Low back symptoms among hospital nurses, associations to individual factors and pain in multiple body regions

Abstract Nursing personnel (n = 263) employed in three hospitals in the United States completed questionnaires investigating musculoskeletal symptoms (MSS) in multiple body regions. The aims of this study were to: i) determine prevalence rates and significant associations between multiple MSS in the lower back and other body regions and ii) investigate significant associations between MSS in multiple body regions and individual/lifestyle factors. Results showed high prevalence rates of symptoms in the lower back, shoulders, and lower extremities. Significant associations were found between multiple MSS in the lower back and; i) upper back, neck, and shoulders and ii) lower extremities. Smoking, body mass index and work experience were found to be significantly associated with MSS in multiple body regions. In conclusion, symptoms in the lower back may lead to problems in other body areas possibly due to awkward postures, unintentional disregard for safe practices or transfer of pain due to biological factors. Interventionists should conduct periodic assessments to detect early symptoms and increase awareness to avoid proliferation of symptoms, comorbidity and chronicity. Relevance to industry The possibility that symptoms in one body region may be related to symptoms elsewhere emphasizes the importance of conducting periodic assessments on nursing personnel rather than wait for annual evaluations. Symptom reporting at the time of initial back pain can identify individuals at higher risk for developing chronic or comorbid musculoskeletal disorders.