The Identification And Prevention Of Low Back Disorders. Part 2

May 16th, 2012 · No Comments ·

Preventive Training Approaches

Since the majority of low back traumas occur as a result of an acute or chronic exposition of the musculo-skeletal system to forces which supersede the momentary potential of the affected anatomical region, it makes very good sense to condition those historically vulnerable areas. The historical attempts in both Canada and the United States to pre-condition workers has been reported to be ineffective. Most of the industrially organized back training programs can be generally categorized as poor with regard to compliance and content. Either the directors of these in house programs must be more thoroughly trained and/or the curricula must be expanded both in duration and scope in order to make substantial inroads into the problem of poor physical conditioning of workers.

At this point in time, prevention training approaches consist primarily of simple lectures dealing with basic anatomy and bio-mechanics. In addition, some of the more advanced programs include obstacle courses which are designed to simulate on site working situations. If the instructor is knowledgeable, these obstacle courses can be very productive tools in exposing the worker to potentially harmful situations. Simple lifting and postural techniques may be practiced and the worker can literally train the body (specifically the low back) to prepare for the hazards of the working environment. Specific principles of exercise and conditioning for the prevention of low back problems will be dealt with in detail at a later point in this presentation.

Treatment and Rehabilitation

At the industrial level, back problems must be categorized as either chronic low back pain or an acute episode of back dysfunction. The specific etiology of most back conditions is difficult to diagnose. However, even the investigators for major insurance carriers agree that back pain is real and acute.

In prolonged cases, orthopedic and neurological examination may be employed and conservative physiotherapy prescribed. When it is determined that the patient can return to work, the aforementioned “back school” concept may be utilized in order to condition the worker for the specific functional performance required by the task of his employment. This concept has been well received in Sweden and is increasingly utilized in the United States. At this point in time, “further investment in both ergonomic and medical research is essential if the problem of low back pain in industry is to be effectively controlled”.

Who are the Most Likely Candidates for Low Back Disorders?

In order to accurately screen potential low back patients and utilize the preventive risk profile approach to identification of low back candidates, some significant data must be recognized. In another landmark study, Hollingsworth and Watson (1980) offered considerable insight with regard to the psychological profile of the chronic low back patient. Through the use of a multiple regression and correctional analysis, they studied the relationship between the neurotic triad of behaviors (hysteria, depression and hypochondriasis) and a number of independent variables including: age, sex, educational attainment, income diagnostic category, level of severity, number of surgeries and socio-economic status. Their findings are interesting and informative.

Many mishaps happen at home or work and it is extremely significant to become ready and also to care for your family, friends. Choose appropriate, safe, reliable individual first aid cabinets from a large assortment of specialize first aid resources.

Tags: Wellness