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Self-reported back pain in tractor drivers exposed to whole-body vibration

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Summary

A postal questionnaire on symptoms of ill health and exposure to whole-body vibration was completed by 577 workers (response rate 79%) who were employed in certain functions by two companies 11 years before. The relation between the occupational history of driving vibrating vehicles (mainly agricultural tractors) and back pain has been analyzed. The prevalence of reported back pain is approximately 10% higher in the tractor drivers than in workers not exposed to vibration. The increase is mainly due to more pain in the lower back and more pain lasting at least several days. A vibration dose was calculated by assigning each vehicle driven a vibration magnitude, estimated on the base of vibration measurements. The prevalence of back pain increases with the vibration dose. The highest prevalence odds ratios are found for the more severe types of back pain. These prevalence odds ratios do not increase with the vibration dose. This might be due to health-related selection which is more pronounced for severe back pain than for back pain in general. The two components of the vibration dose, duration of exposure and estimated mean vibration magnitude, have also been considered separately. Back pain increases with duration of exposure but it does not increase with the estimated mean magnitude of vibration. This is probably due to the inaccuracy of this estimate. The higher prevalence of back pain in tractor drivers might be (partly) caused by whole-body vibration, but prolonged sitting and posture might also be of influence.

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References

  1. Adams MA, Hutton WC (1985) The effect of posture on the lumbar spine. J Bone Joint Surg 67-B:625–629

    Google Scholar 

  2. Andersson GBI (1981) Epidemiologic aspects of low-back pain in industry. Spine 6:53–60

    PubMed  Google Scholar 

  3. Biering-Sørensen F (1982) Low back trouble in a general population of 30-, 40-, 50- and 60-year old men and women. Dan Med Bull 29:289–299

    PubMed  Google Scholar 

  4. Boshuizen HC, Bongers PM, Hulshof CTJ (1989) Long-term sick leave and disability pensioning due to back disorders of tractor drivers exposed to whole-body vibration. Int Arch Occup Environ Health 62:117–122

    Google Scholar 

  5. Braun W (1969) Ursachen des lumbalen Bandscheiben Vorfalls. Die Wirbelsäule in Forschung und Praxis, Band 43. Hippocrates, Stuttgart

    Google Scholar 

  6. Breslow NE, Day NE (1980) Statistical methods in cancer research. Vol 1, The analysis of case-control studies. WHO International Agency for Research on Cancer. Lyon, IARC Scientific Publication 3no. 32

    Google Scholar 

  7. Cabanas Espero MA, Gil Ribes J (1984) Vibrations in tractors and their influence on the comfort, work capacity and health of drivers. Salud Trabajo 44 july–august:57–69

    PubMed  Google Scholar 

  8. Dupuis H, Christ W (1972) Untersuchung der Möglichkeit von Gesundheitsschädigungen im Bereich der Wirbelsäule bei Schlepperfahren. Heft A. Max-Planck-Institut für Landarbeit und Landtechnik, Bad Kreuznach

  9. Frymoyer FW, Pope MH, Clements JH, et al (1983) Risk factors in low-back pain. J Bone Joint Surg 65-A:213–218

    Google Scholar 

  10. Fowles B (1987) Some diagnostics for binary logistic regression via smoothing. Biometrika 74:503–515

    Google Scholar 

  11. Griffin MI (1986) Evaluation of vibration with respect to human response. In: Passenger comfort, convenience and safety: test tools and procedures. International Congress and Exposition, Detroit

  12. Haanen HCM (1984) An epidemiological study of low-back pain. Dissertation Erasmus University, Rotterdam (in Dutch)

    Google Scholar 

  13. Hammond CE, Hollenbaum DD (1981) Quantification of helicopter vibration ride qualities. Paper no. 78, 7th European rotorcraft and powered lift aircraft forum. Deutsche Gesellschaft für Luft- und Raumfahrt e.V., Garmisch-Partenkirchen

  14. Heliövaara M (1987) Occupational and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalisation. J Chronic Dis 40:259–264

    Article  PubMed  Google Scholar 

  15. Hrubec A, Nashbold BS Jr (1975) Epidemiology of lumbar disc lesions in the military in World War II. Am J Epidemiol 102:366–376

    Google Scholar 

  16. Hulshof CTJ, Veldhuijzen van Zanten OBA (1987) Whole body vibration and low back pain — a review of epidemiological studies. Int Arch Occup Environ Health 59:205–220

    PubMed  Google Scholar 

  17. ISO 2631/E (1985) Guide for the evaluation of human exposure to whole body vibration. International Standard Organization, Geneva

    Google Scholar 

  18. Jürgens WW, Kruse G, Mönnich HT, Schneider G (1984) Verschleißschäden der Wirbelsäule bei Agrotechnikern; Ergebnisse einer Quersnittstudie. Z Ärztl Fortbild 78:537–541

    Google Scholar 

  19. Kelsey JL, Hardy RJ (1975) Driving of motor vehicles as a risk factor for acute lumbar intervertebral disc. Am J Epidemiol 102:63–73

