The paper reviews the epidemiologic evidence linking low back pain (LBP) and exposure to whole body vibration (WBV). Particular emphasis is placed on studies where the exposure is quantified. Biomechanical studies show a resonance at 4–5 Hz. At the resonance the transmissibility exceeds 1.0, and is dependent on seat attenuation, posture and seat back inclination. Increased spinal loading is evidenced by increased muscle activity, muscle fatigue, and disc pressure, and by decreased stature. Physiologic changes also occur with WBV. The risk of LBP can be reduced by vibration damping, good ergonomic design, reducing exposure, and reducing other risks such as lifting.
Cats-BarilW. L.FrymoyerJ. W.The economics of spinal disorders. In The Adult Spine (Eds FrymoyerJ. W.), 1991, pp. 85–105 (Raven Press, New York).
2.
BigosS. J.BattiéM. C.SpenglerD. M.FisherL. D.FordyceW. E.HanssonT. H.NachemsonA. L.WortleyM. D.A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine, 1991, 16, 1–6.
3.
BigosS. J.SpenglerD. M.MartinN. A.ZehJ.Back injuries in industry: A retrospective study. II. Injury factors. III. Employee-related factors. Spine, 1986, 11 (3), 246–256.
4.
Bureau of Labor StatisticsBack injuries associated with lifting (work injury report). Bulletin 2144 1, 1982 (US Government Printing Office).
5.
DamkotD. K.PopeM. H.LordJ.FrymoyerJ. W.The relationship between work history, work environment and low-back pain in males. Spine, 1984, 9, 395–399.
6.
MagnussonM. L.WilderD. G.PopeM. H.HanssonT.Investigation of the long-term exposure to whole body vibration: A 2-country study. Winner of the Vienna Award for Physical Medicine of the Austrian Society of Physical Medicine and Rehabilitation, 1992. Eur. J. Phys. Med. Rehab., 1993, 3(1), 28–34.
7.
MagoraA.Investigation of the relation between low back pain and occupations: 3 physical requirements: Sitting, standing, and weight lifting. Ind. Med., 1972, 41, 5–9.
8.
MagoraA.Investigation of the relation between low back pain and occupations: 4 physical requirements: Bending, rotation, reaching and sudden maximal effort. Scand. J. Rehab. Med., 1973, 5 (4), 186–190.
9.
ManningD. P.MitchellR. G.BlanchifieldL. P.Body movements and events contributing to accidental and non-accidental back injuries. Spine, 1984, 9 (7), 734–739.
10.
ACGIH Whole-body vibration TLV. In American Conference of Governmental Industrial Hygienists 1995–1996 Threshold Limit Values (TLVs) for Chemical Substances and Physical Agents and Biological Exposure Indices (BEls), Cincinnati, Ohio, 1995, pp. 124–131.
11.
BackmanA. L.Health survey of professional drivers. Scand. J. Work Environ. Health, 1983, 9, 36–41.
12.
BarbasoE.Sull'incidenza delle alterazioni della colonna vertebrale nel personale viaggiante di una azienda autotranviaria. Med. Lavoro, 1958, 49, 630–634.
13.
BastekR.BuchholzC.DenisovElComparison of the effects of sinusoidal and stochastic octave-band-wide vibrations—a multi-disciplinary study. Part I: Experimental arrangement and physical aspects. Part II: Physiological aspects. Part III: Psychological investigations. Int. Arch. Occup. Environ. Health, 1977, 39, 143–179.
14.
ChristW.DupuisH.Uber die Beanspruchung die Wirbelsaule unter dem Einfluss sinusforminger und stochastischer Schwingungen. Int. Z. Angew. Physiol. Arbeitsphysiol., 1996, 22, 258–278.
15.
ChristW.Aufbaustorungen der Wirbelsaule bei den in der Landwirtschaft tatigen jugendlichen im Hinblick auf das Schlepperfahren. Grundl Landt, 1963, 13–15.
16.
CremonaE.Die Wirbelsaule bei den Schwerarbeitern der Eisen- und Stahlindustrie sowie des Bergbaus. Komm. Eur. Gem. Generaldir. Soz. Angelegenheiten Dok., 1972, Nr 1911/72.
17.
DieckmannD.A study of the influence of vibration on man. Ergonomics, 1958, 1, 347–355.
18.
