit | edit source]

MAKE TABLES FROM PPT

ADD VIDEO OF STRETCHES

Resources[edit | edit source]

  • bulleted list
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or

  1. numbered list
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References[edit | edit source]

  1. ↑ Bontrup, C., Taylor, W.R., Fliesser, M., Visscher, R., Green, T., Wippert, P.M. and Zemp, R., 2019. Low back pain and its relationship with sitting behaviour among sedentary office workers. Applied Ergonomics, 81, p.102894.
  2. ↑ Vos, T., Allen, C., Arora, M., Barber, R.M., Bhutta, Z.A., Brown, A., Carter, A., Casey, D.C., Charlson, F.J., Chen, A.Z. and Coggeshall, M., 2016. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), pp.1545-1602.
  3. ↑ Buruck G, Tomaschek A, Wendsche J, Ochsmann E, Dörfel D. Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2019;20(1):480.
  4. ↑ Venes D. Tabers’s Cyclopedic Medical Dictionary,  23rd ed. Philadelphia, PA: FA Davis Company; 2017.
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