Kim Peter, Hayden Jill A, Mior Silvano A
Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
J Can Chiropr Assoc. 2004 Mar;48(1):13-9.
Low Back Pain (LBP) is one of the most common causes of disability in the working population, and its impact on industry is enormous. The high financial costs of LBP and its apparent relationship with working conditions have led to efforts to prevent this condition. Several reviews have suggested that there is considerable potential for multimodal preventive interventions to cost-effectively reduce the overall burden of illness.
The objectives of this study were to assess the feasibility of implementing a multi-faceted back injury prevention program in the community, and to assess the effectiveness of this program.
A case study involving 92 firefighters from a suburb north of Toronto, Ontario, Canada.
A back education program, called the Back Informed Program, was conducted on-site by a trained chiropractor. It offered employees job-specific education, ergonomic advice, exercises and pain management, as well as hands-on practice sessions. Data on absenteeism due to back injury, and cost of lost work days due to back injury were collected between January 1995 and December 1996. Data were compared to a municipality that received no such program during the same time period. Secondary outcomes, including information attained among the workers were qualitatively assessed. Absenteeism and financial data were used to demonstrate the potential efficacy of such a program.
The results showed a significant decrease in the number of days lost due to back injuries in the year following implementation of the program. Upon implementation of the Back Informed program, there was a reduction of 72.4% in days lost reported over the two year period of program implementation. The rate of days lost per worker was 0.64 prior to program implementation and dropped to 0.13 two years later. This resulted in substantial cost-savings in both direct and indirect costs to the municipality.
This study suggests that a multi-faceted, occupation-specific back education program may help reduce back injuries and reduce injury-related costs.
腰痛（LBP）是劳动人口致残的最常见原因之一，对行业影响巨大。腰痛高昂的经济成本及其与工作条件的明显关联促使人们努力预防这种疾病。多项综述表明，多模式预防干预措施在经济有效地减轻总体疾病负担方面具有相当大的潜力。
本研究的目的是评估在社区实施多方面背部损伤预防计划的可行性，并评估该计划的有效性。
一项案例研究，涉及来自加拿大多伦多以北郊区的92名消防员。
由一名训练有素的脊椎按摩师在现场开展一项名为“背部知识计划”的背部教育计划。该计划为员工提供特定工作的教育、人体工程学建议、锻炼和疼痛管理，以及实践操作课程。收集了1995年1月至1996年12月期间因背部损伤导致的缺勤数据以及因背部损伤导致的工作日损失成本数据。将这些数据与同期未接受此类计划的一个市政当局的数据进行比较。对次要结果，包括从工人中获得的信息进行了定性评估。缺勤和财务数据用于证明此类计划的潜在效果。
结果显示，该计划实施后的一年中，因背部损伤导致的工作日损失数量显著减少。实施“背部知识计划”后，在计划实施的两年期间报告的工作日损失减少了72.4%。计划实施前每名工人的工作日损失率为0.64，两年后降至0.13。这为市政当局节省了大量直接和间接成本。
本研究表明，一个多方面、针对特定职业的背部教育计划可能有助于减少背部损伤并降低与损伤相关的成本。
