A narrative review: Risk factors of low back pain in military personnel/recruits

Military personnel are one of the occupations at high risk of developing low back pain (LBP) due to its job demands. Low back pain (LBP) is a major cause of morbidity and lost from work among military personnel. This narrative review was conducted to determine the risk factors of LBP in military per...

Full description

Bibliographic Details
Main Authors: Waqqash, Ebby, Hafiz, Eliza, Hamid, Mohamad Shariff A., Nadzalan, Ali Md
Format: Article
Published: Science Publishing Corporation 2018
Subjects:
_version_ 1825721487484518400
author Waqqash, Ebby
Hafiz, Eliza
Hamid, Mohamad Shariff A.
Nadzalan, Ali Md
author_facet Waqqash, Ebby
Hafiz, Eliza
Hamid, Mohamad Shariff A.
Nadzalan, Ali Md
author_sort Waqqash, Ebby
collection UM
description Military personnel are one of the occupations at high risk of developing low back pain (LBP) due to its job demands. Low back pain (LBP) is a major cause of morbidity and lost from work among military personnel. This narrative review was conducted to determine the risk factors of LBP in military personnel/recruits. Searches focusing on causal comparative and epidemiology studies using OVIDMedline, CINAHL, SPORTDiscus, PubMed, and Scopus databases from year January 1950 to April 2018. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was used to select and synthesis of studies. The strongest personal risk factors identified were history of LBP (OR = 8.91, CI = 1.71 -46.5), female gender (OR: 6.59, CI 1.79 - 24.24), aerobic exercise involvement (OR = 4.39, CI 1.53- 12.57) and older age (OR 4.16). The strongest occupational risk factors identified were pro-longed hours of flight per day (OR=11.3, CI 5.2 -24.8), driving in forward bending posture (OR = 3.63, CI 1.06 - 12.42), branch of services (Army; OR 2.74, CI 2.60-2.89 & Air Force; 1.98, CI 1.84 -2.14), Night training (OR = 1.8-2.0, CI 1.1 - 3.1) and whole-body vibra-tion exposure (OR 1.94, CI 1.02 -3.69). The strongest psychosocial risk factors identified were worries (OR = 5.47, CI 1.70- 17.62), no support from others (OR = 4.0, CI 1.31 -12.34) high work stress (OR = 3.47, CI 1.31 - 12.34), depression (OR = 1.75, CI 1.08 -2.83), and psychological stress (OR 1.71). This review summarizes the personal, occupational and psychosocial risk factors associated with LBP among military personnel/ recruits. LBP risk factors differs based on the military branch of services and job scope. Primary LBP risk factor for Air Force pilots, helicopter pilots and military vehicle drivers LBP is sitting ergonomics. Primary LBP risk factor for army (i.e. combat infantry) identified are occupational physical exposure (military training, heavy lifting and carrying, patrol durations.) Further studies are required to verify if there is any interaction between personal, occupational, and psychosocial LBP risk factor categories among military personnel/recruits.
first_indexed 2024-03-06T05:51:04Z
format Article
id um.eprints-20390
institution Universiti Malaya
last_indexed 2024-03-06T05:51:04Z
publishDate 2018
publisher Science Publishing Corporation
record_format dspace
spelling um.eprints-203902019-06-27T09:06:57Z http://eprints.um.edu.my/20390/ A narrative review: Risk factors of low back pain in military personnel/recruits Waqqash, Ebby Hafiz, Eliza Hamid, Mohamad Shariff A. Nadzalan, Ali Md GV Recreation Leisure R Medicine Military personnel are one of the occupations at high risk of developing low back pain (LBP) due to its job demands. Low back pain (LBP) is a major cause of morbidity and lost from work among military personnel. This narrative review was conducted to determine the risk factors of LBP in military personnel/recruits. Searches focusing on causal comparative and epidemiology studies using OVIDMedline, CINAHL, SPORTDiscus, PubMed, and Scopus databases from year January 1950 to April 2018. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was used to select and synthesis of studies. The strongest personal risk factors identified were history of LBP (OR = 8.91, CI = 1.71 -46.5), female gender (OR: 6.59, CI 1.79 - 24.24), aerobic exercise involvement (OR = 4.39, CI 1.53- 12.57) and older age (OR 4.16). The strongest occupational risk factors identified were pro-longed hours of flight per day (OR=11.3, CI 5.2 -24.8), driving in forward bending posture (OR = 3.63, CI 1.06 - 12.42), branch of services (Army; OR 2.74, CI 2.60-2.89 & Air Force; 1.98, CI 1.84 -2.14), Night training (OR = 1.8-2.0, CI 1.1 - 3.1) and whole-body vibra-tion exposure (OR 1.94, CI 1.02 -3.69). The strongest psychosocial risk factors identified were worries (OR = 5.47, CI 1.70- 17.62), no support from others (OR = 4.0, CI 1.31 -12.34) high work stress (OR = 3.47, CI 1.31 - 12.34), depression (OR = 1.75, CI 1.08 -2.83), and psychological stress (OR 1.71). This review summarizes the personal, occupational and psychosocial risk factors associated with LBP among military personnel/ recruits. LBP risk factors differs based on the military branch of services and job scope. Primary LBP risk factor for Air Force pilots, helicopter pilots and military vehicle drivers LBP is sitting ergonomics. Primary LBP risk factor for army (i.e. combat infantry) identified are occupational physical exposure (military training, heavy lifting and carrying, patrol durations.) Further studies are required to verify if there is any interaction between personal, occupational, and psychosocial LBP risk factor categories among military personnel/recruits. Science Publishing Corporation 2018 Article PeerReviewed Waqqash, Ebby and Hafiz, Eliza and Hamid, Mohamad Shariff A. and Nadzalan, Ali Md (2018) A narrative review: Risk factors of low back pain in military personnel/recruits. International Journal of Engineering & Technology, 7 (4.15). pp. 159-172. ISSN 2227-524X, https://www.sciencepubco.com/index.php/ijet/article/view/21439
spellingShingle GV Recreation Leisure
R Medicine
Waqqash, Ebby
Hafiz, Eliza
Hamid, Mohamad Shariff A.
Nadzalan, Ali Md
A narrative review: Risk factors of low back pain in military personnel/recruits
title A narrative review: Risk factors of low back pain in military personnel/recruits
title_full A narrative review: Risk factors of low back pain in military personnel/recruits
title_fullStr A narrative review: Risk factors of low back pain in military personnel/recruits
title_full_unstemmed A narrative review: Risk factors of low back pain in military personnel/recruits
title_short A narrative review: Risk factors of low back pain in military personnel/recruits
title_sort narrative review risk factors of low back pain in military personnel recruits
topic GV Recreation Leisure
R Medicine
work_keys_str_mv AT waqqashebby anarrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT hafizeliza anarrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT hamidmohamadshariffa anarrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT nadzalanalimd anarrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT waqqashebby narrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT hafizeliza narrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT hamidmohamadshariffa narrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits
AT nadzalanalimd narrativereviewriskfactorsoflowbackpaininmilitarypersonnelrecruits