Ambrosio Luca, Vadalà Gianluca, Russo Fabrizio, Donnici Leonardo, Petrucci Giorgia, Tecco Cristina Di, Iavicoli Sergio, Papalia Rocco, Denaro Vincenzo
Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy.
Neurospine. 2023 Jun;20(2):692-700. doi: 10.14245/ns.2346510.255. Epub 2023 Jun 30.
To assess the effect of transitioning to remote working during the coronavirus disease 2019 pandemic in a population of adults affected by chronic low back pain (cLBP).
An online questionnaire was sent by email to teleworkers affected by cLBP. Demographic data, remote working features and tasks, and LBP burden were analyzed. The psychological burden of remote working was evaluated with the World Health Organization Five Well-Being Index and the Patient Health Questionnaire-2. LBP severity was evaluated using a visual analogue scale. LBP-related disability was assessed using the Oswestry Disability Index. The effect of LBP on working capacity was examined with the Occupational Role Questionnaire. Independent risk factors related to LBP worsening were identified using a multivariate logistic regression model.
During remote working, LBP severity was significantly higher compared to previous in-person working (p < 0.0001), as well as average weekly work hours (p < 0.001). Furthermore, the risk of LBP worsening was associated with higher depression scores (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.00-1.91; p = 0.048), increased stress levels (OR: 3.00, 95% CI: 1.04-8.65; p = 0.042), and being divorced (OR: 4.28, 95% CI: 1.27-14.47; p = 0.019). Conversely, living with others (OR: 0.24, 95% CI: 0.07-0.81; p = 0.021), and reporting unchanged stress levels (OR: 0.22, 95% CI: 0.08-0.65; p = 0.006) were associated with a lower risk of LBP worsening.
Our findings highlight key factors to consider for improving remote workers' physical and mental wellbeing and decrease their LBP burden.
评估在2019年冠状病毒病大流行期间，向远程工作过渡对受慢性下腰痛（cLBP）影响的成年人群的影响。
通过电子邮件向受cLBP影响的远程工作者发送在线问卷。分析人口统计学数据、远程工作的特点和任务以及下腰痛负担。使用世界卫生组织五福指数和患者健康问卷-2评估远程工作的心理负担。使用视觉模拟量表评估下腰痛的严重程度。使用Oswestry功能障碍指数评估与下腰痛相关的功能障碍。使用职业角色问卷检查下腰痛对工作能力的影响。使用多变量逻辑回归模型确定与下腰痛恶化相关的独立危险因素。
在远程工作期间，下腰痛严重程度显著高于之前的面对面工作（p < 0.0001），平均每周工作时长也是如此（p < 0.001）。此外，下腰痛恶化的风险与更高的抑郁评分（比值比[OR]，1.38；95%置信区间[CI]，1.00 - 1.91；p = 0.048）、压力水平增加（OR：3.00，95% CI：1.04 - 8.65；p = 0.042）以及离婚（OR：4.28，95% CI：1.27 - 14.47；p = 0.019）相关。相反，与他人同住（OR：0.24，95% CI：0.07 - 0.81；p =
