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Erschienen in: Wiener Medizinische Wochenschrift 1-2/2016

01.02.2016 | main topic

Preventive aspectsregarding back pain

verfasst von: Assoc.-Prof. Priv.-Doz. Dr. med univ. Thomas E. Dorner, MPH, Richard Crevenna

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 1-2/2016

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Summary

Prevention, as the act of keeping from happening, aims to avert things that would occur if no intervention would be taken. From the epidemiology of back pain, consequences of the disease that are worth preventing can be derived. Biological, psychological, and social factors lead to back pain and chronification and ultimately to various adverse outcomes. The most important preventable consequences of back pain include loss of ability to function in daily life, loss of work productivity, sickness absence, and disability pension, excessive and inappropriate healthcare utilisation, impairments in quality of life, and disturbance of sexual life. The most important tools for prevention of back pain lie within rehabilitation after acute pain treatment and include exercise and physical training as well as health education and increasing health literacy. The bio-psycho-social nature of back pain must be taken into account in all preventive measures.
Literatur
1.
Zurück zum Zitat Dorner TE, Rieder A. Gesundheitsförderung und Prävention. In: Wittmann K, Schoberberger R, editors. Der Mensch in Umwelt, Familie und Gesellschaft. Wien: Facultas; 2014. pp. 197–202. Dorner TE, Rieder A. Gesundheitsförderung und Prävention. In: Wittmann K, Schoberberger R, editors. Der Mensch in Umwelt, Familie und Gesellschaft. Wien: Facultas; 2014. pp. 197–202.
2.
Zurück zum Zitat Burton AK, Balague F, Cardon G, et al. Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(Suppl 2):S136–68.PubMedCentralCrossRefPubMed Burton AK, Balague F, Cardon G, et al. Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(Suppl 2):S136–68.PubMedCentralCrossRefPubMed
3.
Zurück zum Zitat Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64:2028–37.CrossRefPubMed Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64:2028–37.CrossRefPubMed
4.
Zurück zum Zitat Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287–333.CrossRefPubMed Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287–333.CrossRefPubMed
5.
Zurück zum Zitat Klimont J, Kytir J, Leitner B. Österreichische Gesundheitsbefragung 2006/2007. Hauptergebnisse und methodischze Dokumentation. Wien: Statistik Austria im Auftrag von Bundesministerium für Gesundheit, Familie und Jugend; 2007. Klimont J, Kytir J, Leitner B. Österreichische Gesundheitsbefragung 2006/2007. Hauptergebnisse und methodischze Dokumentation. Wien: Statistik Austria im Auftrag von Bundesministerium für Gesundheit, Familie und Jugend; 2007.
6.
Zurück zum Zitat Grossschadl F, Freidl W, Rasky E, Burkert N, Muckenhuber J, Stronegger WJ. A 35-year trend analysis for back pain in Austria: the role of obesity. PLoS One. 2014;9:e107436.PubMedCentralCrossRefPubMed Grossschadl F, Freidl W, Rasky E, Burkert N, Muckenhuber J, Stronegger WJ. A 35-year trend analysis for back pain in Austria: the role of obesity. PLoS One. 2014;9:e107436.PubMedCentralCrossRefPubMed
8.
Zurück zum Zitat Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between obesity and low back pain: a meta-analysis. Am J Epidemiol. 2010;171:135–54.CrossRefPubMed Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between obesity and low back pain: a meta-analysis. Am J Epidemiol. 2010;171:135–54.CrossRefPubMed
9.
