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A Survey on Risk Factors Related to Job-Low Back Pain in Physical Therapists

물리치료사들의 직업적 요통 발생의 위험요인 조사

  • Lee, Jun-cheol (Dept. of Physical Therapy, Yeungnam University College)
  • 이준철 (영남이공대학교 물리치료과)
  • Received : 2020.02.01
  • Accepted : 2020.02.27
  • Published : 2020.05.31

Abstract

The purpose of this study was to investigate the prevalence of back pain and the variables related to back pain in physiotherapists. In order to investigate the variables related to the incidence of back pain, The results were as follows : 1. Physical therapists' low back pain occurrence possibility appeared by whole 55.0% by male 11.0% and female 44.0%. 2. A day by people's work environmental special quality with low back pain treat morbidity to 31~40 people 40.0%, office hours per week by 45~49 hours 49.1%, a day stand-up tome be less than 5~7 hours 36.4% and appeared the highest. 3. Case that respond "Do dissatisfaction" to profession which is physical therapists' special psychological quality examined by people's 67.0% which low back pain. 4. Cause of low back pain in special active quality to get low back pain is the highest by case 38.2% that respond is "Special cause does not know, it is because for a long time worked to physical-therapy, and the reason that play waist softness gymnastics examined the highest by case 45.4% that respond is "Because present low back pain serves to be or prevents flare-up." According to result of this research, we could Know physical therapists are professionally endanger of getting low back pain. Specially, we could say physical therapists' low back pain occurrence possibility is high because of their having an experience or regarding work environmental special quality such as a day treatment morbidity, office hours per week, stand-up time for a day. There, educational programs need to improve of work environment and prevent the recurrence of low back pain. In this research, we recognized various variables of physical therapists' low back pain occurrence possibility are related to direct causal connection of low back pain occurrence, but we think continuous research should be tired forward in reply.

본 연구의 목적은 물리치료사의 요통 유병률 및 요통 발생과 관련된 변수를 조사하기 위하여 경남지역에서 임상에 근무하고 있는 물리치료사 100명을 대상으로 설문지를 조사 분석하여 다음과 같이 결과를 얻었다. 1. 물리치료사의 요통 유병률은 남자 11.0%, 여자 44.0%, 전체 55.0%로 나타났고, 요통군의 연령별 분포는 20~24세 이하가 50.9%로 가장 높게 조사되었다. 2. 요통군의 근무 환경적 특성 중에서 1일 치료 환자 수는 31~40명 이하군이 40.0%, 주당 근무시간은 45~49시간 이하가 49.1%를 차지하였으며, 1일 서 있는 시간은 요통군에서는 5~7시 미만이 36.4%로 가장 높게 조사되었다. 3. 요통군의 심리적특성에 있어서 물리치료사 직업에 "불만족한다"라고 응답한 경우 요통군이 67.0%로 조사되었다. 4. 요통의 원인은 "원인은 모르겠지만 오랫동안 물리치료사직에 근무하였기 때문이다"라고 응답한 경우가 38.2%로 가장 높게 조사되었고, 요통군의 행동적 특성에 있어서 허리 유연성 체조를 하는 이유는 "현재 요통이 있거나 재발 방지를 위해서이다"라고 응답한 경우가 45.5%로 가장 높게 조사되었다. 이같은 연구결과를 보았을 때 물리치료사가 직업 관련성 요통발생의 위험이 높은 직종에 종사하고 있다는 것을 알 수 있었다. 특히 요통의 경험이 있거나, 1일 치료 환자 수, 주당 근무시간, 1일 서있는 시간 등 근무환경적 특성과 심리적 특성에 관련되어 요통발생의 가능성이 높은 것으로 사료된다. 따라서 물리치료사의 요통발생을 줄이기 위해서는 근무환경의 개선과 요통예방 혹은 요통재발방지를 위한 교육 프로그램이 병행되어져야 할 것이다.