DupuisH.ChristW.Uber das Schwingverhalten des Magens unter dem Einfluss sinusforminger und stochastischer Schwingungen. Int. Z. Angew. Physio. Arbeitsphysiol., 1996, 22, 149–166.
19.
DupuisH.ChristW.Untersuchung der Moglichkeit von Gesundheitsschadigungen im Bereich der Wirbelsaule bei Schlepperfahrern. Research report, Max-Planck-Institut für Landarbeit und Landtechnik, Bad Kreuznach, Germany, 1972.
20.
DupuisH.Belastung durch mechanische Schwingungen und mogliche Gesundheitsschaedigungen im Bereich der Wirbelsaule. Fortschr. der Medizin, 1974, 92 (14), 618–620.
21.
FerraioliA.NightingaleJ. M.A design of a vibrating platform and transmission of low frequency vertical vibrations of the seated man. Technica Italiana, 1979, 44 (3), 213–219.
22.
FishbeinW.SalterL. C.The relationship between truck and tractor driving and disorders of the spine and supporting structures. Indust. Med. Surg., 1950, 19, 444–445.
23.
FrymoyerJ. W.PopeM. H.ClementsJ. H.WilderD. G.MacPhersonB.AshikagaT.Risk factors in low back pain: An epidemiologic survey. J. Bone Jt Surg., 1983, 65A (2) 213–218.
24.
GoldmanD. E.von GierkeH. E.The effects of shock and vibration on man. Lecture and Review Series 60–3, Naval Medical Research Institute, Bethesda, Maryland, 8 January 1960, S3-W-3 (American National Standards Institute).
25.
GriffinM. J.Vertical vibration of seated subjects: Effects of posture, vibration level, and frequency. Aviation Space Environ. Med., 1975, 46 (3), 269–276.
26.
GuignardJ. C.IrvingA.Effects of low frequency vibration on man. Engineering (Lond.), 1960, 190, 364–367.
27.
HolmSNachemsonA.Nutrition of the intervertebral disc, effects induced by vibration. Presented at the International Society for the Study of the Lumbar Spine, Sydney, 14–18 April 1985;Orthop. Trans., 1985, 9 (3), 525.
28.
HornickR. J.BoettcherC. A.SimonsA. K.The effect of low frequency high amplitude, whole body, longitudinal and transverse vibration upon human performance. Final Report, Contract DA-11–022-509-ORD-3300, Ordinance Project TE1–1000, Bostrom Research Labs, Milwaukee, Wisconsin, 1961.
29.
HulshofC.Veldhuijzen van ZantenB.Whole-body vibration and low-back pain. A review of epidemiologic studies. Int. Arch. Occup. Environ. Health, 1987, 59, 205–220.
30.
ISO 2631 (E), 1978Guide for the Evaluation of Human Exposure to Whole Body Vibration (International Organization for Standardization).
31.
ISO 2631 (E), 1985Evaluation of Human Response to Whole Body Vibration, 1985 (International Organization for Standardization).
32.
KelseyJ. L.HardyR. J.Driving of motor vehicles as a risk factor for acute herniated lumbar intervertebral disc. Am. J. Epidem., 1975, 102 (1), 63–73.
33.
KohlU.Les dangers encourus par les conducteurs de tracteurs. Arch. Mal. Prof. Med. Trav. Secur. Soc., 1975, 36, 145–152.
34.
KohneG.ZerlettG.DuntzH.Ganzkorper-schwingungen auf Erdbaumaschinen. Humanisierung des Arbeitslebens, 1982, VDI Ber, 32, 1–366.
35.
KohneG.Die beim Betrrieb von Erdbaumaschinen auftretenden niederfreuenten mechnischen Ganzkorpersch-wingungen. Die ergonomischen und arbeitsmedizinischen Zusammenhange und die daraus sich ergebenden Folgerungen. Dissertation, RWTH, Aachen, 1981, pp. 1–190.
36.
KompierM.Arbeid en Gezondheid von Stadsbuschauffeurs. Doctoral thesis, University of Groningen, 1988.
37.
KubikS.Gesundheitliche Schaden bei Traktoristen. In Proceedings of International Congress on Occupational Health, Vienna, 1966, pp. 375–377.
38.
KunzF.MeyerH. R.Ruckenbeschwerden und Wirbelsaulenbefunde bei Fuhrem Schwerer Baumaschinen. Z. Unfallmed. Berufskr., 1969, 62, 178–189.
