Low back pain in bus drivers and fare collectors: study of association with exposure to whole-body vibration
DOI:
https://doi.org/10.12957/sustinere.2023.54608Palavras-chave:
Vibration, low back pain, epidemiologyResumo
The bus driver and fare collector activities involve various risks to workers' health, including exposure to Whole-Body Vibration (WBV). This study aims quantify the exposure levels to the WBV, identify the significant variables associated with low back pain (LBP) and determine the prevalence of LBP in the last 12 months among these workers in the city of Itajubá, Brazil. Methods. A questionnaire was applied to 33 workers to get socio-demographic data, information related to the working environment and health. The WBV exposure assessment was conducted. The logistic regression was used to obtain the adjusted Odds Ratio (OR). The prevalence of low back pain was 18.2%. The highest values of the vibration acceleration referred to [A(8)z] value, for both groups of workers. For fare collectors, there are also relevant risk on the y direction [A(8)y]. In the multivariate analysis it were considered significant: weighted acceleration on the y axis - awy (OR = 1.18 95% CI 0.99-1.42) and occupation (bus driver) (OR = 0.013 95% CI 0.0003 to 0.61). These workers are exposed to important vibration levels. The fare collectors are subject to a greater low back pain risk. The results may contribute to the improvement in the workstation and the working process of the bus drivers and fare collectors
Referências
BERMUDES, W.L.; MINETTE, L.J.; CUNHA, J.R. Avaliação de riscos ocupacionais de motorista de ônibus intermunicipal: um estudo de caso no Estado do Pará. Revista Sustinere, v. 7, n. 1, p. 4 – 18, 2019. Available in: <https://www.e-publicacoes.uerj.br/index.php/sustinere/article/view/41782/30124>. Access in: 22 November 2021
BOVENZI, M. A longitudinal study of low back pain and daily vibration exposure in professional drivers. Industrial Health, v. 48, p. 584 – 595, 2010. Available in: <https://www.jstage.jst.go.jp/article/indhealth/48/5/48_MSWBVI-02/_pdf/-char/en>. Access in: 22 November 2021
BOVENZI, M. Metrics of whole-body vibration and exposure–response relationship for low back pain in professional drivers: a prospective cohort study. International Archives of Occupational Environmental Health, v. 82, p. 893 – 917, 2009. Available in: <https://web-s-ebscohost.ez38.periodicos.capes.gov.br/ehost/pdfviewer/pdfviewer?vid=1&sid=55396192-58f8-4f95-b9c3-5cbe8612c1d0%40redis>. Access in: 22 November 2021
BOVENZI, M.; RUI, F.; NEGRO, C.; D’AGOSTIN, F.; ANGOTZI, G.; BIANCHI, S. et al.. An epidemiological study of lower back pain in professional drivers. Journal of Sound and Vibration, v. 298, p. 514 -539, 2006. Available in: <https://www.sciencedirect.com/science/article/abs/pii/S0022460X06004585?via%3Dihub>. Access in: 22 November 2021
CDC - CENTERS FOR DISEASE CONTROL AND PREVENTION. Epi Info 7, 2013. Available in: <https://www.cdc.gov/epiinfo/support/downloads.html>. Access in: 22 November 2021 18 Nov.. 2021.
DAGENAIS, S.; CARO, J.; HALDEMAN, S. A systematic review of lower back pain cost of illness studies in the United States and internationally. Spine Journal, v. 8, p. 8 – 20, 2008. Available in: < https://doi.org/10.1016/j.spinee.2007.10.005 >.
