Health professionals are among those workers with high prevalence of chronic musculoskeletal disorders (low back pain: around 50%; other sites: 20 to 50%). Work injuries due to falls and slips are also very frequent. For many years in many hospitals, prevention programmes are proposed to the staffs: training in patient handling, protective equipment, working condition improvement, return to work and rehabilitation process are the main subjects of such programmes. Nevertheless, there are few studies evaluating their results, and among them, little show long term improvement. Considering the importance of these diseases and their individual and economic impact, there is a need for comprehensive and participative prevention programmes taking into account psycho-social factors, work organisation and scientific evaluation.
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References
1.
Ben LellahomLGharbiRZakraouiLBen HafsaLBoularesMDaoudS et al. La lombalgie en milieu hospitalier. Arch Mal Prof1990;51:399–404.
2.
BongersPMDe WinterCRKompierMAJHildebrandtVH.Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health1993; 19: 297–312.
3.
BouhnikCEstryn-BeharMKapitaniakBRocherMMereauP.Le matériel de roulage dans les établissements de soins. Recommandations ergonomiques pour le choix des chariots manuels. Documents pour les Médecins du Travail1989; 39: 243–252.
CaillardJFCzernichowPDoucetEJamoussiSRebaiDJulienFProustB.Le risque lombalgique professionnel à l'hôpital. Arch Mal Prof1987;48:623–627.
6.
CogganCNortonR.Effects on work: Nurses and back injury. A qualitative summary. The Journal of Occupational Health and Safety1995; 11: 489–492.
7.
CooperJETateRBYassiAKhokharJ.Effect of an early intervention program on the relationship between subjective pain and disability measures in nurses with low back injury. Spine1996; 21:2329–36.
8.
CosteJPaolaggiJB.Revue critique de l'epidémiologie des lombalgies. Rev Epidém et Santé Publ1989;37:371–383.
9.
De BrouwerCLecomteA.Etude épidémiologique du genou douloureux dans un hôpital. Arch Mal Prof1996; 57: 168–175.
10.
De LoozeMPZinzenECaboorDHeyblomPVan BreeErikVan RoyPToussaintHMClarijsJP.Effects of individually chosen bed-height adjustments on the low-back stress of nurses. Scand J Work Environ Health1994;20:427–34.
11.
Décret n°92 958 du 3 septembre 1992 relatif aux prescriptions minimales de sécurité et de santé concemant la manutention manuelle de charges comportant des risqu*es, notamment dorso-lombaires, pour les travailleurs et transposant la directive (CEE) n°90–269 du conseil du 29 mai1990.
12.
DonchinMWoolfOKaplanLFlomanY.Secondary prevention of low-back pain: A clinical trial. Spine1990; 15: 1317–1320.
13.
EngelsJALandeweerdJAKantYDrostMR.An OWAS-based analysis of nurses'working postures. Ergonomics1994;34:909–921.
14.
FeldsteinAValanisBVollmerWStevensNOvertonC.The back injury prevention prtoject pilot study: Assessing the effectiveness of back attack, an injury prevention program among nurses, aides, and orderlies. J Occup Med1993; 35: 114–120.
15.
FishDRMorris-AllenDM.Musculoskeletal disorders in dentists. N Y State Dent J1998; 64: 44–48.
16.
GargAOwenB.Reducing back stress to nursing personnel: An ergonomic intervention in a nursing home. Egonomics1992;35:1353–1375.
17.
GibsonES.The value of preplacement screening radiography of the low back pain. Occup Med1988;3:91–107.
18.
GundewallBLiljeqvistMHanssonT.Primary Prevention of Back symptoms and absence from work. Spine1993;18:587–594.
19.
HigncttS.Work-related back pain in nurses. J Adv Nurs1996;23:1238–46.
20.
HildebrandtVH.A review of epidemiological research on risk factors of low back pain. In: BucklePW, Musculo-skeletal disorders at work. London: Taylor & Francis. 1987:9–16.
