Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review
Objectives To determine whether advice and training on working techniques and lifting equipment prevent back pain in jobs that involve heavy lifting.Data sources Medline, Embase, CENTRAL, Cochrane Back Group’s specialised register, CINAHL, Nioshtic, CISdoc, Science Citation Index, and PsychLIT were...
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| Veröffentlicht in: | BMJ 2008-02, Vol.336 (7641), p.429-431 |
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| creator | Martimo, Kari-Pekka Verbeek, Jos Karppinen, Jaro Furlan, Andrea D Takala, Esa-Pekka Kuijer, P Paul F M Jauhiainen, Merja Viikari-Juntura, Eira |
| description | Objectives To determine whether advice and training on working techniques and lifting equipment prevent back pain in jobs that involve heavy lifting.Data sources Medline, Embase, CENTRAL, Cochrane Back Group’s specialised register, CINAHL, Nioshtic, CISdoc, Science Citation Index, and PsychLIT were searched up to September-November 2005.Review methods The primary search focused on randomised controlled trials and the secondary search on cohort studies with a concurrent control group. Interventions aimed to modify techniques for lifting and handling heavy objects or patients and including measurements for back pain, consequent disability, or sick leave as the main outcome were considered for the review. Two authors independently assessed eligibility of the studies and methodological quality of those included. For data synthesis, we summarised the results of studies comparing similar interventions. We used odds ratios and effect sizes to combine the results in a meta-analysis. Finally, we compared the conclusions of the primary and secondary analyses.Results Six randomised trials and five cohort studies met the inclusion criteria. Two randomised trials and all cohort studies were labelled as high quality. Eight studies looked at lifting and moving patients, and three studies were conducted among baggage handlers or postal workers. Those in control groups received no intervention or minimal training, physical exercise, or use of back belts. None of the comparisons in randomised trials (17 720 participants) yielded significant differences. In the secondary analysis, none of the cohort studies (772 participants) had significant results, which supports the results of the randomised trials.Conclusions There is no evidence to support use of advice or training in working techniques with or without lifting equipment for preventing back pain or consequent disability. The findings challenge current widespread practice of advising workers on correct lifting technique. |
| doi_str_mv | 10.1136/bmj.39463.418380.BE |
| format | Article |
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Interventions aimed to modify techniques for lifting and handling heavy objects or patients and including measurements for back pain, consequent disability, or sick leave as the main outcome were considered for the review. Two authors independently assessed eligibility of the studies and methodological quality of those included. For data synthesis, we summarised the results of studies comparing similar interventions. We used odds ratios and effect sizes to combine the results in a meta-analysis. Finally, we compared the conclusions of the primary and secondary analyses.Results Six randomised trials and five cohort studies met the inclusion criteria. Two randomised trials and all cohort studies were labelled as high quality. Eight studies looked at lifting and moving patients, and three studies were conducted among baggage handlers or postal workers. Those in control groups received no intervention or minimal training, physical exercise, or use of back belts. None of the comparisons in randomised trials (17 720 participants) yielded significant differences. In the secondary analysis, none of the cohort studies (772 participants) had significant results, which supports the results of the randomised trials.Conclusions There is no evidence to support use of advice or training in working techniques with or without lifting equipment for preventing back pain or consequent disability. The findings challenge current widespread practice of advising workers on correct lifting technique.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>ISSN: 0959-535X</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.39463.418380.BE</identifier><identifier>PMID: 18244957</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Back pain ; Back Pain - prevention & control ; Biological and medical sciences ; Cohort studies ; Counseling ; Disabilities ; Disability ; Employees ; Experimentation ; General aspects ; Humans ; Job training ; Lifting ; Medical sciences ; Occupational health and safety ; Patient Education as Topic - methods ; Prevention ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Randomized Controlled Trials as Topic ; Search strategies ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Syntactical consequents ; Training ; Training methods ; Workers ; Working conditions ; Workplaces</subject><ispartof>BMJ, 2008-02, Vol.336 (7641), p.429-431</ispartof><rights>BMJ Publishing Group Ltd 2008</rights><rights>Copyright 2008 BMJ Publishing Group Ltd.