Vol 7, No 4 (2022)
Research paper
Published online: 2022-11-07

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Spinal pain syndrome incidence among paramedics in emergency response teams

Agnieszka Gonczaryk1, Jaroslaw Piotr Chmielewski2, Agnieszka Strzelecka3, Jaroslaw Fiks4, Tomasz Wojcik3, Magdalena Florek-Luszczki5
Disaster Emerg Med J 2022;7(4):215-224.

Abstract

INTRODUCTION: Spinal pain syndrome is a condition people of different ages suffer from. Its incidence is determined by many factors: age, gender, genetic disposition, lifestyle, the type and characteristics of one’s occupation, years of work experience. Paramedics are particularly vulnerable to musculoskeletal ailments, due to the professional activities carried out at work: lifting, moving, and carrying patients or medical equip­ment, crossing architectural barriers, forced posture during work, standing, walking, and sitting for long periods. The study aimed to indicate the effect of professional work on the incidence of spinal pain syndrome in paramedics working in mobile Emergency Response Teams.

MATERIAL AND METHODS: The research took place between May and September 2019, using diagnostic survey methodology on 238 (223 male, 15 female) paramedics in mobile Emergency Response Teams (ERT) operating in the Masovian voivodship. The mean age was 39.03 ± 9.27 years for males, 31.93 ± 7.76 years for females. The research tool was a self-developed questionnaire.

RESULTS: All participants (100%) suffered from spinal pain syndrome. A majority of the participants (98; 41.18%) reported pain being located in the lumbar area and being related to lifting, moving and carrying patients in teams (149; 62.60%).

CONCLUSIONS: Spinal pain syndrome is a widespread phenomenon among ERT paramedics. The incidence and nature of lumbar area pain are strictly related to the type of work paramedics do. Applying rules of work ergonomics and using aid affects incidence and decreases the frequency of SPS.

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References

  1. Akkarakittichoke N, Waongenngarm P, Janwantanakul P. The effects of active break and postural shift interventions on recovery from and recurrence of neck and low back pain in office workers: A 3-arm cluster-randomized controlled trial. Musculoskelet Sci Pract. 2021; 56: 102451.
  2. Mroczek B, Łubkowska W, Jarno W, et al. Occurrence and impact of back pain on the quality of life of healthcare workers. Ann Agric Environ Med. 2020; 27(1): 36–42.
  3. Chmielewski J, Dziechciaż M, Czarny-Działak M, et al. Environmental health threats in the work process [in Polish]. Environ Med. 2017; 20(2): 52–61.
  4. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001; 344(5): 363–370.
  5. Cohen SP, Rowlingson J, Abdi S. Low back pain. In: Warfield CA, Bajwa ZH. ed. Principles and Practice of Pain Medicine. McGraw-Hill, New York 2004: 273–282.
  6. Milanow I. Back pain. Pediatr Med Rodz. 2014; 10(3): 253–264.
  7. Juraszek K, Hagner-Derengowska M, Hoffmann M, et al. The impact of work on the occurrence of back pains on the example of nurses in the Kujawsko-Pomorskie voievodeship [in Polish]. Journal of Education, Health and Sport. 2016; 6(8): 504–521.
  8. Szpala M, Skorupińska A, Kostorz K. Occurrence of back pain – causes and treatment [in Polish]. Pomeranian J Life Sci. 2017; 63(3): 41–47.
  9. Kowalczyk M, Zgorzalewicz-Stachowiak M, Duchniak M, et al. Estimation of work-related back pain syndrome in emergency medical services personnel. Med Og Nauk Zdr. 2020; 26(1): 66–71.
  10. Jones AYM, Lee RYW. Cardiopulmonary resuscitation and back injury in ambulance officers. Int Arch Occup Environ Health. 2005; 78(4): 332–336.
  11. Knezevic N, Candido K, Vlaeyen J, et al. Low back pain. Lancet. 2021; 398(10294): 78–92.
  12. Urits I, Burshtein A, Sharma M, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain Headache Rep. 2019; 23(3): 23.
  13. Schwill C. [Back pain in the primary care setting: Specific back pain]. Internist (Berl). 2021; 62(1): 34–46.
  14. Ali M, Ahsan GU, Hossain A, et al. Prevalence and associated occupational factors of low back pain among the bank employees in Dhaka City. J Occup Health. 2020; 62(1): e12131.
  15. Hossain MD, Aftab A, Al Imam MH, et al. Prevalence of work related musculoskeletal disorders (WMSDs) and ergonomic risk assessment among readymade garment workers of Bangladesh: A cross sectional study. PLoS One. 2018; 13(7): e0200122.
  16. Welk B, Baverstock R. Is there a link between back pain and urinary symptoms? Neurourol Urodyn. 2020; 39(2): 523–532.
  17. Amiri S, Behnezhad S, Azad E. Back pain and depressive symptoms: a systematic review and meta-analysis. Int J Psychiatry Med. 2020 [Epub ahead of print]: 91217420913001.
  18. Hartvigsen J, Hancock MJ, Kongsted A, et al. Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018; 391(10137): 2356–2367.
  19. European Agency for Safety and Health at Work. Musculoskeletal disorders in the healthcare sector. https://osha.europa.eu/en/publications/musculoskeletal-disorders-healthcare-sector/view (25.04.2022).
  20. Ciura B, Klimek-Piskorz E. Lumbar spine pains experienced by paramedics [in Polish]. Aktywność Fizyczna i Zdrowie. 2021; 16: 19–24.
  21. World Medical Association. World Medical Association Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013; 310(20): 2191–2194.
  22. Stewart Williams J, Ng N, Peltzer K, et al. Risk factors and disability associated with low back pain in older adults in low- and middle-income countries. Results from the WHO study on global ageing and adult health (SAGE). PLoS One. 2015; 10(6): e0127880.
  23. Grabska E, Brzęk A, Knapik A, et al. The occurrence of back pain in young paramedics. Ann Acad Med Siles. 2016; 70: 291–297.
  24. Mekonnen TH. Work-related factors associated with low back pain among nurse professionals in east and west wollega zones, western ethiopia, 2017: a cross-sectional study. Pain Ther. 2019; 8(2): 239–247.
  25. Arial M, Benoît D, Wild P. Exploring implicit preventive strategies in prehospital emergency workers: a novel approach for preventing back problems. Appl Ergon. 2014; 45(4): 1003–1009.
  26. Kulczycka K, Grzegorczyk-Puzio E, Stychno E, et al. Wpływ pracy na samopoczucie ratowników medycznych. Med Og Nauk Zdr. 2016; 22(1): 66–71.
  27. Rahimi A, Vazini H, Alhani F, et al. Relationship Between Low Back Pain With Quality of Life, Depression, Anxiety and Stress Among Emergency Medical Technicians. Trauma Mon. 2015; 20(2): e18686.
  28. Jones AYM, Lee RYW. Cardiopulmonary resuscitation and back injury in ambulance officers. Int Arch Occup Environ Health. 2005; 78(4): 332–336.