21.
LagerströMMHagbergM.Evaluation of a 3-year education and training program for nursing personnel at a Swedish hospital. AAOHN Journal1997;45:83–92.
22.
LagerströMMHanssonTHagbergM.Work-related low-back problems in nursing. Scand J Work Environ Health1998;24:449–464.
23.
LeeYHChiouWK.Risk factors for low back pain, and patient-handling capacity of nursing personnel. Journal of safety research1994;25:135–145.
24.
LintonSJBradleyLAJensenISpangfortESundellL.The secondary prevention of low back pain: A controlled study with follow-up. Pain1989;36:197–207.
25.
MarenaCGervinoDPistorioAAzzarettiSChiesaPLodolaL et al. [Epidemiologic study on the prevalence of low back pain in health personnel exposed to manual handling tasks]. Studio epidemiologico sulla prevalenza della lombalgiea nel personale sanitario espoto a movimentatione manuale dei carichi Giornale Italiano di Medicina del Lavoro Ergonomia1997;19:89–95.
26.
MoensGFDohogneTHJacquesPJ.Occupation and the prevalence of back pain among employees in health care. Archives of Public Health1994;52(5–6):189–201.
27.
MurtomaaH.Work-related complaints of dentists and dental assistants. Int Arch Occup Environ Health1982;50:231–236.
28.
NakladalovaMFialovaJKorycanovaHNakladalZ.State of health in dental technicians with regard to vibration exposure and overload of upper extremities. Central European Journal of Public Health1995;3:129–31.
29.
NiedhammerILertFMarneMJ.Back pain and associated factors in French nurses. Int Arch Occup Environ Health1994;66:349–357.
30.
OwenBDGargA.An ergonomic approach to reducing back stress in nursing personnel. In: CharneyW.Handbook of modern hospital safety. 1st edition. Boca Raton: Lewis Publisher. 1999. pp 717–735.
31.
ReadyAEBoreskieSLLawSARusselR.Fitness and lifestyle parameters fail to predict back injuries in nurses. Can J Appl Physiol1993;18:80–90.
32.
RiihimakiH.Low-back pain, its origin and risk indicators. Scand J Work Environ Health1991;17:81–90.
33.
SmedleyJEggerPCooperCCoggonD.Manual handling activities and risk of low back pain in nurses. Occup Environ Med1995;52:1460–163.
34.
SmedleyJEggerPCooperCCoggonD.Prospective cohort study of predictors of incident low back pain in nurses. BMJ1997;314:1225–1228.
35.
StubbsDABucklePWHudsonMPRiversPMWorringhamCJ.Back pain in the nursing protession: I. Epidemiology and pilot methodology. Ergonomics1983; 26: 755–765.
36.
Teyssier-CotteCVaytetPRocherMMereauP.Etude ergonomique d'un appareil mobile de radiographie dans les établissements de soins. Documents pour les Médecins du Travail1989;37:17–25.
37.
Van TulderMWEsmailRBombardierCKoesBW.Back school for non-specific low back pain (Cochrane Review). In: The Cochrane Library, 4, 1999. Oxford: Update Software.
38.
VanderpoolHEFriisEASmithBSHarmsKL.Prevalence of carpal tunnel syndrome and other work-related musculoskeletal problems in cardiac sonographers. J Occup Med1993;6:604–610.
39.
VidemanTRauhalaHAspSLindstromKCedercreutzGKampiM, et al. Patient-handling skill, back injuries, and back pain. An intervention study in nursing. Spine1989; 14: 148–56.
40.
WoodD.Design and evaluation of a back injury prevention program within a geriatric hospital. Spine1987;12:77–82.
41.
YassiATateRCooperJESnowCVallentyneSKhkharJB.Early intervention for back-injured nurse at a large Canadian tertiary care hospital: An evaluation of the effectiveness and cost benefits of a two-year project. Occup Med (Lond)1995;45:209–214.
