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Overview of Recent Back Support Studies

 

The Effect of a Preventive Belt on the
Incidence of Low-Back Pain
Part II

Investigation in Rice-Carrying Work

 
Udo, Hiroshi et al
Dept. of Public Health, Hiroshima University School of Medicine

 

Summary: Sixty male workers whose work involves carrying bags of rice of various sizes, loading them onto large and small trucks, and then driving the trucks to make deliveries were studied for a period of 5.5 months. Half wore a preventive belt, designed and provided by the researchers, and half wore no belt. All of the subjects selected for the study had previously experienced low back pain. Examinations concerning low back pain were conducted before the study, after 2.5 months and at 5.5 months.

The researchers looked at maximum lumbar flexion; finger tip-floor distance in forward bending; pains in the lower back in forward, backward and sideward bending of the upper body; muscle tenderness thresholds in the lower back; and the Lasègue test.

Results: The pain score for the belt group significantly improved, compared with the non-belt group. Those who showed an improvement in the kinetic pain score or in muscle tenderness thresholds accounted for 56.3% in the belt group but only 18.8% in the non-belt group. The study also notes the rate of improvement in different pain groups as: 33% among subjects with slight previous pain, 77.8% for those with moderate pain, and 80% for those subjects who reported severe pain at the beginning of the study. Subjective estimates of low back pain also improved significantly in the group wearing belts compared with the non-belt group.

In addition, there was no incidence of acute lumbar sprain at work during the study period among the subjects of the belt group, while the non-belt group reported an incidence rate of sprain of 16.7%.

 

". . .there was no incidence of acute lumbar sprain at work during the study period among the subjects of the belt group, while the non-belt group reported an incidence rate of sprain of 16.7 percent."

Hiroshi Udo, MD

 

Study conducted September 1990 to March 1991. Results presented in 1991 at Japan Industrial Hygiene Society Lumbago Study Group and Chungoku and Shikoku Districts Joint Industrial Hygiene Society. (Review of study by Chase Ergonomics approved by Dr. Udo, July 1996.)