Document Detail

The role of past and current strenuous physical work in the association between professional car driving and chronic low-back syndromes: a population-based study.
MedLine Citation:
PMID:  21224764     Owner:  NLM     Status:  Publisher    
Study Design. Population-based cross-sectional study of clinically assessed low-back syndromes.Objective. To investigate whether exposure to professional car driving, either alone or in combination with strenuous physical work is associated with clinically defined sciatica or other clinically diagnosed chronic low-back syndromes.Summary of Background Data. Several studies have found an association between professional driving and back disorders, but drivers' histories of heavy physical work tasks has rarely been taken into account.Methods. The nationally representative sample comprised 2323 XX men aged 30-64 (the Health 2000 Survey). The diagnoses of sciatica and chronic low-back syndromes were based on a standardized clinical examination by specially trained physicians. Life-long exposure to professional car driving and to physically demanding work was assessed retrospectively via interviews. Logistic regression was used to estimate the risk of clinical chronic low-back syndromes related to these exposures, and the risks were presented with odds ratios (OR) with 95% confidence intervals (95% CI).Results. The prevalence of physician-diagnosed sciatica was 5.4% and that of other chronic low-back syndromes 4.0%. Professional car driving in general was associated with sciatica at an OR of 1.42 (95% CI 0.92-2.18) and with other chronic low-back syndromes at an OR of 1.31 (0.80-2.16), after adjustment of covariates and strenuous physical work. Exposure to driving without exposure to physical work was not associated with the outcomes, whereas driving in combination with strenuous physical work increased the risk for sciatica three-fold (3.22; 1.86-5.59), and that of low-back syndromes two-fold (2.08; 1.12-3.87).Conclusions. The increased risk of low back disorders related to professional car driving is more likely due to strenuous work tasks rather than to driving itself.
Leena Kaila-Kangas; Helena Miranda; Esa-Pekka Takala; Päivi Leino-Arjas; Jaro Karppinen; Eira Viikari-Juntura; Ritva Luukkonen; Markku Heliövaara
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-8
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-12     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:  -    
*Finnish Institute of Occupational Health, Helsinki, Finland. †National Institute for Health and Welfare, Helsinki, Finland.
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