Predictors of sciatic pain among concrete reinforcement workers and house painters--a five-year follow-up.

In a study of the association of occupation and several other determinants with the occurrence of sciatic pain, 167 concrete reinforcement workers and 161 house painters were followed for five years. Base-line data were obtained with a questionnaire, an interview on back symptoms, a clinical examination, and a radiograph of the lumbar spine. Follow-up data on back symptoms were obtained with a postal questionnaire. Concrete reinforcement work was associated with an increase in the risk of sciatic pain, in both a cross-sectional and a prospective study. Reported back accidents contributed to the risk of sciatic pain. Previous history of back symptoms was the most powerful predictor of sciatic pain prospectively. Degenerative changes were related to sciatic pain in retrospect, but prospectively this relationship was weaker. Body height and history of stress episodes showed some association with sciatic pain; abdominal muscle strength, body mass index, and smoking did not; and back muscle strength was associated only retrospectively.

[1]  F. Biering-Sørensen.  Physical measurements as risk indicators for low-back trouble over a one-year period. , 1984, Spine.

[2]  FIN BIERING-SØRENSEN,et al.  Medical, Social and Occupational History As Risk Indicators for Low-Back Trouble in a General Population , 1986, Spine.

[3]  P. Leino,et al.  Occupational class, physical workload, and musculoskeletal morbidity in the engineering industry. , 1988, British journal of industrial medicine.

[4]  Rowe Ml.  Low back pain in industry. A position paper. , 1969 .

[5]  G Wickström,et al.  Previous back syndromes and present back symptoms in concrete reinforecment workers. , 1978, Scandinavian journal of work, environment & health.

[6]  G B Andersson,et al.  Low‐Back Pain in Relation to Other Diseases and Cardiovascular Risk Factors , 1983, Spine.

[7]  J. Hilden,et al.  Reproducibility of the History of Low-Back Trouble , 1984, Spine.

[8]  D. Spengler,et al.  Back Injuries in Industry: A Retrospective Study: II. Injury Factors , 1986, Spine.

[9]  M. Heliövaara,et al.  Body Height, Obesity, and Risk of Herniated Lumbar Intervertebral Disc , 1987, Spine.

[10]  B. Nashold,et al.  Epidemiology of lumbar disc lesions in the military in World War II. , 1975, American journal of epidemiology.

[11]  F. Gyntelberg,et al.  One year incidence of low back pain among male residents of Copenhagen aged 40-59. , 1974, Danish medical bulletin.

[12]  H. Riihimäki,et al.  Radiologically detectable lumbar disc degeneration in concrete reinforcement workers. , 1978, Scandinavian journal of work, environment & health.

[13]  J L Kelsey,et al.  Acute prolapsed lumbar intervertebral disc. An epidemiologic study with special reference to driving automobiles and cigarette smoking. , 1984, Spine.

[14]  H. Riihimäki,et al.  Back pain and heavy physical work: a comparative study of concrete reinforcement workers and maintenance house painters. , 1985, British journal of industrial medicine.

[15]  J. Fleiss.  Statistical methods for rates and proportions , 1974 .

[16]  M. Heliövaara,et al.  Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. , 1987, Journal of chronic diseases.

[17]  S. Aro,et al.  Trunk muscle function and low back disorders: a ten-year follow-up study. , 1987, Journal of chronic diseases.

[18]  Toivo Niskanen,et al.  Accidents and minor accidents of the musculoskeletal system in heavy (concrete reinforcement work) and light (painting) construction work , 1985 .

[19]  F. Biering-Sørensen,et al.  Effect of fork-lift truck driving on low-back trouble. , 1987, Scandinavian journal of work, environment & health.

[20]  W. Grove.  Statistical Methods for Rates and Proportions, 2nd ed , 1981 .

[21]  C. Soutar,et al.  Epidemiologic Study of Back Pain in Miners and Office Workers , 1986, Spine.

[22]  S. Aro,et al.  Overweight and musculoskeletal morbidity: a ten-year follow-up. , 1985, International journal of obesity.

[23]  S Wacholder,et al.  Binomial regression in GLIM: estimating risk ratios and risk differences. , 1986, American journal of epidemiology.

[24]  G Wickström,et al.  Strain on the back in concrete reinforcement work. , 1985, British journal of industrial medicine.

[25]  J. Troup,et al.  1987 Volvo Award in Clinical Sciences: The Perception of Back Pain and the Role of Psychophysical Tests of Lifting Capacity , 1987, Spine.

[26]  D G Wilder,et al.  Risk factors in low-back pain. An epidemiological survey. , 1983, The Journal of bone and joint surgery. American volume.

[27]  S Tola,et al.  Low-Back Pain and Occupation: A Cross-Sectional Questionnaire Study of Men in Machine Operating, Dynamic Physical Work, and Sedentary Work , 1989, Spine.

[28]  J D Troup,et al.  Recurrent back pain and its prediction. , 1983, The Journal of the Society of Occupational Medicine.

[29]  S. Asp.  Confounding by variable smoking habits in different occupational groups. , 1984, Scandinavian journal of work, environment & health.