An Evidence-Based Multidisciplinary Practice Guideline to Reduce the Workload due to Lifting for Preventing Work-Related Low Back Pain

P Paul FM Kuijer; Jos HAM Verbeek; Bart Visse; Leo AM Elders; Nico Van Roden; Marion ER Van den Wittenboer; Marian Lebbink; Alex Burdorf; Carel TJ Hulshof

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자료유형: 학술저널

저자정보: P Paul FM Kuijer (University of Amsterdam) Jos HAM Verbeek (the Netherlands Society of Occupational Medicine(NVAB)) Bart Visse (Amsterdam University of Applied Sciences) Leo AM Elders (the Netherlands Society of Occupational Medicine(NVAB)) Nico Van Roden (Dutch Society of Safety Science) Marion ER Van den Wittenboer (Professional Association of Work and Organizational Experts) Marian Lebbink (the Netherlands Society of Occupational Medicine(NVAB)) Alex Burdorf (Erasmus MC) Carel TJ Hulshof (University of Amsterdam)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제26권 제6호

발행연도: 2014.6

수록면: 29 - 37 (9page)

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We developed an evidence-based practice guideline to support occupational safety and health (OSH) professionals in assessing the risk due to lifting and in selecting effective preventive measures for low back pain (LBP) in the Netherlands. The guideline was developed at the request of the Dutch government by a project team of experts and OSH professionals in lifting and work-related LBP. The recommendations for risk assessment were based on the quality of instruments to assess the risk on LBP due to lifting. Recommendations for interventions were based on a systematic review of the effects of worker- and work directed interventions to reduce back load due to lifting. The quality of the evidence was rated as strong (A), moderate (B), limited (C) or based on consensus (D). Finally, eight experts and twenty-four OSH professionals commented on and evaluated the content and the feasibility of the preliminary guideline. For risk assessment we recommend loads heavier than 25 kg always to be considered a risk for LBP while loads less than 3 kg do not pose a risk. For loads between 3?25 kg, risk assessment shall be performed using the Manual handling Assessment Charts (MAC)-Tool or National Institute for Occupational Safety and Health (NIOSH) lifting equation. Effective work oriented interventions are patient lifting devices (Level A) and lifting devices for goods (Level C), optimizing working height (Level A) and reducing load mass (Level C). Ineffective work oriented preventive measures are regulations to ban lifting without proper alternatives (Level D). We do not recommend worker-oriented interventions but consider personal lift assist devices as promising (Level C). Ineffective worker-oriented preventive measures are training in lifting technique (Level A), use of back-belts (Level A) and pre-employment medical examinations (Level A). This multidisciplinary evidence-based practice guideline gives clear criteria whether an employee is at risk for LBP while lifting and provides an easy-reference for (in)effective risk reduction measures based on scientific evidence, experience, and consensus among OSH experts and practitioners.

#Back pain #Interventions #Occupational health care #Prevention, Surveillance #Practice guideline #Lifting

참고문헌 (64)

참고문헌 신청

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