Whole-body vibration and the risk of low back pain and sciatica: a systematic review and meta-analysis

AbstractPurpose The aim of this systematic literature review was to evaluate the association between whole-body vibration (WBV) and low back pain (LBP) and sciatica with special attention given to exposure estimates. Moreover, the aim was to estimate the magnitude of such an association using meta-analysis and to compare our findings with previous reviews.MethodsThe authors systematically searched the PubMed (National Library of Medicine, Bethesda), Nioshtic2 (National Institute for Occupational Safety and Health (NIOSH, Morgantown), and ScienceDirect (Elsevier, Amsterdam) databases for records up to December 31, 2013. Two of the authors independently assessed studies to determine their eligibility, validity, and possible risk of bias.ResultsThe literature search gave a total of 306 references out of which 28 studies were reviewed and 20 were included in the meta-analysis. Exposure to WBV was associated with increased prevalence of LBP and sciatica [pooled odds ratio (OR) = 2.17, 95 % confidence interval (CI) 1.61–2.91 and OR 1.92, 95 % CI 1.38–2.67, respectively]. Workers exposed to high vibration levels had a pooled risk estimate of 1.5 for both outcomes when compared with workers exposed to low levels of vibration. The results also indicate that some publication bias could have occurred especially for sciatica.ConclusionsThis review shows that there is scientific evidence that exposure to WBV increases the risk of LBP and sciatica.

[1]  M. Nordin,et al.  Association between sitting and occupational LBP , 2007, European Spine Journal.

[2]  M. Bovenzi,et al.  An updated review of epidemiologic studies on the relationship between exposure to whole-body vibration and low back pain (1986–1997) , 1999, International archives of occupational and environmental health.

[3]  Massimo Bovenzi,et al.  Metrics of whole-body vibration and exposure–response relationship for low back pain in professional drivers: a prospective cohort study , 2009, International archives of occupational and environmental health.

[4]  J. Kelsey,et al.  Driving of motor vehicles as a risk factor for acute herniated lumbar intervertebral disc. , 1975, American journal of epidemiology.

[5]  C. Y. Li,et al.  A review of the healthy worker effect in occupational epidemiology. , 1999, Occupational medicine.

[6]  J Malchaire,et al.  Low back pain. Epidemiologic aspects and work-related factors in the steel industry. , 1994, Spine.

[7]  Thomas Waters,et al.  A new framework for evaluating potential risk of back disorders due to whole body vibration and repeated mechanical shock , 2007, Ergonomics.

[8]  D. Petitti,et al.  Approaches to heterogeneity in meta‐analysis , 2001, Statistics in medicine.

[9]  Dinesh Mohan,et al.  IT—Information Technology and the Human Interface: Tractor Vibration Severity and Driver Health: a Study from Rural India , 2001 .

[10]  G E Hedberg,et al.  Determinants of Self‐Reported Neck‐Shoulder and Low Back Symptoms in a General Population , 1998, Spine.

[11]  H. Saraste,et al.  Life conditions of persons with and without low-back pain. , 2020, Scandinavian journal of rehabilitation medicine.

[12]  H Dupuis,et al.  Whole-body vibration and disorders of the spine , 1987, International archives of occupational and environmental health.

[13]  Monique H W Frings-Dresen,et al.  Does body mass index increase the risk of low back pain in a population exposed to whole body vibration? , 2008, Applied ergonomics.

[14]  M. Bovenzi.  A longitudinal study of low back pain and daily vibration exposure in professional drivers. , 2010, Industrial health.

[15]  C. Leboeuf‐Yde,et al.  Whole-body vibration and low back pain: a systematic, critical review of the epidemiological literature 1992–1999 , 2000, International archives of occupational and environmental health.

[16]  Nikolaos A Patsopoulos,et al.  Uncertainty in heterogeneity estimates in meta-analyses , 2007, BMJ : British Medical Journal.

[17]  E Johanning,et al.  Back disorders and health problems among subway train operators exposed to whole-body vibration. , 1991, Scandinavian journal of work, environment & health.

[18]  P M Bongers,et al.  Long-term sick leave and disability pensioning due to back disorders of tractor drivers exposed to whole-body vibration , 1990, International archives of occupational and environmental health.

[19]  Leslie London,et al.  A cross-sectional study of back belt use and low back pain amongst forklift drivers , 2007 .

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

[21]  J. Kelsey,et al.  An epidemiological study of acute prolapsed cervical intervertebral disc. , 1984, The Journal of bone and joint surgery. American volume.

