Arslan Syed Asadullah, Hadian Mohammad Reza, Olyaei Gholamreza, Talebian Saeed, Yekaninejad Mir Saeed, Hussain Mir Arif
Syed Asadullah Arslan, DPT, PhD, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza Hadian, PhD, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Pak J Med Sci. 2019 Jul-Aug;35(4):1018-1023. doi: 10.12669/pjms.35.4.488.
To determine the effects of repetitive ipsilateral rotation on low back pain among the taxi drivers of right and left hand drive.
A total of 1200 (600 Iran+600 Pakistan) male taxi drivers, aged between 20-60 years with work experience of more than one year were randomly selected and interviewed in Tehran (Iran) & Lahore (Pakistan) to fill self-administered questionnaires in Persian and Urdu languages which contained socio-demographic, work related and LBP characteristics. Chi-square test and multiple logistic regression models were employed for statistical analyses.
Point, one week, one year and lifetime prevalence of LBP among right hand drive taxi drivers was 26.7%, 35.5%, 49.8% and 77.7% respectively. Point, one week, one year and lifetime prevalence of LBP among left hand drive taxi drivers was 37%, 42.7%, 53.5% and 72.3% respectively. Mean Numeric Pain rating scale (NPRS) score was 4.15 (SD=1.42) in Pakistan, while in Iran it was 4(SD=1.57). There was no significant difference regarding pain intensity (p=0.123) between drivers from both countries. Mean Roland-Morris Questionnaire (RMQ) score among drivers in Pakistan with LBP was 7.76(SD= 2.50), while in Iranian drivers who had LBP, mean RMQ score was 7.71(SD=2.99).
Static or less dynamic muscles are more prone to LBP due to lower endurance. Lack of exercising habit, work as a driver for more number of years, driving within city, more driving hours in a day, forward bending, lifting, no seat comfort, lack of awareness regarding ergonomics and lower satisfaction level of job were the main reasons of LBP.
确定重复性同侧旋转对左右舵出租车司机腰痛的影响。
在德黑兰（伊朗）和拉合尔（巴基斯坦）随机选取1200名（600名伊朗人+600名巴基斯坦人）年龄在20至60岁之间、工作经验超过一年的男性出租车司机进行访谈，让他们填写波斯语和乌尔都语的自填问卷，问卷内容包括社会人口统计学、工作相关和腰痛特征。采用卡方检验和多元逻辑回归模型进行统计分析。
右舵出租车司机腰痛的现患率、一周患病率、一年患病率和终生患病率分别为26.7%、35.5%、49.8%和77.7%。左舵出租车司机腰痛的现患率、一周患病率、一年患病率和终生患病率分别为37%、42.7%、53.5%和72.3%。在巴基斯坦，数字疼痛评分量表（NPRS）的平均得分是4.15（标准差=1.42），而在伊朗是4（标准差=1.57）。两国司机的疼痛强度没有显著差异（p=0.123）。巴基斯坦患有腰痛的司机中罗兰·莫里斯问卷（RMQ）的平均得分是7.76（标准差=2.50），而患有腰痛的伊朗司机中RMQ的平均得分是7.71（标准差=2.99）。
静态或动态性较差的肌肉由于耐力较低更容易患腰痛。缺乏锻炼习惯、驾驶年限较长、在市内驾驶、每天驾驶时间较长、向前弯腰、搬运、座椅不舒服、缺乏人体工程学意识以及工作满意度较低是腰痛的主要原因。
