Trauma Monthly

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Prevalence of Low Back Pain Among Nurses: Predisposing Factors and Role of Work Place Violence

Maryam Rezaee 1 and Mohammad Ghasemi 2 , *
Authors Information
1 Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
2 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
Article information
  • Trauma Monthly: November 30, 2014, 19 (4); e17926
  • Published Online: September 17, 2014
  • Article Type: Research Article
  • Received: January 29, 2014
  • Revised: February 19, 2014
  • Accepted: May 3, 2014
  • DOI: 10.5812/traumamon.17926

To Cite: Rezaee M, Ghasemi M. Prevalence of Low Back Pain Among Nurses: Predisposing Factors and Role of Work Place Violence, Trauma Mon. 2014 ; 19(4):e17926. doi: 10.5812/traumamon.17926.

Copyright © 2014, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Materials and Methods
4. Results
5. Discussion
  • 1. Gropelli T, Corle K. Assessment of nurses' and therapists' occupational musculoskeletal injuries. Medsurg Nurs. 2011; 20(6): 297-303[PubMed]
  • 2. Aiken LH, Sloane DM, Klocinski JL. Hospital nurses' occupational exposure to blood: prospective, retrospective, and institutional reports. Am J Public Health. 1997; 87(1): 103-7[PubMed]
  • 3. McNeely E. The consequences of job stress for nurses' health: time for a check-up. Nurs Outlook. 2005; 53(6): 291-9[DOI][PubMed]
  • 4. Lipscomb J, Trinkoff A, Brady B, Geiger-Brown J. Health care system changes and reported musculoskeletal disorders among registered nurses. Am J Public Health. 2004; 94(8): 1431-5[PubMed]
  • 5. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004; 14(1): 13-23[DOI][PubMed]
  • 6. Riihimaki H. Hands up or back to work--future challenges in epidemiologic research on musculoskeletal diseases. Scand J Work Environ Health. 1995; 21(6): 401-3[PubMed]
  • 7. Leijon M, Hensing G, Alexanderson K. Gender trends in sick-listing with musculoskeletal symptoms in a Swedish county during a period of rapid increase in sickness absence. Scand J Soc Med. 1998; 26(3): 204-13[PubMed]
  • 8. Badley EM, Rasooly I, Webster GK. Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability, and health care utilization: findings from the 1990 Ontario Health Survey. J Rheumatol. 1994; 21(3): 505-14[PubMed]
  • 9. Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995; 52(3): 160-3[PubMed]
  • 10. Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health. 2004; 12(6): 241-5[DOI][PubMed]
  • 11. Waddell G, Burton AK. Occupational health guidelines for the management of low back pain at work: evidence review. Occup Med (Lond). 2001; 51(2): 124-35[PubMed]
  • 12. Josephson M, Lagerstrom M, Hagberg M, Wigaeus Hjelm E. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period. Occup Environ Med. 1997; 54(9): 681-5[PubMed]
  • 13. Mohseni-Bandpei MA, Fakhri M, Bagheri-Nesami M, Ahmad-Shirvani M, Khalilian AR, Shayesteh-Azar M. Occupational back pain in Iranian nurses: an epidemiological study. Br J Nurs. 2006; 15(17): 914-7[PubMed]
  • 14. Rezaee M, Ghasemi M, Jonaidi Jafari N, Izadi M. Low Back Pain and Related Factors among Iranian Office Workers. Int J Occup Hyg. 2011; 3(1): 23-8
  • 15. da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010; 53(3): 285-323[DOI][PubMed]
  • 16. Freimann T, Coggon D, Merisalu E, Animagi L, Paasuke M. Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross-sectional study. BMC Musculoskelet Disord. 2013; 14: 334[DOI][PubMed]
  • 17. Harber P, Billet E, Gutowski M, SooHoo K, Lew M, Roman A. Occupational low-back pain in hospital nurses. J Occup Med. 1985; 27(7): 518-24[PubMed]
  • 18. Pillastrini P, Bonfiglioli R, Banchelli F, Capra F, Resende Fde L, Villafane JH, et al. The effect of a multimodal group programme in hospital workers with persistent low back pain: a prospective observational study. Med Lav. 2013; 104(5): 380-92[PubMed]
  • 19. de Castro AB, Cabrera SL, Gee GC, Fujishiro K, Tagalog EA. Occupational health and safety issues among nurses in the Philippines. AAOHN J. 2009; 57(4): 149-57[PubMed]
  • 20. Kamchuchat C, Chongsuvivatwong V, Oncheunjit S, Yip TW, Sangthong R. Workplace violence directed at nursing staff at a general hospital in southern Thailand. J Occup Health. 2008; 50(2): 201-7[PubMed]
  • 21. May DD, Grubbs LM. The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. J Emerg Nurs. 2002; 28(1): 11-7[PubMed]
  • 22. Chen WC, Sun YH, Lan TH, Chiu HJ. Incidence and risk factors of workplace violence on nursing staffs caring for chronic psychiatric patients in taiwan. Int J Environ Res Public Health. 2009; 6(11): 2812-21[DOI][PubMed]
  • 23. Fernandes CM, Bouthillette F, Raboud JM, Bullock L, Moore CF, Christenson JM, et al. Violence in the emergency department: a survey of health care workers. CMAJ. 1999; 161(10): 1245-8[PubMed]
