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Prävention von Low-Back-Pain im beruflichen Kontext

  • A. Seidler
  • F. Liebers
  • U. Latza
Leitthema: Arbeit und Gesundheit

Zusammenfassung

Rückenschmerzen (Low-Back-Pain) haben eine komplexe und multidimensionale Ätiologie. Physische und (teilweise) psychosoziale berufliche Faktoren spielen eine bedeutsame ätiologische Rolle. Der vorliegende Beitrag diskutiert die Evidenz für spezifische primärpräventive und sekundärpräventive Strategien bzw. Interventionsansätze, die sich aus der Analyse der Risikofaktoren für Low-Back-Pain ableiten lassen. Mit multidimensionalen, an der Arbeitsplatzgestaltung sowie am Individuum ansetzenden Interventionen lässt sich das Auftreten von Rückenschmerzen und deren Verlauf günstig beeinflussen. Weitere qualitativ hochwertige randomisierte kontrollierte Studien mit spezifischem Fokus auf Arbeitsplatzinterventionen sind ebenso wie eine kontinuierliche Evaluierung bereits bestehender Präventions- und Interventionsstrategien erforderlich.

Schlüsselwörter

Low-Back-Pain Rückenschmerzen Betriebliches Setting Epidemiologische Evidenz Prävention Interventionsstrategien 

Prevention of low back pain at work

Abstract

The aetiology of low back pain is complex and multidimensional. Physical and (partially) psychosocial occupational factors seem to play an important aetiological role. In this article, the evidence for specific primary and secondary prevention and intervention strategies – which are derived from the analysis of risk factors for low back pain – is summarized. Multidimensional interventions focussing on the workplace as well as on the affected individual have proven to effectively influence the occurrence and the course of low back pain. There is a need for additional high-quality randomized controlled studies – particularly focussing on workplace interventions – and for a continuous evaluation of existing prevention and intervention strategies.

Keywords

low back pain occupational setting epidemiologic evidence prevention intervention strategies 

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Copyright information

© Springer Medizin Verlag 2008

Authors and Affiliations

  1. 1.Bundesanstalt für Arbeitsschutz und ArbeitsmedizinBerlinBRD
  2. 2.Zentralinstitut für ArbeitsmedizinHamburgBRD
  3. 3.Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Wissenschaftlicher Koordinator Arbeitsmedizin/Leiter FG 1.4 Arbeitsbedingte Erkrankungen, BerufskrankheitenBerlinBRD

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