Document Detail


Neuromuscular Exercise and Counseling Decrease Absenteeism due to Low Back Pain in Young Conscripts: A Randomized, Population-Based Primary Prevention Study.
MedLine Citation:
PMID:  22941095     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Study Design. Controlled intervention with group randomization.Objective. To investigate the effectiveness of a 6-month neuromuscular exercise (NME) and counseling program for reducing the incidence of low back pain (LBP) and disability in young conscripts with a healthy back at the beginning of their compulsory military service.Summary of Background Data. Basic military training is physically demanding on the back and requires adequate physical fitness. LBP causes significant morbidity and absence from military service.Methods. Participants were conscripts of four successive age cohorts (n = 1409). In the pre-study year, before adoption of the intervention, two successive cohorts of conscripts of four companies (n = 719) were followed prospectively for 6 months to study the baseline incidence of different categories of LBP. In the intervention year, conscripts (n = 690) of two new cohorts of the same companies (intervention group: anti-tank, engineer; control group: signal, mortar) were followed for 6 months. The intervention program aimed to improve conscripts' control of their lumbar neutral zone (NZ), and specifically to avoid full lumbar flexion in all daily tasks.Results. Total number and incidence of off-duty days due to LBP were significantly decreased in the intervention companies compared to controls (adjusted hazard ratio = 0.42, 95% confidence interval = 0.18 to 0.94, p = 0.035). The number of LBP cases, number of health clinic visits due to LBP, and number of the most severe cases showed a similar decreasing trend, but without statistical significance.Conclusions. These findings provide evidence that exercise and education to improve control of the lumbar NZ have a prophylactic effect on LPB-related off-duty service days in the military environment when implemented as part of military service among young healthy men.
Authors:
Jaana H Suni; Henri Taanila; Ville M Mattila; Olli Ohrankämmen; Petteri Vuorinen; Harri Pihlajamäki; Jari Parkkari
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-30
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-9-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1UKK Institute for Health Promotion Research, Box 30, 33501 Tampere, Finland 2Tampere Research Centre of Sports Medicine, UKK Institute, PO Box 30, 33501 Tampere, Finland 3Research Department, Centre for Military Medicine, PO Box 2, 15701 Lahti, Finland. 4General Headquarters of Finnish Defence Forces, PO Box 919, 00131 Helsinki, Finland. 5Staff Department, Pori Brigade, PO Box 38, 27801 Säkylä, Finland. 6Research Unit of Pirkanmaa Hospital District and Division of Orthopedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, PO Box 2000, 33521 Tampere, Finland.
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