Keywords

References

  1. Borenstein DG, Wiesel SW. Low back pain : medical diagnosis and comprehensive management. Philadelphia : Saunders, 1989. https://doi.org/10.1097/00005131-198909000-00014
  2. Park JT. Manual of clinical orthopedics. Hyunmoon Pub. Seoul. 2011.
  3. Schutta HS. Cervical, Thoracic, and Lumbar Back Pain. Neurological Disease & Therapy. Vol.46, No.-. 83-113. 1998.
  4. Manchikanti L, Manchikanti KN, Gharibo C G, Kaye A D. Efficacy of percutaneous adhesiolysis in the treatment of lumbar post surgery syndrome. Anesth Pain Med. 2016 ; 6(2):e26172. doi: 10.5812/aapm.26172v2
  5. Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Practice & Research: Clinical Rheumatology. Vol.24, No.6. 769-981. 2010. https://doi.org/10.1093/med/9780199609772.003.0001
  6. Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: Systemic low pain. Revista de Sauda. Vol. 09. 2015.
  7. David G. Borenstein SWW, Scott D. Low back and neck Pain, Third edition. Comprehensive Diagnosis and Management. Elsevier Inc. P869-890. 2004.
  8. Cloyd JM, Acosta FL, Cloud C, Ames CP. View M. Effects of age on perioperative complications of extensive multilevel thoracolumbar spinal fusion surgery. Journal of Neurosurgery: Spine. Vol. 12, No. 4. 402-408. 2010. DOI: https://doi.org/10.3171/2009.10.SPINE08741
  9. Park BM. Causes and management of low back pain. Journal of the Korean Orthopaedic Association. Vol. 12, No. 1, 1-7. 1977. https://doi.org/10.4055/jkoa.1977.12.1.1
  10. Lee HK, Jeon SC, Kong NH. Risk factos for work-relates neck, shoulder and lower back pain: A study of physical therapist in the Gyeongnam area. J of Korean Healtf & Fundamental Medical Science. Vol.5, No.1, 1-8. 2012.
  11. Lee JC. A study on the back pain and sitting postures of high school students in Gyeongnam province. Journal of Advanced Smart Convergence. Vol.7, No.3, 110-118. 2018.
  12. Myeong GJ. A study on the lower back pain of nurses in general hospitals. Chongnam University, Master's Thesis. 1991.
  13. Lee SJ, Joo M, Cho MS. A study on the factors related to occupational low back pain in dental hygienists. The J of Korean Society of Physical Therapy. Vol 13, No 2, 81-91. 1992.
  14. Lee HK, Goo BO, Moon SU, Kim K, Jo HS. Study of low back pain between white collar workers and blue collar workers in Gyeoungnam. The Journal of Health Science. Vol.3, No.- . 198-217. 2002.
  15. Park JH. Comparative study of low back pain between white collar workers and blue collar workers. The J of Korean Society of Physical Therapy. Vol.3 No.1, 123-149. 1991.
  16. Nam CH, Kim GY. A study on back pain of elementary, junior and senior high school teachers, and the factors affecting their of back pain and physical therapy. The J of Korean Society of Physical Therapy. Vol.12, No.1. 87-99. 2000.
  17. Lee SJ, Youn CH. A study on factors related to occupational stress in physical therapists. The J of Korean Society of Physical Therapy. Vol. 14, No. 1, 1993) P.35-49.
  18. Lee CH. A study on the risk factors of low back pain in physical therapists. Yonsei University, Doctor's Thesis. 1990.
  19. Nachemson, A. L. Low back pain in the industrial world. ARC Conference Proceedings. Vol.- , No.10. 1-10. 1995.
  20. Lee YH, Park CI, Shin JS. The use of the minnesota multiphasic personality inventory in comprehensive rehabilitative treatment of low back pain. The New Medical Journal. Vol. 30, No. 12, 56-65. 1987.
  21. Han MS, Lee SY, Park YS. Analysis and management of low back pain. The New medical journal. The New Medical Journal. Vol. 27, No. 2, 111-115. 1984.
  22. Dagenais, Simon, Haldeman, Scott. Evidence-based management of low back pain. St Louis, Mo. : Elsevier Mosby, 2012.
  23. Kim YT. Diagnosis of hydronuclear evacuation. Journal of Korean Medical Association. Vol. 37, No. 5, 528-536. 1994.
  24. Yang HS, Park CM, Youn SC. Statistics for business(case analysis). Topbooks Pub. seoul, 2012.
  25. Harber P, Billet E, Gutowski M, SooHoo K, Lew M, Roman A. Occupational low back pain in hospital nurses. J. Occup Med Vol. 27, No. 5, 518-524. 1985. https://doi.org/10.1201/b14391-62
  26. Kwon ST. A study on the patterns of low back pain in nurses in general hospitals. Chongnam University, Master's Thesis. 1991.
  27. Molumphy M. Unger B, Jensen GM, Lopolo RB. Incidence of work-related low back pain in physical therapists. Phys Ther. Vol. 65, No. 40, 482-486. 1985. https://doi.org/10.1093/ptj/65.4.482
  28. Bigos ST, Nisula BC, Daniels GH. Cyclophosphamide in the management of advanced Graves' opthalmopathy. Annals of Internal Medicine. Vol. 90, No. 6, 921-932. 1979. https://doi.org/10.7326/0003-4819-90-6-921