Effectiveness of wearing a back support belt while working among medical personnel in a hospital, Chonburi Province

Authors

  • Eakkarin Lukkanalikitkul Occupational Medicine Department, Chonburi Hospital

DOI:

https://doi.org/10.14456/dcj.2024.26

Keywords:

back support belt, medical personnel, hospital

Abstract

The objective of this research was to study the effectiveness of wearing back support belt while working among medical personnel in the laundry, warehouse, hospital porter, and building management department in a hospital in Chonburi province. This research was experimental design (randomized controlled trial: RCT) with stratified randomization, categorized by department, age, gender and comparing neck, back, and hip pain, use of pain relief drugs, sick leave and disability factors from back pain by Roland-Morris Disability Questionnaire between groups that used and did not use back support belt, 26 people per group, both groups received ergonomics training. Data were collected every week for 1 month. The results of the study revealed that the experimental group had a statistically significant different in the median for neck, upper back, lower back, and hip pain compared with the pain before using the back support belt. The lower back was the only area where pain was different between the experimental and control groups after the study. Wearing a back support belt significantly reduces sick leave from muscle pain, but no difference was found in the use of pain relief drugs and disability factors for back pain. Most medical personnel were very satisfied after using the back support belt, but some had the wrong attitude, such as thinking that the back support belt was a personal protective equipment (76.9 percent), they can lift heavy objects without paying attention to the correct lifting posture (26.9 percent), and they could lift heavier objects safely (76.9 percent). Therefore, there should be support for the use of quality back support belts that are registered as medical devices and the advice on the proper use of back support belts. Ergonomic principles when lifting and moving materials should be noticed for safety.

Downloads

Download data is not yet available.

References

Raksanon T, Chari C, Wareekachonkiat P, Chaladlerd P. Guidelines for providing occupational health services to community workers

regarding ergonomics for primary health care. Nonthaburi: Department of Disease Control (TH); 2017. (in Thai)

Department of Disease Control (TH). Situation report of diseases and health hazards from occupation and environment. Nonthaburi: Department of Disease Control (TH); 2018. (in Thai)

Social Security Office. Situation of injury or illness due to work in 2017-2021 [Internet]: Social Security Office; 2021 [cited 2023 Jan 16]. Available from: https://www.sso.go.th/wpr/assets/upload/files_storage/sso_th/84b88f068b29c808bf3efe3302802234.pdf

National Institute for Occupational Safety and Health. Back belts, Do they prevent injury?

[Internet]: Centers for Disease Control and Prevention; 1996 [cited 2023 Jan 24]. Available from: https://www.cdc.gov/niosh/docs/94-127/pdfs/94-127.pdf?id=10.26616/NIOSHPUB94127

Roelofs PD, Bierma-Zeinstra SM, van Poppel MN, Jellema P, Willemsen SP, van Tulder MW, et al. Lumbar supports to prevent recurrent low back pain among home care workers: a randomized trial. Ann Intern Med 2007;147(10):685-92.

Cholewicki J, Juluru K, Radebold A, Panjabi MM, McGill SM. Lumbar spine stability can be augmented with an abdominal belt and/or increased intra-abdominal pressure. Eur Spine J 1999;8(3):388-95.

Jessica K. Paskiewicz, Fadi A. Fathallah. Effectiveness of a manual furniture handling device in reducing low back disorders risk factors. Int J Ind Ergon 2007;37(4):93-102.

Im SC, Seo SW, Kang NY, Jo H, Kim K. The effect of lumbar belts with different extensibilities on kinematic, kinetic, and muscle activity of sit-to-stand motions in patients with nonspecific low back pain. J Pers Med 2022;12(10):1678.

Gignoux P, Lanhers C, Dutheil F, Boutevillain L, Pereira B, Coudeyre E. Non-rigid lumbar supports for the management of non-specific low back pain: A literature review and meta-analysis. Ann Phys Rehabil Med 2022;65(1):101406.

Tangtrakulwanich B, Meksawi S, Parinyagupt W. Problems and solutions for back pain in rubber tappers. Bangkok: Thailand Science Research and Innovation; 2010. (in Thai)

Anders C, Hübner A. Influence of elastic lumbar support belts on trunk muscle function in patients with non-specific acute lumbar back pain. PLOS ONE [Internet]. 2019 [cited 2023 Jan 16];14(1). Available from: https://doi.org/ 10.1371/journal.pone.0211042

Calmels P, Queneau P, Hamonet C, Le Pen C, Maurel F, Lerouvreur C, et al. Effectiveness of a lumbar belt in subacute low back pain: an open, multicentric, and randomized clinical study. Spine 2009;34(3):215-20.