Zurück zum Zitat Denkinger MD, Lukas A, Nikolaus T, Peter R, Franke S. Multisite pain, pain frequency and pain severity are associated with depression in older adults: results from the ActiFE Ulm study. Age Ageing. 2014;43:510–4.CrossRefPubMed Denkinger MD, Lukas A, Nikolaus T, Peter R, Franke S. Multisite pain, pain frequency and pain severity are associated with depression in older adults: results from the ActiFE Ulm study. Age Ageing. 2014;43:510–4.CrossRefPubMed
10.
Zurück zum Zitat Reichborn-Kjennerud T, Stoltenberg C, Tambs K, et al. Back-neck pain and symptoms of anxiety and depression: a population-based twin study. Psychol Med. 2002;32:1009–20.CrossRefPubMed Reichborn-Kjennerud T, Stoltenberg C, Tambs K, et al. Back-neck pain and symptoms of anxiety and depression: a population-based twin study. Psychol Med. 2002;32:1009–20.CrossRefPubMed
11.
Zurück zum Zitat Hilderink PH, Burger H, Deeg DJ, Beekman AT, Oude Voshaar RC. The temporal relation between pain and depression: results from the longitudinal aging study Amsterdam. Psychosom Med. 2012;74:945–51.CrossRefPubMed Hilderink PH, Burger H, Deeg DJ, Beekman AT, Oude Voshaar RC. The temporal relation between pain and depression: results from the longitudinal aging study Amsterdam. Psychosom Med. 2012;74:945–51.CrossRefPubMed
12.
Zurück zum Zitat Gerrits MM, van Oppen P, van Marwijk HW, Penninx BW, van der Horst HE. Pain and the onset of depressive and anxiety disorders. Pain. 2014;155:53–9.CrossRefPubMed Gerrits MM, van Oppen P, van Marwijk HW, Penninx BW, van der Horst HE. Pain and the onset of depressive and anxiety disorders. Pain. 2014;155:53–9.CrossRefPubMed
13.
Zurück zum Zitat Xanthos DN, Sandkuhler J. Neurogenic neuroinflammation: inflammatory CNS reactions in response to neuronal activity. Nat Rev Neurosci. 2014;15:43–53.CrossRefPubMed Xanthos DN, Sandkuhler J. Neurogenic neuroinflammation: inflammatory CNS reactions in response to neuronal activity. Nat Rev Neurosci. 2014;15:43–53.CrossRefPubMed
14.
Zurück zum Zitat Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000;25:1148–56.CrossRef Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000;25:1148–56.CrossRef
15.
Zurück zum Zitat Dorner TE, Muckenhuber J, Stronegger WJ, Rasky E, Gustorff B, Freidl W. The impact of socio-economic status on pain and the perception of disability due to pain. Eur J Pain. 2011;15:103–9.CrossRefPubMed Dorner TE, Muckenhuber J, Stronegger WJ, Rasky E, Gustorff B, Freidl W. The impact of socio-economic status on pain and the perception of disability due to pain. Eur J Pain. 2011;15:103–9.CrossRefPubMed
17.
Zurück zum Zitat Saastamoinen P, Leino-Arjas P, Laaksonen M, Lahelma E. Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees. Pain. 2005;114:364–71.CrossRefPubMed Saastamoinen P, Leino-Arjas P, Laaksonen M, Lahelma E. Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees. Pain. 2005;114:364–71.CrossRefPubMed
18.
Zurück zum Zitat Dorner TE, Stronegger WJ, Rebhandl E, Rieder A, Freidl W. The relationship between various psychosocial factors and physical symptoms reported during primary-care health examinations. Wien Klin Wochenschr. 2010;122:103–9.CrossRefPubMed Dorner TE, Stronegger WJ, Rebhandl E, Rieder A, Freidl W. The relationship between various psychosocial factors and physical symptoms reported during primary-care health examinations. Wien Klin Wochenschr. 2010;122:103–9.CrossRefPubMed
19.
Zurück zum Zitat Stamm TA, Pieber K, Blasche G, Dorner TE. Health care utilisation in subjects with osteoarthritis, chronic back pain and osteoporosis aged 65 years and more: mediating effects of limitations in activities of daily living, pain intensity and mental diseases. Wien Med Wochenschr. 2014;164:160–6.CrossRefPubMed Stamm TA, Pieber K, Blasche G, Dorner TE. Health care utilisation in subjects with osteoarthritis, chronic back pain and osteoporosis aged 65 years and more: mediating effects of limitations in activities of daily living, pain intensity and mental diseases. Wien Med Wochenschr. 2014;164:160–6.CrossRefPubMed
