Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik – Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain. Fizjoterapia Polska 2001; 1(4); 381-384

Abstract
Background. Low back pain is both a medical and a social problem. One way to limit its dimensions is prevention, broadly understood. In our research we attempted to determine how activities of daily living that are particularly burdensome for the spine are performed. Material and methods. Our research involved 265 healthy subject (i.e. without spinal pain symptoms at the moment of testing), among whom 136 were manual laborers and 129 were white-collar workers. The subject were asked to perform 3 movement tasks: to change body position from lying to standing, to assume a sitting position on a chair, and to lift a weigh from the floor. Results. The results we obtained indicate a lack of proper movement habits, which are essential in the prevention of low back pain in the great majority of subjects. Conclusions. It would be advisable to conduct training in the area of preventing strain on the spine, as a result of which spinal pain symptoms can develop. The general public should be made aware of the importance of the problem, with particular emphasis on the consequences of the errors committed on a daily basis.

Key words:
Low Back Pain, prevention, back school

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Ergonomic aspects of the daily work of a physiotherapist

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny

O. Nowotny-Czupryna, A. Brzęk, J. Nowotny – Ergonomic aspects of the daily work of a physiotherapist. Fizjoterapia Polska 2003; 3(4); 387-395

Abstract

Physiotherapists themselves often fall victim to the hazards of their work. The professional activities of a physiotherapist involve the performance of various kinds of exercises and procedures in different positions, as well as moving patients and equipment (of various shapes, sizes and weights). Frequent repetition of these activities leads to the creation and maintenance of particular negative movement habits, while the persistence of these habits and further repetition of professional activities in an improper manner generally leads to the appearance of spinal overload disease. These abnormalities can result from failure to adapt the work station to individual needs and/or performing work-related activities (static and dynamic) in non-ergonomic positions. In accordance with the principles of the “back school”, a significant role in the prevention and mitigation of spinal overload disease is assigned to prevention – primary, secondary, and tertiary – which should be promoted among physiotherapists and persons practicing other health-related professions (e.g. physicians and nurses). In this article the authors identify situations that are bad for the spine and the errors most commonly committed by physiotherapists while performing various professional activities. They also pint out some possible ways to reduce overloading to a minimum and avoid the risk of incurring spinal pain syndromes in the future.

Key words:
Physiotherapist, overloaded spine disease, back school, ergonomics
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