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright: 2008 (c) BMJ Publishing Group Ltd 2008</rights><rights>Copyright BMJ Publishing Group Feb 23, 2008</rights><rights>BMJ Publishing Group Ltd 2008 2008 BMJ Publishing Group Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b716t-48eb804601718e31b7505c2a4cb4cd674e97c404d68d7afa36d12377b859a4b43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmj.com/content/336/7641/429.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bmj.com/content/336/7641/429.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,780,784,803,885,3194,23569,27922,27923,30997,30998,58015,58248,77370,77401</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20168327$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18244957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martimo, Kari-Pekka</creatorcontrib><creatorcontrib>Verbeek, Jos</creatorcontrib><creatorcontrib>Karppinen, Jaro</creatorcontrib><creatorcontrib>Furlan, Andrea D</creatorcontrib><creatorcontrib>Takala, Esa-Pekka</creatorcontrib><creatorcontrib>Kuijer, P Paul F M</creatorcontrib><creatorcontrib>Jauhiainen, Merja</creatorcontrib><creatorcontrib>Viikari-Juntura, Eira</creatorcontrib><title>Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Objectives To determine whether advice and training on working techniques and lifting equipment prevent back pain in jobs that involve heavy lifting.Data sources Medline, Embase, CENTRAL, Cochrane Back Group’s specialised register, CINAHL, Nioshtic, CISdoc, Science Citation Index, and PsychLIT were searched up to September-November 2005.Review methods The primary search focused on randomised controlled trials and the secondary search on cohort studies with a concurrent control group. Interventions aimed to modify techniques for lifting and handling heavy objects or patients and including measurements for back pain, consequent disability, or sick leave as the main outcome were considered for the review. Two authors independently assessed eligibility of the studies and methodological quality of those included. For data synthesis, we summarised the results of studies comparing similar interventions. We used odds ratios and effect sizes to combine the results in a meta-analysis. Finally, we compared the conclusions of the primary and secondary analyses.Results Six randomised trials and five cohort studies met the inclusion criteria. Two randomised trials and all cohort studies were labelled as high quality. Eight studies looked at lifting and moving patients, and three studies were conducted among baggage handlers or postal workers. Those in control groups received no intervention or minimal training, physical exercise, or use of back belts. None of the comparisons in randomised trials (17 720 participants) yielded significant differences. In the secondary analysis, none of the cohort studies (772 participants) had significant results, which supports the results of the randomised trials.Conclusions There is no evidence to support use of advice or training in working techniques with or without lifting equipment for preventing back pain or consequent disability. The findings challenge current widespread practice of advising workers on correct lifting technique.</description><subject>Back pain</subject><subject>Back Pain - prevention & control</subject><subject>Biological and medical sciences</subject><subject>Cohort studies</subject><subject>Counseling</subject><subject>Disabilities</subject><subject>Disability</subject><subject>Employees</subject><subject>Experimentation</subject><subject>General aspects</subject><subject>Humans</subject><subject>Job training</subject><subject>Lifting</subject><subject>Medical sciences</subject><subject>Occupational health and safety</subject><subject>Patient Education as Topic - methods</subject><subject>Prevention</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Search strategies</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Syntactical consequents</subject><subject>Training</subject><subject>Training methods</subject><subject>Workers</subject><subject>Working conditions</subject><subject>Workplaces</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkllvEzEUhS0EolHoL0CgEYjyNMH70gckGqUEtYIHloe-WB6Pp3U6S2pPWvrv8TAhFCQWyfKi850r36sDwGMEZwgR_qpoVjOiKCcziiSRcHa0uAcmiHKZM0nIfTCBiqlcIiL3wH6MKwghJkIqzh6CPSQxpYqJCagXVeVsn3VV1gfjW9-eZ6Yts9pX_XB3Vxu_blzbZ1UXsnVw1-k-CIWxl9k6ObK0ftCD8yJtdXocZvE29q4xvbdZ8nl38wg8qEwd3f72nILPx4tP82V--uHtu_mb07wQiPc5la6QkHKIBJKOoEIwyCw21BbUllxQp4SlkJZclsJUhvASpd5EIZkytKBkCl6PddebonGlTV8Optbr4BsTbnVnvP5Vaf2FPu-uNcZUcYlTgZfbAqG72rjY68ZH6-ratK7bRC04JVQqOJAHfychwURB9k-QCcykQgP47Ddw1W1Cm-alMaQQKc6HDp__CUJCSJiwlIIpICNlQxdjcNVuBAjqIUY6xUh_j5EeY6SPFsn19O70fnq2oUnAiy1gojV1FUxrfdxxGCIuCR64JyO3in0X7ugMKkgHPR91n3LydaebcKm5IILp91_m-uPxEp-cnSz1WeJnIz_8-n86-QauevdS</recordid><startdate>20080223</startdate><enddate>20080223</enddate><creator>Martimo, Kari-Pekka</creator><creator>Verbeek, Jos</creator><creator>Karppinen, Jaro</creator><creator>Furlan, Andrea D</creator><creator>Takala, Esa-Pekka</creator><creator>Kuijer, P Paul F