AN EPIDEMIOLOGIC-STUDY OF NON-OCCUPATIONAL LIFTING AS A RISK FACTOR FOR HERNIATED LUMBAR INTERVERTEBRAL DISC

被引：70

作者：

MUNDT, DJ

KELSEY, JL

GOLDEN, AL

PASTIDES, H

BERG, AT

SKLAR, J

HOSEA, T

PANJABI, MM

机构：

[1] National Academy of Science, Institute of Medicine, WA

[2] Department of Health Research and Policy, Stanford University School of Medicine, Stanford, CA

[3] Department of Community Medicine, Mt. Sinai School of Medicine, New York, NY

[4] Department of Biostatistics and Epidemiology, University of Massachusetts School of Public Health, Amherst, MA

[5] Department of Pediatrics, Yale University, New Haven, CT

[6] New England Orthopedic Surgeons Inc. Springfield, MA

[7] Division of Orthopedic Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

[8] Department of Orthopedics and Rehabilitation, Yale University, New Haven, CT

来源：

SPINE | 1993年 / 18卷 / 05期

关键词：

Epidemiology; Herniated lumbar disc; Non-occupational lifting;

D O I：

10.1097/00007632-199304000-00012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

An epidemiologic case-control study of herniated lumbar intervertebral disc was conducted in Springfield, Massachusetts, New Brunswick, New Jersey, and New York, New York to evaluate the role of several possible risk factors in the etiology of this disorder. Patients with signs and symptoms of herniated lumbar disc (N = 287) were matched to control subjects without back pain by age, sex, source of care, and geographic area. Of the total case-subject group, 177 were confirmed by surgery, computed tomographic scan, myelogram, or magnetic resonance imaging. This article focuses on non-occupational lifting, an activity not previously reported on. Frequent lifting of objects or children weighing 25 or more pounds with knees straight and back bent was associated with increased risk of herniated lumbar disc. This association was particularly strong among confirmed case subjects (relative risk = 3.95). Positive associations among confirmed case subjects were also seen for frequent lifting with arms extended (relative risk = 1.87) and twisting while lifting (relative risk = 1.90). No associations were found for frequent stretching or carrying. If confirmed in other investigations, these data suggest that instruction in lifting techniques should be extended into the home.

引用

页码：595 / 602

页数：8

共 49 条

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