20.
Zurück zum Zitat Froud R, Patterson S, Eldridge S, et al. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014;15:50.PubMedCentralCrossRefPubMed Froud R, Patterson S, Eldridge S, et al. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014;15:50.PubMedCentralCrossRefPubMed
21.
Zurück zum Zitat Gustorff B, Dorner T, Likar R, et al. Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey. Acta Anaesthesiol Scand. 2008;52:132–6.CrossRefPubMed Gustorff B, Dorner T, Likar R, et al. Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey. Acta Anaesthesiol Scand. 2008;52:132–6.CrossRefPubMed
22.
Zurück zum Zitat Pieber K, Stein KV, Herceg M, Rieder A, Fialka-Moser V, Dorner TE. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44:658–63.CrossRefPubMed Pieber K, Stein KV, Herceg M, Rieder A, Fialka-Moser V, Dorner TE. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44:658–63.CrossRefPubMed
23.
Zurück zum Zitat Stein KV, Dorner TE, Ilias W, Rieder A. Chronic pain patients and their expectations towards physician care. Results from the Austrian patient report. Schmerz. 2010;24:468–73.CrossRefPubMed Stein KV, Dorner TE, Ilias W, Rieder A. Chronic pain patients and their expectations towards physician care. Results from the Austrian patient report. Schmerz. 2010;24:468–73.CrossRefPubMed
24.
Zurück zum Zitat Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8:8–20.CrossRefPubMed Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8:8–20.CrossRefPubMed
25.
Zurück zum Zitat Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–54.CrossRefPubMed Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–54.CrossRefPubMed
26.
Zurück zum Zitat Wenig CM, Schmidt CO, Kohlmann T, Schweikert B. Costs of back pain in Germany. Eur J Pain. 2009;13:280–6.CrossRefPubMed Wenig CM, Schmidt CO, Kohlmann T, Schweikert B. Costs of back pain in Germany. Eur J Pain. 2009;13:280–6.CrossRefPubMed
27.
Zurück zum Zitat Pieber K, Stamm TA, Hoffmann K, Dorner TE. Synergistic effect of pain and deficits in ADL towards general practitioner visits. Fam Pract. 2015;32:426–30.PubMed Pieber K, Stamm TA, Hoffmann K, Dorner TE. Synergistic effect of pain and deficits in ADL towards general practitioner visits. Fam Pract. 2015;32:426–30.PubMed
28.
Zurück zum Zitat Hoffmann K, Peersman W, George A, Dorner TE. Associations and synergistic effects for psychological distress and chronic back pain on the utilization of different Levels of ambulatory health care. A cross-sectional study from Austria. PLoS One. 2015;10:e0134136.PubMedCentralCrossRefPubMed Hoffmann K, Peersman W, George A, Dorner TE. Associations and synergistic effects for psychological distress and chronic back pain on the utilization of different Levels of ambulatory health care. A cross-sectional study from Austria. PLoS One. 2015;10:e0134136.PubMedCentralCrossRefPubMed
29.
Zurück zum Zitat Austria S. Statistisches Jahrbuch Österreichs. Wien: Statistik Austria; 2015. Austria S. Statistisches Jahrbuch Österreichs. Wien: Statistik Austria; 2015.
30.
Zurück zum Zitat Dorner TE, Alexanderson K, Svedberg P, Ropponen A, Stein KV, Mittendorfer-Rutz E. Sickness absence due to back pain or depressive episode and the risk of all-cause and diagnosis-specific disability pension: a Swedish cohort study of 4,823,069 individuals. Eur J Pain. 2015;19:1308–20.CrossRefPubMed Dorner TE, Alexanderson K, Svedberg P, Ropponen A, Stein KV, Mittendorfer-Rutz E. Sickness absence due to back pain or depressive episode and the risk of all-cause and diagnosis-specific disability pension: a Swedish cohort study of 4,823,069 individuals. Eur J Pain. 2015;19:1308–20.CrossRefPubMed
