City bus driving and low back pain: a study of the exposures to posture demands, manual materials handling and whole-body vibration.

A cross-sectional study was conducted to investigate worker exposure to posture demands, manual materials handling (MMH) and whole body vibration as risks for low back pain (LBP). Using validated questionnaire, information about driving experience, driving (sitting) posture MMH, and health history was obtained from 80 city bus drivers. Twelve drivers were observed during their service route driving (at least one complete round trip) and vibration measurements were obtained at the seat and according to the recommendations of ISO 2631 (1997), for three models of bus (a mini-bus, a single-decker bus, a double-decker bus). The results showed that city bus drivers spend about 60% of the daily work time actually driving, often with the torso straight or unsupported, perform occasional and light MMH, and experience discomforting shock/jerking vibration events. Transient and mild LBP (not likely to interfere with work or customary levels of activity) was found to be prevalent among the drivers and a need for ergonomic evaluation of the drivers' seat was suggested.

[1]  David G. Wilder,et al.  POSSIBLE MECHANISMS OF LOW BACK PAIN DUE TO WHOLE-BODY VIBRATION , 1998 .

[2]  M Pope,et al.  The effect of posture and seat suspension design on discomfort and back muscle fatigue during simulated truck driving. , 1994, Applied ergonomics.

[3]  M. Griffin,et al.  EVALUATION OF WHOLE-BODY VIBRATION IN VEHICLES , 2002 .

[4]  M. Miyamoto,et al.  An epidemiologic study of occupational low back pain in truck drivers. , 2000, Journal of Nippon Medical School = Nippon Ika Daigaku zasshi.

[5]  C. Wiktorin,et al.  Validity of self-reported exposures to work postures and manual materials handling. Stockholm MUSIC I Study Group. , 1993, Scandinavian journal of work, environment & health.

[6]  E Viikari-Juntura,et al.  Low back pain in relation to lumbar disc degeneration. , 2000, Spine.

[7]  N J Mansfield,et al.  Symptoms of musculoskeletal disorders in stage rally drivers and co-drivers , 2001, British journal of sports medicine.

[8]  S. Matz,et al.  Risk Factors for Work-related Low Back Pain in the People's Republic of China , 2000, International journal of occupational and environmental health.

[9]  P Apostoli,et al.  Health conditions of bus drivers in a 6 year follow up study. , 2001, Journal of human ergology.

[10]  T Lauritzen,et al.  Why Has the Search for Causes of Low Back Pain Largely Been Nonconclusive? , 1997, Spine.

[11]  J. Benach,et al.  Occupational categories and sickness absence certified as attributable to common diseases. , 2003, European journal of public health.

[12]  Friedrich Pfeiffer,et al.  Optimal control of gear shift operations in automatic transmissions , 2001, J. Frankl. Inst..

[13]  David G. Wilder,et al.  Investigation of the long-term exposure to whole body vibration: a 2-country study , 1993 .

[14]  G. Evans,et al.  The human side of the road: improving the working conditions of urban bus drivers. , 1998, Journal of occupational health psychology.

[15]  Marianne L. Magnusson,et al.  Guidelines for whole-body vibration health surveillance , 2002 .

[16]  G E Hedberg,et al.  The Period Prevalence of Musculoskeletal Complaints among Swedish Professional Drivers , 1988, Scandinavian journal of social medicine.

[17]  M. Griffin,et al.  Resonance behaviour of the seated human body and effects of posture. , 1997, Journal of biomechanics.

[18]  W M Keyserling,et al.  Workplace risk factors and occupational musculoskeletal disorders, Part 1: A review of biomechanical and psychophysical research on risk factors associated with low-back pain. , 2000, AIHAJ : a journal for the science of occupational and environmental health and safety.

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

[20]  Han C. G. Kemper,et al.  Loading and unloading by lorry drivers and musculoskeletal complaints , 1993 .

[21]  D Michaels,et al.  Mortality among urban bus drivers. , 1991, International journal of epidemiology.

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

[23]  Margarita Vergara,et al.  Relationship between comfort and back posture and mobility in sitting-posture. , 2002, Applied ergonomics.

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

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

[26]  H. Hannerz,et al.  Hospital admissions among male drivers in Denmark , 2001, Occupational and environmental medicine.

[27]  Gudrun E. Hedberg Physical strain in Swedish lorry drivers engaged in the distribution of goods. , 1985 .

[28]  Mikael Holgerson Apparatus for measurement of engagement characteristics of a wet clutch , 1997 .