[22]  P M Bongers,et al.  Self‐Reported Back Pain in Fork‐Lift Truck and Freight‐Container Tractor Drivers Exposed to Whole‐Body Vibration , 1992, Spine.

[23]  D Mohan,et al.  Effect of whole-body vibration on the low back. A study of tractor-driving farmers in north India. , 1999, Spine.

[24]  A Magora,et al.  Investigation of the relation between low back pain and occupation. , 1970, IMS, Industrial medicine and surgery.

[25]  E. C. Harris,et al.  Professional driving and prolapsed lumbar intervertebral disc diagnosed by magnetic resonance imaging: a case-control study. , 2012, Scandinavian journal of work, environment & health.

[26]  T. Haines,et al.  Long-term back problems and physical work exposures in the 1990 Ontario Health Survey. , 1996, American journal of public health.

[27]  B. Jonsson,et al.  Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. , 1987, Applied ergonomics.

[28]  M. Heliövaara,et al.  Incidence and risk factors of low-back pain in middle-aged farmers. , 1995, Occupational medicine.

[29]  J. Johnson,et al.  Work activities and the onset of first-time low back pain among New York City fire fighters. , 1993, American journal of epidemiology.

[30]  K. Malcolm Tillotson,et al.  Occupational Risk Factors for the First‐Onset and Subsequent Course of Low Back Trouble: A Study of Serving Police Officers , 1996, Spine.

[31]  F. Tubach,et al.  Personal and occupational predictors of sciatica in the GAZEL cohort. , 2003, Occupational medicine.

[32]  A Burdorf,et al.  Occupational risk factors for low back pain among sedentary workers. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[33]  A Burdorf,et al.  An epidemiological study of low-back pain in crane operators. , 1990, Ergonomics.

[34]  Michael J Griffin,et al.  Case-control study of low-back pain referred for magnetic resonance imaging, with special focus on whole-body vibration. , 2008, Scandinavian journal of work, environment & health.

[35]  E Viikari-Juntura,et al.  Incidence of sciatic pain among men in machine operating, dynamic physical work, and sedentary work. A three-year follow-up. , 1994, Spine.

[36]  N. Stacchini,et al.  LOW BACK PAIN IN PORT MACHINERY OPERATORS , 2002 .

[37]  Nicola Stacchini,et al.  An epidemiological study of low back pain in professional drivers , 2006 .

[38]  M. Bovenzi,et al.  Self‐Reported Low Back Symptoms in Urban Bus Drivers Exposed to Whole‐Body Vibration , 1992, Spine.

[39]  M I Jayson,et al.  Employment and Physical Work Activities as Predictors of Future Low Back Pain , 1997, Spine.

[40]  D. Fishbain.  Risk factors for back pain incidence in industry: a prospective study. , 2000, Pain.

[41]  M H W Frings-Dresen,et al.  Low back pain in drivers exposed to whole body vibration: analysis of a dose–response pattern , 2008, Occupational and Environmental Medicine.

[42]  Douglas G Altman,et al.  Interaction revisited: the difference between two estimates , 2003, BMJ : British Medical Journal.

[43]  Paulien M. Bongers,et al.  Long-term sickness absence due to back disorders in crane operators exposed to whole-body vibration , 1988, International archives of occupational and environmental health.

[44]  J E Smeathers,et al.  New Engineering Concepts and Alternative Materials for Prostheses , 1990, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[45]  R. Anderson,et al.  The Back Pain of Bus Drivers: Prevalence in an Urban Area of California , 1992, Spine.

[46]  K. Rampal,et al.  Low back pain and association with whole body vibration among military armoured vehicle drivers in Malaysia. , 2009, The Medical journal of Malaysia.

[47]  Carel T. J. Hulshof,et al.  Back disorders in crane operators exposed to whole-body vibration , 1988, International archives of occupational and environmental health.

[48]  A. Leclerc,et al.  Low-back pain in commercial travelers. , 1992, Scandinavian journal of work, environment & health.

[49]  S. Milosavljevic,et al.  Does daily exposure to whole-body vibration and mechanical shock relate to the prevalence of low back and neck pain in a rural workforce? , 2012, The Annals of occupational hygiene.

[50]  G Govaert,et al.  Postural load and back pain of workers in the manufacturing of prefabricated concrete elements. , 1991, Ergonomics.

[51]  D Coggon,et al.  Occupational causes of low-back pain. , 1989, Scandinavian journal of work, environment & health.