39.
LavaultP.Quelque aspects de la pathologie du rachis chez le conducteur de tracteur agricole. Concours Medical, 1962, 84, 5863–5875.
40.
MatthewsJ.Ride comfort for tractor operators II. Analysis of ride vibrations on pneumatic tyred tractors. J. Agric. Engng Res., 1964, 9 (2), 147–158.
41.
MullerE. A.Die Wirkung sinusformiger Vertical-schwingungen auf den sitzenden und stehenden Menschen. Arb. Physiol., 1939, 10, 459–476.
42.
PanjabiM. M.AnderssonG. B. J.JorneusL.HultE.MattsonL.in vivo measurement of spinal column vibrations.J. Bone Jt Surg., 1986, 68A (5), 695–703.
43.
PopeM. H.WilderD. G.FrymoyerJ. W.Vibration as an etiologic factor in low back pain. In Proceedings of IMechE Conference on Low Back Pain, 1980, paper C121/80 (Mechanical Engineering Publications, London).
44.
PopeM. H.WilderD. G.DonnermeyerD. D.Muscle fatigue in static and vibrational seating environments. In AGARD Conference Proceedings, Italy, (1985, p. 378.
45.
PopeM. H.SvenssonM.BromanH.AnderssonG. B. J.Mounting of the transducer in measurements of sequential motion of the spine. J. Biomechanics, 1986, 19 (8), 675–677.
46.
PopeM. H.WilderD. G.JorneusL.BromanH.SvenssonM.AnderssonG. B. J.The response of the seated human to sinusoidal vibration and impact. J. Biomech. Engng, 1987, 109, 279–284.
47.
PopeM. H.BromanH.HanssonT.The dynamic response of a subject seated on various cushions. Ergon., 1989, 32 (10), 1155–1166.
48.
PopeM. H.BromanH.HanssonT.The impact response of the standing subject—a feasibility study. Clin. Biomech., 1989, 4 (4), 195–200.
49.
PopeM. H.BromanH.HanssonT.Factors affecting the dynamic response of the seated subject. J. Spinal Disorders, 1990, 3 (2), 135–142.
50.
RadkeA. O.The application of human engineering data to vehicular seat design. Bostrom Research Labs Report 117, Milwaukee, Wisconsin, 1956.
RadkeA. O.The importance of seating in driver comfort and performance. Society of Automotive Engineers paper 838B, 1964.
53.
RadkeA. O.International view of tractor seating. Society of Automotive Engineers paper 730794, 1973.
54.
RoseggerR.RoseggerS.Arbeitsmedizinische Erkenntnisse beim Schlepperfahrern. Arch Landtechn., 1966, 2, 3–65.
55.
RoseggerR.über vorzeitige Aufbraucherscheinungen der Wirbelsaule bei Schlepperfahrern und ihre mögliche Abhangigkeit von Erschutterungen. Dissertation, University of Erlangen, 1966.
56.
RoseggerS.Vorzeitige Aufbraucherscheinungen bei Kraftfahrern. Z. Ortho. Grenzgeb., 1970, 108, 510–516.
57.
SchmidtU.Vergleichende Untersuchungen an Schwerlastwagenfahrern und Büroangestellten zur Frage der berufsbedingen Verschleibschaden an der Wirbelsaule und den Gelenken der oberen Extremitaten. Dissertation, Humboldt-University, Berlin, Germany, 1969.
58.
SchultzK. J.PolsterJ.Berufsbedingte Wirbelsaulenschaden bei Traktoristen und Landwirten. Beitr. Ortho. Traum., 1979, 26, 356–362.
59.
SeidelH.BastekR.BrauerD.BuchholzC. H.MeisterA.MetzA. M.RotheR.On human response to prolonged repeated whole-body vibration. Ergon., 1980, 23 (3), 191–211.
60.
SeroussiR. E.WilderD. G.PopeM.H.Trunk muscle electromyography and whole body vibration. J. Biomechanics, 1989, 22 (3), 219–229.
SjoflotL.SuggsC. W.Human reactions to whole-body transverse angular vibrations compared to linear vertical vibrations. Ergon., 1973, 16, 455–468.
63.
SpearR. C.KellerC. A.Morbidity studies of workers exposed to whole body vibration. Arch. Environ. Health, 1976, 167, 141–145.
64.