    PubMed  Google Scholar 

  20. Kelsey JL, White III AA (1980) Epidemiology and impact of low-back pain. Spine 5:133–142

    PubMed  Google Scholar 

  21. Kelsey JL, Githens PB, O'Connor TO, et al (1984) Acute prolapsed lumbar intervertebral disc: an epidemiologic study with special reference to driving automobiles and cigarette smoking. Spine 9:608–614

    PubMed  Google Scholar 

  22. Kôhl U (1975) Les dangers encourus par les conducteurs de tracteurs. Arch Mal Prof 36:145–164

    Google Scholar 

  23. Kübik S (1966) Gesundheitliche Schäden bei Tractoristen. Proc Int Congr Occup Health, Vienna. Vortrag C11-7:375–377

    Google Scholar 

  24. Magora A (1972) Investigation of the relation between low back pain and occupation. III physical requirements: sitting, standing and weight lifting. Ind Med Surg 41:5–9

    Google Scholar 

  25. Mantel N (1963) Chi-square tests with one degree of freedom; extensions of the Mantel-Haenszel procedure. Am Statist Assoc J 58:690–700

    Google Scholar 

  26. Nelson RM, Nestor DE (1988) Atlas of standardized low-back tests and measures of the National Institute for Occupational Safety and Health. Scand J Work Environ Health 14 [Suppl]:82–84

    PubMed  Google Scholar 

  27. Perleau M, Lauwerys R, Buchet JP (1986) Etude par questionnaire des risques associés au travail en milieu agricole. Cah Med Trav 2:129–136

    Google Scholar 

  28. Pope MH, Frymoyer JW, Anderson G (1984) Occupational low back pain. Praeger, New York

    Google Scholar 

  29. Rosegger R, Rosegger S (1960) Health effects of tractor driving. J Agric Eng Res 5:241–272

    Google Scholar 

  30. Rothman KJ, Boice JD (1979) Epidemiologic analysis with a programmable calculator. Government Printing Office, Washington D.C. NIH Publ. no. 79-1649

    Google Scholar 

  31. Sandover J (1981) Vibration, posture and low-back disorders of professional drivers. University of Technology, Department of Human Science, Loughborough, Report no. DHS402

    Google Scholar 

  32. Sandover J (1983) Dynamic loading as a possible source of low-back disorders. Spine 8:652–658

    PubMed  Google Scholar 

  33. Sandover J, Dupuis H (1987) A reanalysis of spinal motion during vibration. Ergonomics 30:975–985

    PubMed  Google Scholar 

  34. Schultze KJ, Polster J (1979) Berufsbedingte Wirbelsäulenschäden bei Tractoristen und Landwirten. Beitr Orthop Traumatol 26:356–362

    PubMed  Google Scholar 

  35. Seidel B, Tröster FA (1970) Ergebnis einer gezielten Reihenuntersuchung von 60 Tractoristen auf Gesundheitsschäden durch Lärm und Vibration. Z Ges Hyg 16:447–450

    Google Scholar 

  36. Seidel H, Bluethner R, Hinz B (1986) Effects of sinusoidal whole-body vibration on the lumbar spine: the stress-strain relationship. Int Arch Occup Environ Health 57:207–223

    PubMed  Google Scholar 

  37. Sjøflot L (1982) The tractor as a work-place. A preliminary report on a survey among Norwegian farmers and drivers. Ergonomics 25:11–18

    Google Scholar 

  38. Troup JDG (1984) Causes, prediction and prevention of back pain at work. Scand J Work Environ Health 10:419–428

    PubMed  Google Scholar 

  39. Wickström G (1978) Effect of work on degenerative back disease; a review. Scand J Work Environ Health 4 suppl. 1:1–12

    Google Scholar 

  40. Wickström G, Hänninen K (1987) Determinations of sciatica in epidemiologic research. Spine 12:692–698

    PubMed  Google Scholar 

  41. Wikström BO, Kjellberg A, Orelius M (1987) Whole-body vibration: a test of different methods for the assessment of shocks. Proc United Kingdom Informal Meeting on Human Response to Vibration. Royal Military College of Science, Shrivenham

    Google Scholar 

  42. Williams RC (1988) Towards a set of reliable and valid measures for chronic pain assessment and outcome research. Pain 35:239–251

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Coronel Laboratory, University of Amsterdam, Meibergdreef 15, NL-1105 AZ, Amsterdam, The Netherlands

    Hendriek C. Boshuizen, Paulien M. Bongers & Carel T. J. Hulshof

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  1. Hendriek C. Boshuizen
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  2. Paulien M. Bongers
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  3. Carel T. J. Hulshof
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Boshuizen, H.C., Bongers, P.M. & Hulshof, C.T.J. Self-reported back pain in tractor drivers exposed to whole-body vibration. Int. Arch Occup Environ Health 62, 109–115 (1990). https://doi.org/10.1007/BF00383586

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  • DOI: https://doi.org/10.1007/BF00383586

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