FUNDACENTRO - FUNDAÇÃO JORGE DUPRAT FIGUEIREDO, DE SEGURANÇA E MEDICINA DO TRABALHO. Norma de higiene ocupacional : NHO 09 : avaliação da exposição 1234567ocupacional a vibrações de corpo inteiro : procedimento técnico. São Paulo: Fundacentro, 2013. 63 p. Available in: <http://www.gov.br/fundacentro/pt-br/arquivos/link/noticias/NHO_09_portal_20130919181959.pdf>. Access in: 22 November 2021
GRIFFIN, M;J.; HOWARTH, H.V.C.; PITTS, P.M.; FISCHER, S.; KAULBARS, U.; DONATI, P.M.; BERETON, P.F. Non-binding guide to good practice with a view to implementation of directive 2002/44/EC on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (vibrations) – Part II Guide to good practice Whole-Body Vibration. Luxembourg: Office for Official Publications of the European Communities, 2008, 2008. 118 p. Available in: <https://op.europa.eu/en/publication-detail/-/publication/3f9392ff-8975-4139-9ea2-5b168a334664/language-en>. Access in: 22 November 2021.
HAKALA, P.; RIMPELÄ, A.; SALMINEN, J.J.; VIRTANEN, S.M.; RIMPELÄ, M. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. British Medical Journal, v. 325, n. 7367, p. 743 – 745, 2002. Available in: <https://www.bmj.com/content/325/7367/743.1.full.pdf>. Access in: 22 November 2021
HOSMER, D.W.; LEMESHOW, S. Applied logistic regression. New York: Jonhn Wiley, 1989, 307 p.
HOY, D.; BROOKS, P.; BLYTH, F.; BUCHBINDER, R.. The epidemiology of lower back pain. Best Practice & Research Clinical Rheumatology, v. 24, n. 6, p. 769 – 781, 2010. Available in: <https://www.sciencedirect.com/science/article/abs/pii/S1521694210000884?via%3Dihub>. Access in: 22 November 2021
IBGE – INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. Cidades@, Itajubá, 2010. Available in: <http://cidades.ibge.gov.br/xtras/perfil.php?lang=&codmun=313240&search=minas-gerais|itajuba>. Access in: 22 November 2021.
ISO - INTERNATIONAL ORGANIZATION FOR STANDARDIZATION, ISO 2631/1:1997 – Mechanical vibration and shock – evaluation of human exposure to whole-body vibration, Part 1: General requirements, Geneva, Switzerland.
JOSEPH, L.; STANDEN, M.; PAUNGMALI, A.; KUISMA, R,; SITILERTPISAN, P.; PIRUNSAN, U. Prevalence of musculoskeletal pain among professional drivers: A systematic review. Journal of Occupational Health, v. 62, n. 1, e12150. Available in: < https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434558/>. Access in: 03 June 2022.
KELSEY, J.L.; THOMPSON, W.D.; EVANS, A.S. Methods in Observational epidemiology. 2. ed. New York: Oxford University Press; 1996, 432 p.
KRAJNAK, K. Health effects associated with occupational exposure to hand-arm or whole body vibration. Journal of Toxicology and Environmental Health. Part B, Critical Reviews, v. 21, n. 5, p. 320-334, 2018. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415671/pdf/nihms-1015266.pdf. Access in: 30 January 2022.
MORAES, G.F.S.; SAMPAIO, R.F.; SILVA, L.F.; SOUZA, M.A.P. Whole-body vibration and musculoskeletal diseases in professional truck drivers. Fisioterapia em Movimento, v. 29, n. 1, p. 159 - 172. 2016. Available in: <https://www.scielo.br/j/fm/a/Pq5v4tM9TQ3KpjpxZYwZk8q/?format=pdf&lang=en>. Access in: 22 November 2021
NISHIYAMA, S.; UESUGI, N.; TAKESHIMA, T.; KANO, Y.; TOGII, H. Research on vibration characteristics between human body and seat, steering wheel, and pedals (effects of seat position on ride comfort). Journal of Sound and Vibration, v. 236, p. 1 - 21. 2000. Available in: <https://www.sciencedirect.com/science/article/abs/pii/S0022460X00928621?via%3Dihub>. Access in: 22 November 2021