31.
Zurück zum Zitat Choi BK, Verbeek JH, Tam WW, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev. 2010:CD006555. Choi BK, Verbeek JH, Tam WW, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev. 2010:CD006555.
32.
Zurück zum Zitat Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009;143:21–5.CrossRefPubMed Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009;143:21–5.CrossRefPubMed
33.
Zurück zum Zitat Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. Eur Spine J. 2011;20:826–45.PubMedCentralCrossRefPubMed Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. Eur Spine J. 2011;20:826–45.PubMedCentralCrossRefPubMed
34.
Zurück zum Zitat Titze S, Ring-Dimitriou S, Schober PH, et al. Österreichische Empfehlungen für gesundhetiswirksame Bewegung. Wien: Bundesministerium für Gesundheit, Gesundheit Österreich GmbH, Geschäftsbereich Fonds Gesundes Österreich; 2010. Titze S, Ring-Dimitriou S, Schober PH, et al. Österreichische Empfehlungen für gesundhetiswirksame Bewegung. Wien: Bundesministerium für Gesundheit, Gesundheit Österreich GmbH, Geschäftsbereich Fonds Gesundes Österreich; 2010.
35.
Zurück zum Zitat Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ. 2001;322:1516–20.PubMedCentralCrossRefPubMed Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ. 2001;322:1516–20.PubMedCentralCrossRefPubMed
36.
Zurück zum Zitat Köppen P, Dorner TE. Gesundheitskompetenz (Health Literacy) bei Patientinnen und Patienten mit chronischen Schmerzen in Österreich. In: Dorner TE, editor. Gesundheitsziele – der Weg als Ziel oder Wege zum Ziel? 17 Wissenschaftliche Tagung der Österreichischen Gesellschaft für Public Health. St. Pölten: Österreichische Gesellschaft für Public Health; 2014. Köppen P, Dorner TE. Gesundheitskompetenz (Health Literacy) bei Patientinnen und Patienten mit chronischen Schmerzen in Österreich. In: Dorner TE, editor. Gesundheitsziele – der Weg als Ziel oder Wege zum Ziel? 17 Wissenschaftliche Tagung der Österreichischen Gesellschaft für Public Health. St. Pölten: Österreichische Gesellschaft für Public Health; 2014.
37.
Zurück zum Zitat Sahar T, Cohen MJ, Uval-Ne’eman V, et al. Insoles for prevention and treatment of back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 2009;34:924–33.CrossRef Sahar T, Cohen MJ, Uval-Ne’eman V, et al. Insoles for prevention and treatment of back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 2009;34:924–33.CrossRef
38.
Zurück zum Zitat 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:CD001823. 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:CD001823.
39.
Zurück zum Zitat Roussel NA, Kos D, Demeure I, et al. Effect of a multidisciplinary program for the prevention of low back pain in hospital employees: a randomized controlled trial. J Back Musculoskelet Rehabil. 2015;28:539–49.CrossRefPubMed Roussel NA, Kos D, Demeure I, et al. Effect of a multidisciplinary program for the prevention of low back pain in hospital employees: a randomized controlled trial. J Back Musculoskelet Rehabil. 2015;28:539–49.CrossRefPubMed
40.
Zurück zum Zitat Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015;350:h444.PubMedCentralCrossRefPubMed Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015;350:h444.PubMedCentralCrossRefPubMed
Metadaten
Titel
Preventive aspectsregarding back pain
verfasst von
Assoc.-Prof. Priv.-Doz. Dr. med univ. Thomas E. Dorner, MPH
Richard Crevenna
Publikationsdatum
01.02.2016
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 1-2/2016
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-015-0413-2

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