Cumulative Load as a Risk Factor for Back Pain

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Abstract
The association between cumulative load (biomechanic load and exposure time integral over the entire work experience) and back pain was investigated in a group of institutional aides with physically stressful jobs. A questionnaire/interview was conducted with 161 of these institutional aides. The point prevalence of back pain in this sample was 62%. Men had worked a mean duration of 14.3 years and women 11.6 years at the time of the onset of the first pain episode. Every job performed was analyzed by the use of a two-dimensional static mathematical model. The compression and shear at the thoracolumbar and lumbosacral discs were computed by the use of a biomechanic model. Cumulative compression and shear were significantly higher in institutional aides with pain compared with those without pain (P < 0.05–0.01). The pain group was similar to the no-pain group in age, weight, and height.

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