OKUNRIBIDO, O.O.; MAGNUSSON, M.; POPE, M.H. Low back pain in drivers: the relative role of whole-body vibration, posture and manual materials handling. Journal of Sound and Vibration, v. 298, p. 540 – 555, 2006. Available in: <https://www.sciencedirect.com/science/article/abs/pii/S0022460X06004779>. Access in: 22 November 2021
OKUNRIBIDO, O.O.; SHIMBLES, S.J., MAGNUSSON, M., POPE, M. City bus driving and lower back pain: a study of exposures to posture demands, manual materials handling and whole-body vibration. Applied Ergonomics, v. 38, p. 29 – 38, 2007. Available in: <https://www.sciencedirect.com/science/article/abs/pii/S0003687006000172?via%3Dihub>. Access in: 22 November 2021
PALMER, K.T.; GRIFFIN, M.J.; BENDALL, H.; PANNETT, B.; COGGON, D. Prevalence and pattern occupational exposure to whole body vibration in Great Britain: findings a national survey. Occupational Environmental Medicine, v. 57, p. 229-236, 2000. Available in: <https://oem.bmj.com/content/57/4/229.long>. Access in: 22 November 2021
PALMER, K.T.; HARRIS, C.E.; GRIFFIN, M.J.; BENNETT, J.; READING, I.; SAMPSON, M. et al. Case–control study of low-back pain referred for magnetic resonance imaging, with special focus on whole-body vibration. Scandinavian Journal of Work Environment and Health, v. 35, p. 364 – 373, 2008. Available in: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875180/pdf/ukmss-27639.pdf>. Access in: 22 November 2021
PARK, M.S.; FUKUDA, T.; KIM, T.G.; MAEDA, S. Health risk evaluation of whole-body vibration by ISO 2631-5 and ISO 2631-1 for operators of agricultural tractors and recreational vehicles. Industrial Health, v. 51, p. 364-370, 2013. Available in: <https://www.jstage.jst.go.jp/article/indhealth/51/3/51_2012-0045/_pdf/-char/en>. Access in: 22 November 2021
PUNNETT, L.; PRÜSS-UTÜN, A.; NELSON, DI.;, FINGERHUT, M.A.; LEIGH, J.; TAK, S.; PHILLIPS, S. Estimating the global burden of low back pain attributable to combined occupational exposures. American Journal of Industrial Medicine, v. 48, n. 6, p. 459-69, 2005. doi: 10.1002/ajim.20232.
SANTOS JUNIOR, E. A. De que adoecem e morrem os motoristas de ônibus. Revista Brasileira de Medicina do Trabalho, v. 1, n.2, p. 138 – 147, 2003. Available in: <http://www.rbmt.org.br/export-pdf/244/v1n2a07.pdf>. Access in: 22 November 2021
SEIDEL H. Intraspinal forces and health risk caused by whole-body vibration – Predictions for European drivers and different field conditions. International Journal of Industrial Ergonomics, v. 38, p. 856–867, 2008. Available in: < https://www.academia.edu/52533201/Intraspinal_forces_and_health_risk_caused_by_whole_body_vibration_Predictions_for_European_drivers_and_different_field_conditions > Access in: 22 November 2021
SEIDEL H. On the relationship between Whole-body vibration exposure and spinal health risk. Industrial Health, v. 43, p. 361 – 377, 2005. Available in: <https://www.jstage.jst.go.jp/article/indhealth/43/3/43_3_361/_pdf/-char/en>. Access in: 22 November 2021
SHIRI, R.; KARPPINEN, J.; LEINO-ARJAS, P.; SOLOVIEVA, S.; VIIKARI-JUNTURA, E. The Association between Smoking and Lower back Pain: A Meta-analysis. The American Journal of Medicine, v. 123, n. 1, p. 87e7-87e35, 2010. Available in: <https://doi.org/10.1016/j.amjmed.2009.05.028>.
SILVA, L.F.; MENDES, R. Combined exposure to noise and vibration and its effects on worker's hearing. Revista de Saúde Pública, v. 39, p. 9-17, 2005. Available in: <https://www.revistas.usp.br/rsp/article/view/31827/33767>. Access in: 22 November 2021
SZETO, G.P.Y.; LAM, P. Work-related musculoskeletal disorders in urban bus drivers of Hong Kong. Journal of Occupational Rehabilitation, v. 17, p. 181–198, 2007. Available in: <https://doi.org/10.1007/s10926-007-9070-7> .
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