ArticleOccupational and environmental medicine2001
The role of cumulative physical work load in lumbar spine disease: risk factors for lumbar osteochondrosis and spondylosis associated with chronic complaints.
Article in Occupational and environmental medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 120 citations in OpenAlex.
- Men and Women's Occupational Activities and the Risk of Developing Osteoarthritis of the Knee, Hip, or Hands: A Systematic Review and Recommendations for Future Research.Arthritis care & research · 2020Pooled it
- The association between occupational loading and spine degeneration on imaging - a systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?-A Systematic Review of Intervention Studies.International journal of environmental research and public health · 2018Pooled it
- Does the use of small aids during patient handling activities lead to a decreased occurrence of musculoskeletal complaints and diseases? A systematic review.International archives of occupational and environmental health · 2016Pooled it
- Article
- Impact of Socioeconomic Status on the Risk of Intervertebral Disc Degeneration and Low Back Pain in the European Population and the Mediating Role of Obesity-Related Traits: Evidence from a Mendelian Randomization Study.Journal of pain research · 2025Article
- A Comparison of Spinopelvic Alignment and Quality of Life between Farmers and Non-Farmers: A Cross-Sectional Population-Based Study in a Japanese Rural Area.Journal of clinical medicine · 2023Article
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- The roles of lumbar load thresholds in cumulative lifting exposure to predict disk protrusion in an Asian population.BMC musculoskeletal disorders · 2020Article
- Musculoskeletal symptoms associated with workplace physical exposures estimated by a job exposure matrix and by self-report.American journal of industrial medicine · 2020Article
- Observational
- The CONSTANCES job exposure matrix based on self-reported exposure to physical risk factors: development and evaluation.Occupational and environmental medicine · 2019Article
- Incident CTS in a large pooled cohort study: associations obtained by a Job Exposure Matrix versus associations obtained from observed exposures.Occupational and environmental medicine · 2018Article
- Noninvasive cumulative axial load may induce intervertebral disc degeneration-A potential rabbit model.Experimental and therapeutic medicine · 2017Article
- Variable Lifting Index (VLI): A New Method for Evaluating Variable Lifting Tasks.Human factors · 2016Article
- Reduction of Biomechanical and Welding Fume Exposures in Stud Welding.The Annals of occupational hygiene · 2016Article
- Using job-title-based physical exposures from O*NET in an epidemiological study of carpal tunnel syndrome.Human factors · 2014Article
- Baggage handler seniority and musculoskeletal symptoms: is heavy lifting in awkward positions associated with the risk of pain?BMJ open · 2013Article
- Occupation and educational inequalities in laryngeal cancer: the use of a job index.BMC public health · 2013Article
- Development and validation of a job exposure matrix for physical risk factors in low back pain.PloS one · 2012Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the relation with a case-control study between symptomatic osteochondrosis or spondylosis of the lumbar spine and cumulative occupational exposure to lifting or carrying and to working postures with extreme forward bending.
methodsFrom two practices and four clinics were recruited 229 male patients with radiographically confirmed osteochondrosis or spondylosis of the lumbar spine associated with chronic complaints. Of these 135 had additionally had acute lumbar disc herniation. A total of 197 control subjects was recruited: 107 subjects with anamnestic exclusion of lumbar spine disease were drawn as a random population control group and 90 patients admitted to hospital for urolithiasis who had no osteochondrosis or spondylosis of the lumbar spine radiographically were recruited as a hospital based control group. Data were gathered in a structured personal interview and analysed using logistic regression to control for age, region, nationality, and other diseases affecting the lumbar spine. To calculate cumulative forces to the lumbar spine over the entire working life, the Mainz-Dortmund dose model (MDD), which is based on an overproportional weighting of the lumbar disc compression force relative to the respective duration of the lifting process was applied with modifications: any objects weighing >or=5 kg were included in the calculation and no minimum daily exposure limits were established. Calculation of forces to the lumbar spine was based on self reported estimates of occupational lifting, trunk flexion, and duration.
resultsFor a lumbar spine dose >9 x 10(6) Nh (Newton x hours), the risk of having radiographically confirmed osteochondrosis or spondylosis of the lumbar spine as measured by the odds ratio (OR) was 8.5 (95% confidence interval (95% CI) 4.1 to 17.5) compared with subjects with a load of 0 Nh. To avoid differential bias, forces to the lumbar spine were also calculated on the basis of an internal job exposure matrix based on the control subjects' exposure assessments for their respective job groups. Although ORs were lower with this approach, they remained significant.
conclusionsThe calculation of the sum of forces to the lumbar spine is a useful tool for risk assessment for symptomatic osteochondrosis or spondylosis of the lumbar spine. The results suggest that cumulative occupational exposure to lifting or carrying and extreme forward bending increases the risk for developing symptomatic osteochondrosis or spondylosis of the lumbar spine.
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