WilderD. G.WoodworthB. B.FrymoyerJ. W.PopeM. H.Vibration and the human spine. Spine, 1982, 7 (3), 243–254.
65.
WilderD. G.FrymoyerJ. W.PopeM. H.The effect of vibration on the spine of the seated individual. Automedica, 1985, 6, 5–35.
66.
WilderD. G.PopeM. H.Epidemiologic and etiologic aspects of low back pain in vibration environments—an update. Clin. Biomech., 1996, 11 (2), 61–73.
67.
HeliövaaraM.Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J. Chron. Dis., 1987, 3, 259–264.
68.
BattiéM. C.BigosS. J.FisherL. D.HanssonT. H.NachemsonA. L.SpenglerD. M.WortleyM. D.ZehJ.A prospective study of the role of cardiovascular risk factors and fitness in industrial back pain complaints. Spine, 1989, 14 (2), 141–147.
69.
KarasekR.GardellB.LindellJ.Work and non-work correlates of illness and behaviour in male and female Swedish white collar workers. J. Occup. Behav., 1987, 8, 187–207.
70.
WilderD. G.MagnussonM.FenwickJ.PopeM. H.The effect of posture and seat suspension design on discomfort and back muscle fatigue during simulated truck driving. Appl. Ergon., 1994, 25 (2), 66–76.
71.
DeVriesH. A.Method for evaluating muscle fatigue and endurance from electromyographic fatigue curves. Am. J. Phys. Med., 1968, 47, 125–135.
72.
KadeforsR.KaiserE.PetersenI.Dynamic spectrum analysis of myo-potentials with special reference to muscle fatigue. Electromyography, 1968, 8, 39–74.
73.
LippoldO. C. J.RedfearnJ. W.T.VucoJ.The electromyography of fatigue. Ergonomics, 1960, 3, 121–131.
74.
ChaffinD. B.Localized muscle fatigue—definition and measurement. J. Occup. Med., 1973, 15, 346–354.
75.
HagbergM.Electromyographic signs of shoulder muscular fatigue in two elevated arm positions. Am. J. Phys. Med., 1981, 60, 111–121.
76.
HagbergM.Muscular endurance and surface electromyogram in isometric and dynamic exercise. Am. Physiol. Soc., 1981, 1–7.
77.
KomiP. V.TeschP.EMG frequency spectrum, muscle structure and fatigue during dynamic contractions in man. Eur. J. Appl. Physiol. Occup. Physiol., 1979, 42, 41–50.
78.
MagnussonM.HanssonT.BromanH.Back muscle fatigue and whole body vibrations. Orthop. Trans., 1988, 12 (3), 598.
79.
EklundJ.CorlettN.Shrinkage as a measure of the effect of load on the spine. Spine, 1984, 9, 189–194.
80.
MagnussonM.AlmquistM.BromanH.PopeM. H.HanssonT.Measurement of height loss during whole body vibration. J. Spinal Disorders, 1992, 5 (2), 198–203.
81.
MagnussonM.PopeM. H.HanssonT.The effect of seat back inclination on spine height changes. Appl. Erg., 1994, 25 (4), 294–298.
82.
ReillyT.TyrrellA.TroupJ. D. G.Circadian variation in human stature. Chronobiol. Int., 1984, 2, 121–126.
83.
WilderD. G.AleksievA. R.MagnussonM.PopeM. H.SprattK.GoelV. K.Muscular response to sudden load: A tool to evaluate fatigue and rehabilitation. Spine, 1996, 21 (22), 2628–2639.
84.
WilderD. G.MagnussonM. L.PopeM. H.RostedtM.HanssonT.Lumbar musculature response to unexpected load in chronic low back pain patients. International Society for the Study of the Lumbar Spine, Helsinki, 18–22 June 1995.
85.
DePukyP.The physiological oscillation of the length of the body. Acta. Orthop. Scand., 1935, 6, 338–347.
86.
KragM. H.CohenM. C.HaughL. D.PopeM. H.Body height changes during upright and recumbent posture. Spine, 1990, 15 (3), 202–207.
87.
TyrrellA. R.ReillyT.TroupJ. D. G.Circadian variation in stature and the effects of spinal loading. Spine, 1985, 10, 161–164.
88.
AnderssonG. B.Epidemiologic aspects on low-back pain in industry. Spine, 1981, 6 (1), 53–60.