Ludvig D, Preuss R, Larivière C. The effect of extensible and non-extensible lumbar belts on trunk muscle activity and lumbar stiffness in subjects with and without low-back pain. Clin Biomech (Bristol, Avon) 2019;67:45-51.

Jeffrey C, Brian R. The effects of a back belt on posture, strength, and spinal compressive force during static lift exertions. Int J Ind Ergon 1998;22(2):409-16.

Schmalz T, Colienne A, Bywater E, Fritzsche L, Gärtner C, Bellmann M, et al. A passive back-support exoskeleton for manual materials handling: reduction of low back loading and metabolic effort during repetitive lifting. IISE Trans Occup Ergon 2022;10(1):7-20.

Kermavnar T, de Vries AW, de Looze MP, O'Sullivan LW. Effects of industrial back-support exoskeletons on body loading and user

experience: an updated systematic review. Ergonomics 2021;64(6):685-711.

Yentour S. Study the effects of natural rubber pad in back support belt on low back muscle activities. Songkhla: Prine of Songkhla University; 2011. (in Thai)

Kleebprathum S, Sangiamsak T, Lormphongs S. The effectiveness of trunk-supporting seat belt in reducing low back muscle fatigue for sea-port crane operators. Chiang Mai Medical Journal 2021;60(4):525-36. (in Thai)

Ammendolia C, Kerr MS, Bombardier C. Back belt use for prevention of occupational low back pain: a systematic review. J Manipulative Physiol Ther 2005;28(2):128-34.

Annaswamy TM, Cunniff KJ, Kroll M, Yap L, Hasley M, Lin CK, et al. Lumbar bracing for chronic low back pain: A randomized controlled trial. Am J Phys Med Rehabil 2021;100(8):742-9.

Ariffin T, Zulhaily M. Effect of back support belt on musculoskeletal discomfort during simulated manual handling of loads among male agricultural workers. Selangor: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia; 2022.

Van Duijvenbode IC, Jellema P, van Poppel MN, van Tulder MW. Lumbar supports for prevention and treatment of low back pain. Cochrane Database Syst Rev 2008;(2):CD001823.

Bataller-Cervero AV, Rabal-Pelay J, Roche-Seruendo LE, Lacárcel-Tejero B, Alcázar-Crevillén A, Villalba-Ruete JA, et al. Effectiveness of lumbar supports in low back functionality and disability in assembly-line workers. Ind Health 2019;57(5):588-95.

Myung E, Neto JD, Murta GA, Vieira A, Gomes de Lima PR, Lessa L, et al. ANAMT Technical Guideline (DT 05): prevention of occupational low back pain through back belts, lumbar support or braces. Rev Bras Med Trab 2020;16(4):524-31.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41:1149-60.

Giorcelli RJ, Hughes RE, Wassell JT, Hsiao H. The effect of wearing a back belt on spine kinematics during asymmetric lifting of large and small boxes. Spine 2001;26(16):1794-8.

Van Poppel MN, de Looze MP, Koes BW, Smid T, Bouter LM. Mechanisms of action of lumbar supports: a systematic review. Spine 2000;25(16):2103-13.

Cohen J. A power primer. Psychol Bull 1992;112(1):155-9.

Stratford P, Spadoni G. The reliability, consistency, and clinical application of a numeric pain rating scale. Physiother Can 2001;53(2):88-91.

Rolan M, Fairbank J. The Roland-Morris disability questionnaire and the oswestry disability questionnaire. Spine 2000;25:3115-24.

Jirarattanaphochai K, Jung S, Sumananont C, Saengnipanthkul S. Reliability of the Roland - Morris disability questionnaire (Thai version) for the evaluation of low back pain patients. J Med Assoc Thai 2005;88(3):407-11.

Likert R. The method of constructing and attitude scale. New York: Wiley & Son; 1967.

Downloads

Published

2024-06-29

How to Cite

1.
Lukkanalikitkul E. Effectiveness of wearing a back support belt while working among medical personnel in a hospital, Chonburi Province. Dis Control J [Internet]. 2024 Jun. 29 [cited 2024 Dec. 19];50(2):314-29. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/266238

Issue

Section

Original Article