Open AccessAssessment of pressure pain threshold at the cervical and lumbar spine region in the group of professionally active nurses: A cross‐sectional study
Author(s) -
Kołcz Anna,
Jenaszek Karolina
Publication year - 2020
Publication title -
journal of occupational health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 59
ISSN - 1348-9585
DOI - 10.1002/1348-9585.12108
Subject(s) - medicine , physical therapy , low back pain , oswestry disability index , back pain , observational study , muscle tension , lumbar , neck pain , lumbar spine , cervical spine , cervical vertebrae , physical medicine and rehabilitation , surgery , pathology , alternative medicine
Objectives The problem of spinal pain among nurses and lack of compliance with workplace ergonomy is increasing. The study aimed to assess the pressure pain threshold (PPT) at the cervical and lumbar spine in nursing staff. Methods The sample of this prospective and observational study consisted of 30 female nurses with a mean age of 38.6 ± 11.1 years. The standardized Oswestry (ODI) and the Neck Disability Index (NDI) were used, as well as the Authors’ Designed Questionnaire (ADQ) was used to assess compliance with ergonomic principles. The PPT analysis using a computerized pressure algometer (CPA) was performed to examine the level of PPT. Results A mild disability was found in 56% of nurses (NDI and ODI). A value of <4 kg/cm 2 (CPA), indicating musculoskeletal overload was observed in 57% of subjects. Also, 60% of nurses work with a lying patient; 73.4% grabs the patient's armpits while transferring in bed; 16.7% never adjusts the height of the bed, and only 13.4% choose specialist footwear for work. There is a correlation between PPT values for trapezius and erector spinae muscles on the same side of the body in nurses with mild and moderate disability ( P < .05). Conclusions Pain complaints are associated with lower PPT of trapezius and erector spinae muscles and asymmetry of muscle tension. Also, it was noted that the lack of implementation of ergonomic principles by nursing staff affects their degree of disability.