The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis
Abstract Background There are inconsistencies in findings regarding the relationship of occupational loading with spinal degeneration or structural damage. Thus, a systematic review was conducted to determine the current state of knowledge on the association of occupational loading and spine degener...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2835-2 |
| _version_ | 1818134086864076800 |
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| author | Luciana G. Macedo Michele C. Battié |
| author_facet | Luciana G. Macedo Michele C. Battié |
| author_sort | Luciana G. Macedo |
| collection | DOAJ |
| description | Abstract Background There are inconsistencies in findings regarding the relationship of occupational loading with spinal degeneration or structural damage. Thus, a systematic review was conducted to determine the current state of knowledge on the association of occupational loading and spine degeneration on imaging. Methods We performed electronic searches on MEDLINE, CINAHL and EMBASE. We included cross-sectional, case control and cohort studies evaluating occupational loading as the exposure and lumbar spine structural findings on imaging as the outcomes. When possible, results were pooled. Results Seventeen studies were included in the review. Ten studies evaluated the association of occupational loading with disc degeneration (signal intensity), four of which were pooled into a meta-analysis. Of the 10 studies, only two did not identify a relationship between occupation loading and disc degeneration. A meta-analysis including four of the studies demonstrated an association between higher loading and degeneration for all spinal levels, with odds ratios between 1.6 and 3.3. Seven studies evaluated disc height narrowing and seven evaluate disc bulge, with six and five identifying an association of loading and with imaging findings respectively. Three studies evaluated modic changes and one identified and association with occupational load. Conclusions There was moderate evidence suggesting a modest association between occupational loading and disc degeneration (signal intensity), and low-quality evidence of an association between occupational loading and disc narrowing and bulging. |
| first_indexed | 2024-12-11T09:03:02Z |
| format | Article |
| id | doaj.art-4bd48d6f7143429e9a4e22ecdd42c505 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-11T09:03:02Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-4bd48d6f7143429e9a4e22ecdd42c5052022-12-22T01:13:42ZengBMCBMC Musculoskeletal Disorders1471-24742019-10-0120111510.1186/s12891-019-2835-2The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysisLuciana G. Macedo0Michele C. Battié1School of Rehabilitation Science (Physiotherapy), Faculty of Health Sciences, McMaster UniversityWestern UniversityAbstract Background There are inconsistencies in findings regarding the relationship of occupational loading with spinal degeneration or structural damage. Thus, a systematic review was conducted to determine the current state of knowledge on the association of occupational loading and spine degeneration on imaging. Methods We performed electronic searches on MEDLINE, CINAHL and EMBASE. We included cross-sectional, case control and cohort studies evaluating occupational loading as the exposure and lumbar spine structural findings on imaging as the outcomes. When possible, results were pooled. Results Seventeen studies were included in the review. Ten studies evaluated the association of occupational loading with disc degeneration (signal intensity), four of which were pooled into a meta-analysis. Of the 10 studies, only two did not identify a relationship between occupation loading and disc degeneration. A meta-analysis including four of the studies demonstrated an association between higher loading and degeneration for all spinal levels, with odds ratios between 1.6 and 3.3. Seven studies evaluated disc height narrowing and seven evaluate disc bulge, with six and five identifying an association of loading and with imaging findings respectively. Three studies evaluated modic changes and one identified and association with occupational load. Conclusions There was moderate evidence suggesting a modest association between occupational loading and disc degeneration (signal intensity), and low-quality evidence of an association between occupational loading and disc narrowing and bulging.http://link.springer.com/article/10.1186/s12891-019-2835-2Occupational loadSpine degenerationDisc degenerationDisc heightImagingMagnetic resonance imaging |
| spellingShingle | Luciana G. Macedo Michele C. Battié The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis BMC Musculoskeletal Disorders Occupational load Spine degeneration Disc degeneration Disc height Imaging Magnetic resonance imaging |
| title | The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis |
| title_full | The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis |
| title_fullStr | The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis |
| title_full_unstemmed | The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis |
| title_short | The association between occupational loading and spine degeneration on imaging – a systematic review and meta-analysis |
| title_sort | association between occupational loading and spine degeneration on imaging a systematic review and meta analysis |
| topic | Occupational load Spine degeneration Disc degeneration Disc height Imaging Magnetic resonance imaging |
| url | http://link.springer.com/article/10.1186/s12891-019-2835-2 |
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