  • 24. Winstanley S, Whittington R. Violence in a general hospital: comparison of assailant and other assault-related factors on accident and emergency and inpatient wards. Acta Psychiatr Scand Suppl. 2002; (412): 144-7[PubMed]
  • 25. Ghasemi M, Rezaee M, Jafari NJ, Ashtiani AF, Izadi M, Ranjbar R. Physical Violence against Nurses in Hospital. Int J Occup Hyg. 2009; 1(1): 41-5
  • 26. Teymoorzadeh E, Rashidian A, Arab M, Akbari Sari A, Ghasemi M. Exposure to psychological violence among the nursing staff in a large teaching hospital in Tehran. J School Public Health Institute Public Health Res. 2009; 7(2): 41-9
  • 27. Miranda H, Punnett L, Gore R, Boyer J. Violence at the workplace increases the risk of musculoskeletal pain among nursing home workers. Occup Environ Med. 2011; 68(1): 52-7[DOI][PubMed]
  • 28. Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses' aides. Occup Environ Med. 2004; 61(5): 398-404[PubMed]
  • 29. Tinubu BM, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet Disord. 2010; 11: 12[DOI][PubMed]
  • 30. Coggon D. Occupational medicine at a turning point. Occup Environ Med. 2005; 62(5): 281-3[DOI][PubMed]
  • 31. Fayard GM. Work-related fatal injuries in parking lots, 1993-2002. J Safety Res. 2008; 39(1): 9-18[DOI][PubMed]
  • 32. Fujita S, Ito S, Seto K, Kitazawa T, Matsumoto K, Hasegawa T. Risk factors of workplace violence at hospitals in Japan. J Hosp Med. 2012; 7(2): 79-84[DOI][PubMed]
  • 33. Gates DM, Ross CS, McQueen L. Violence against emergency department workers. J Emerg Med. 2006; 31(3): 331-7[DOI][PubMed]
  • 34. Kansagra SM, Rao SR, Sullivan AF, Gordon JA, Magid DJ, Kaushal R, et al. A survey of workplace violence across 65 U.S. emergency departments. Acad Emerg Med. 2008; 15(12): 1268-74[DOI][PubMed]
  • 35. Alexy EM, Hutchins JA. Workplace violence: a primer for critical care nurses. Crit Care Nurs Clin North Am. 2006; 18(3): 305-12[DOI][PubMed]
  • 36. Yang LQ, Spector PE, Chang CH, Gallant-Roman M, Powell J. Psychosocial precursors and physical consequences of workplace violence towards nurses: a longitudinal examination with naturally occurring groups in hospital settings. Int J Nurs Stud. 2012; 49(9): 1091-102[DOI][PubMed]
  • 37. Jensen JN, Holtermann A, Clausen T, Mortensen OS, Carneiro IG, Andersen LL. The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load? BMC Musculoskelet Disord. 2012; 13: 87[DOI][PubMed]
  • 38. Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health. 1999; 25(5): 387-403[PubMed]
  • 39. Cato C, Olson DK, Studer M. Incidence, prevalence, and variables associated with low back pain in staff nurses. AAOHN J. 1989; 37(8): 321-7[PubMed]
  • 40. Yassi A, Lockhart K. Work-relatedness of low back pain in nursing personnel: a systematic review. Int J Occup Environ Health. 2013; 19(3): 223-44[DOI][PubMed]
  • 41. Holmstrom E, Moritz U. Low back pain--correspondence between questionnaire, interview and clinical examination. Scand J Rehabil Med. 1991; 23(3): 119-25[PubMed]
  • 42. Walsh K, Coggon D. Reproducibility of histories of low-back pain obtained by self-administered questionnaire. Spine (Phila Pa 1976). 1991; 16(9): 1075-7[PubMed]
  • 43. Adams MA, Mannion AF, Dolan P. Personal risk factors for first-time low back pain. Spine (Phila Pa 1976). 1999; 24(23): 2497-505[PubMed]
  • 44. Bejia I, Younes M, Jamila HB, Khalfallah T, Ben Salem K, Touzi M, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005; 72(3): 254-9[DOI][PubMed]
  • 45. Parkes KR. Locus of control as moderator: an explanation for additive versus interactive findings in the demand-discretion model of work stress? Br J Psychol. 1991; 82 ( Pt 3): 291-312[PubMed]
  • 46. Vahtera J, Kivimaki M, Uutela A, Pentti J. Hostility and ill health: role of psychosocial resources in two contexts of working life. J Psychosom Res. 2000; 48(1): 89-98[PubMed]
  • 47. Stilwell B, Diallo K, Zurn P, Vujicic M, Adams O, Dal Poz M. Migration of health-care workers from developing countries: strategic approaches to its management. Bull World Health Organ. 2004; 82(8): 595-600[PubMed]
  • 48. Pang T, Lansang MA, Haines A. Brain drain and health professionals. BMJ. 2002; 324(7336): 499-500[PubMed]
  • 49. Smith DR, Mihashi M, Adachi Y, Koga H, Ishitake T. A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. J Safety Res. 2006; 37(2): 195-200[DOI][PubMed]
  • 50. Harcombe H, McBride D, Derrett S, Gray A. Physical and psychosocial risk factors for musculoskeletal disorders in New Zealand nurses, postal workers and office workers. Inj Prev. 2010; 16(2): 96-100[DOI][PubMed]
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