M</creator><creator>Jauhiainen, Merja</creator><creator>Viikari-Juntura, Eira</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080223</creationdate><title>Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review</title><author>Martimo, Kari-Pekka ; Verbeek, Jos ; Karppinen, Jaro ; Furlan, Andrea D ; Takala, Esa-Pekka ; Kuijer, P Paul F M ; Jauhiainen, Merja ; Viikari-Juntura, Eira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b716t-48eb804601718e31b7505c2a4cb4cd674e97c404d68d7afa36d12377b859a4b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Back pain</topic><topic>Back Pain - prevention & control</topic><topic>Biological and medical sciences</topic><topic>Cohort studies</topic><topic>Counseling</topic><topic>Disabilities</topic><topic>Disability</topic><topic>Employees</topic><topic>Experimentation</topic><topic>General aspects</topic><topic>Humans</topic><topic>Job training</topic><topic>Lifting</topic><topic>Medical sciences</topic><topic>Occupational health and safety</topic><topic>Patient Education as Topic - methods</topic><topic>Prevention</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Search strategies</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Syntactical consequents</topic><topic>Training</topic><topic>Training methods</topic><topic>Workers</topic><topic>Working conditions</topic><topic>Workplaces</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martimo, Kari-Pekka</creatorcontrib><creatorcontrib>Verbeek, Jos</creatorcontrib><creatorcontrib>Karppinen, Jaro</creatorcontrib><creatorcontrib>Furlan, Andrea D</creatorcontrib><creatorcontrib>Takala, Esa-Pekka</creatorcontrib><creatorcontrib>Kuijer, P Paul F M</creatorcontrib><creatorcontrib>Jauhiainen, Merja</creatorcontrib><creatorcontrib>Viikari-Juntura, Eira</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martimo, Kari-Pekka</au><au>Verbeek, Jos</au><au>Karppinen, Jaro</au><au>Furlan, Andrea D</au><au>Takala, Esa-Pekka</au><au>Kuijer, P Paul F M</au><au>Jauhiainen, Merja</au><au>Viikari-Juntura, Eira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>2008-02-23</date><risdate>2008</risdate><volume>336</volume><issue>7641</issue><spage>429</spage><epage>431</epage><pages>429-431</pages><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>Objectives To determine whether advice and training on working techniques and lifting equipment prevent back pain in jobs that involve heavy lifting.Data sources Medline, Embase, CENTRAL, Cochrane Back Group’s specialised register, CINAHL, Nioshtic, CISdoc, Science Citation Index, and PsychLIT were searched up to September-November 2005.Review methods The primary search focused on randomised controlled trials and the secondary search on cohort studies with a concurrent control group. Interventions aimed to modify techniques for lifting and handling heavy objects or patients and including measurements for back pain, consequent disability, or sick leave as the main outcome were considered for the review. Two authors independently assessed eligibility of the studies and methodological quality of those included. For data synthesis, we summarised the results of studies comparing similar interventions. We used odds ratios and effect sizes to combine the results in a meta-analysis. Finally, we compared the conclusions of the primary and secondary analyses.Results Six randomised trials and five cohort studies met the inclusion criteria. Two randomised trials and all cohort studies were labelled as high quality. Eight studies looked at lifting and moving patients, and three studies were conducted among baggage handlers or postal workers. Those in control groups received no intervention or minimal training, physical exercise, or use of back belts. None of the comparisons in randomised trials (17 720 participants) yielded significant differences. In the secondary analysis, none of the cohort studies (772 participants) had significant results, which supports the results of the randomised trials.Conclusions There is no evidence to support use of advice or training in working techniques with or without lifting equipment for preventing back pain or consequent disability. The findings challenge current widespread practice of advising workers on correct lifting technique.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>18244957</pmid><doi>10.1136/bmj.39463.418380.BE</doi><tpages>3</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; BMJ Journals - NESLi2; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; Alma/SFX Local Collection |
| subjects | Back pain Back Pain - prevention & control Biological and medical sciences Cohort studies Counseling Disabilities Disability Employees Experimentation General aspects Humans Job training Lifting Medical sciences Occupational health and safety Patient Education as Topic - methods Prevention Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Randomized Controlled Trials as Topic Search strategies Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Syntactical consequents Training Training methods Workers Working conditions Workplaces |
| title | Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review |
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