[52]  C L Zimmermann,et al.  Effects of vibration frequency and postural changes on human responses to seated whole-body vibration exposure , 1997, International archives of occupational and environmental health.

[53]  S Duval,et al.  Trim and Fill: A Simple Funnel‐Plot–Based Method of Testing and Adjusting for Publication Bias in Meta‐Analysis , 2000, Biometrics.

[54]  Carel Hulshof,et al.  Back disorders and occupational exposure to whole-body vibration , 1990 .

[55]  H. Dupuis,et al.  DOSE-RESPONSE Relationships Between Whole-Body Vibration and Lumbar Disk DISEASE—A Field Study on 388 Drivers of Different Vehicles , 1998 .

[56]  J. J. Brown,et al.  Back Pain in a Large Canadian Police Force , 1998, Spine.

[57]  T. Skov,et al.  Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. , 1996, Occupational and environmental medicine.

[58]  A. Burdorf,et al.  Positive and negative evidence of risk factors for back disorders. , 1997, Scandinavian journal of work, environment & health.

[59]  K Miyashita,et al.  Symptoms of contruction workers exposed to whole body vibration and local vibration , 1992, International archives of occupational and environmental health.

[60]  F. Lert,et al.  Back pain and associated factors in French nurses , 1994, International archives of occupational and environmental health.

[61]  Olanrewaju O. Okunribido,et al.  Whole body vibration and posture as risk factors for low back pain among forklift truck drivers , 2005 .

[62]  Y. Xu,et al.  Work environment and low back pain: the influence of occupational activities. , 1997, Occupational and environmental medicine.

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

[64]  A. Aromaa,et al.  Determinants of sciatica and low-back pain. , 1991, Spine.

[65]  M Bovenzi,et al.  Low-back disorders in agricultural tractor drivers exposed to whole-body vibration and postural stress. , 1994, Applied ergonomics.

[66]  M J Griffin,et al.  The relative importance of whole body vibration and occupational lifting as risk factors for low-back pain , 2003, Occupational and environmental medicine.

[67]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2010, International journal of surgery.

[68]  P M Bongers,et al.  Back pain and exposure to whole body vibration in helicopter pilots. , 1990, Ergonomics.

[69]  P M Bongers,et al.  Self-reported back pain in tractor drivers exposed to whole-body vibration , 1990, International archives of occupational and environmental health.

[70]  L. Bouter,et al.  Risk factors for back pain incidence in industry: a prospective study , 1998, Pain.

[71]  B. Koes,et al.  Spinal Mechanical Load as a Risk Factor for Low Back Pain: A Systematic Review of Prospective Cohort Studies , 2009, Spine.

[72]  Eckardt Johanning,et al.  Whole-body vibration and ergonomic study of US railroad locomotives , 2006 .

[73]  D G Wilder,et al.  Are Occupational Drivers at an Increased Risk for Developing Musculoskeletal Disorders? , 1996, Spine.

[74]  M. Pope,et al.  Low back pain in drivers : The relative role of whole-body vibration, posture and manual materials handling , 2006 .

[75]  M. Magnusson,et al.  The role of whole body vibration, posture and manual materials handling as risk factors for low back pain in occupational drivers , 2008, Ergonomics.

[76]  H Langauer-Lewowicka,et al.  [Evaluation of health risk in machine operators exposed to whole body vibration]. , 1996, Medycyna pracy.

[77]  C. Begg,et al.  Operating characteristics of a rank correlation test for publication bias. , 1994, Biometrics.

[78]  A Magora,et al.  Investigation of the relation between low back pain and occupation. 3. Physical requirements: sitting, standing and weight lifting. , 1972, IMS, Industrial medicine and surgery.

[79]  Shamsul Bahri Mohd Tamrin,et al.  The Association between risk factors and low back pain among commercial vehicle drivers in peninsular Malaysia: a preliminary result. , 2007, Industrial health.

[80]  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.

[81]  M Futatsuka,et al.  Whole-body vibration and health effects in the agricultural machinery drivers. , 1998, Industrial health.

[82]  L. Benevolenskaya,et al.  “Cross‐Sectional” Study of Low Back Pain Among Workers at an Industrial Enterprise in Russia , 1995, Spine.

[83]  W. E. Hoogendoorn,et al.  Physical load during work and leisure time as risk factors for back pain. , 1999, Scandinavian journal of work, environment & health.

[84]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement , 2009, BMJ : British Medical Journal.