Preventie van lage rugpijn

  • M.W. van Tulder
  • B.W. Koes


Preventie zou een oplossing kunnen zijn voor de enorme last die lage rugpijn veroorzaakt voor individuen en voor de maatschappij. Het principe van preventie is de beperkte beschikbare middelen vroegtijdig in te zetten om zo lage rugpijn en de enorme kosten die ermee gepaard gaan te voorkomen. Preventie lijkt aantrekkelijk uit oogpunt van mogelijke gezondheidswinst en doelmatigheid.


  1. 1.
    Duijvenbode I van, Jellema P, van Poppel M, van Tulder MW. Lumbar supports for prevention and treatment of low back pain. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD001823. DOI: 10.1002/14651858.CD001823.pub3.Google Scholar
  2. 2.
    Verbeek J, Martimo KP, Karppinen J, Kuijer PP, Takala EP, Viikari-Juntura E. Manual material handling advice and assistive devices for preventing and treating back pain in workers: a Cochrane Systematic Review. Occup Environ Med. 2012 Jan;69(1):79–80. doi: 10.1136/oemed-2011-100214.PubMedCrossRefGoogle Scholar
  3. 3.
    Martimo KP, Verbeek J, Karppinen J, Furlan AD, Takala EP, Kuijer PP, Jauhiainen M, Viikari-Juntura E. Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review. BMJ. 2008 Feb 23;336(7641):429–31. doi: 10.1136/bmj.39463.418380.BE.PubMedCrossRefGoogle Scholar
  4. 4.
    Choi BKL, Verbeek JH, Tam WWS, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD006555. DOI: 10.1002/14651858.CD006555.pub2.Google Scholar
  5. 5.
    Driessen MT, Proper KI, van Tulder MW, Anema JR, Bongers PM, van der Beek AJ. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review. Occup Environ Med. 2010 Apr;67(4):277–85. doi: 10.1136/oem.2009.047548.PubMedCrossRefGoogle Scholar
  6. 6.
    Bigos SJ, Holland J, Holland C, Webster JS, Battie M, Malmgren JA. High-quality controlled trials on preventing episodes of back problems: systematic literature review in working-age adults. Spine J. 2009 Feb;9(2):147–68. doi:10.1016/j.spinee.2008.11.001.PubMedCrossRefGoogle Scholar
  7. 7.
    Poppel MN van, Hooftman WE, Koes BW. An update of a systematic review of controlled clinical trials on the primary prevention of back pain at the workplace. Occup Med (Lond). 2004 Aug; 54(5):345–52.CrossRefGoogle Scholar
  8. 8.
    Bell JA, Burnett A. Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: a systematic review. J Occup Rehabil. 2009 Mar;19(1):8–24. doi: 10.1007/s10926-009-9164-5.PubMedCrossRefGoogle Scholar
  9. 9.
    Sahar T, Cohen MJ, Ne’eman V, Kandel L, Odebiyi DO, Lev I, Brezis M, Lahad A. Insoles for prevention and treatment of back pain. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD005275. DOI: 10.1002/14651858.CD005275.pub2.Google Scholar
  10. 10.
    Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ 2000; 322:1516–20.CrossRefGoogle Scholar
  11. 11.
    Waddell G, O’Connor M, Boorman S, Torsney B. Working Backs Scotland: a public and professional health education campaign for back pain. Spine (Phila Pa 1976). 2007 Sep 1; 32(19):2139–43.CrossRefGoogle Scholar
  12. 12.
    Werner EL, Ihlebaek C, Laerum E, Wormgoor ME, Indahl A. Low back pain media campaign: no effect on sickness behaviour. Patient Educ Couns. 2008 May;71(2):198–203. doi: 10.1016/j.pec.2007.12.009.PubMedCrossRefGoogle Scholar
  13. 13.
    Gaber W, Drozd A, Frauenrath-Volkers C, Schüle A, Schwarz N, Pressel G. Lifting and carrying with lumbar supports; end report of a project at the airfreight department of Frankfurt / Main airport [Heben und Tragen mit Rückenstützbandagen; Abschlussbericht zum Modellprojekt in der Luftfracht und der Flugzeugabfertigung, Flughafen Frankfurt / Main]. Airfreight department, Frankfurt/ Main airport 1999.Google Scholar
  14. 14.
    Kraus JF, Schaffer KB, Rice T, Maroosis J, Harper J. A field trial of back belts to reduce the incidence of acute low back injuries in New York city home attendants. Int J Occup Environ Health 2002; 8:97–104.PubMedCrossRefGoogle Scholar
  15. 15.
    Reddell CR, Congleton JJ, Huchingson RD, Montgomery JF. An evaluation of a weightlifting belt and back injury prevention training class for airline baggage handlers. Applied Ergonomics 1992; 23:319–29.PubMedCrossRefGoogle Scholar
  16. 16.
    Roelofs PD, Bierma-Zeinstra SM, van Poppel MN, Jellema P, Willemsen SP, van Tulder MW, et al. Lumbar supports to prevent recurrent low back pain among home care workers: a randomized trial. Ann Intern Med 2007; 147:685–92.PubMedCrossRefGoogle Scholar
  17. 17.
    Poppel MN van, Koes BW, van der Ploeg T, Smid T, Bouter LM. Lumbar supports and education for the prevention of low back pain in industry: a randomized controlled trial. JAMA 1998; 279:1789–94.PubMedCrossRefGoogle Scholar
  18. 18.
    Alexander A, Woolley SM, Bisesi M, Schaub E. The effectiveness of back belts on occupational back injuries and worker perception. Professional Safety 1995;September:22–7.Google Scholar
  19. 19.
    Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, Leclerc A, Müller G, van der Beek AJ; COST B13 Working Group on Guidelines for Prevention in Low Back Pain. Chapter 2. European guidelines for prevention in low back pain : November 2004. Eur Spine J. 2006 Mar;15 Suppl 2:S136–68.CrossRefGoogle Scholar
  20. 20.
    Daltroy LH, Iversen MD, Larson MG, et al. A controlled trial of an educational program to prevent low back injuries. New Engl J Med 1997; 337:322–8.PubMedCrossRefGoogle Scholar
  21. 21.
    Yassi A, Cooper JE, Tate RB, Gerlach S, Muir M, Trottier J, et al. A randomized controlled trial to prevent patient lift and transfer injuries of health care workers. Spine 2001; 26(16):1739–46.PubMedCrossRefGoogle Scholar
  22. 22.
    Müller K, Schwesig R, Leuchte S, Riede D. Coordinative treatment and quality of life - A randomised trial of nurses with back pain [Koordinationstraining und Lebensqualität - Eine Längschnittuntersuchung bei Pflegepersonal mit Rückenschmerzen]. Gesundheitswesen 2001; 63:609–18.PubMedCrossRefGoogle Scholar
  23. 23.
    Fanello S, Frampas-Chotard V, Roquelaure Y, et al. Evaluation of an educational low back pain prevention program for hospital employees. Rev Rheum (Engl ed) 1999; 66:711–6.Google Scholar
  24. 24.
    Best M. An evaluation of manutention training in preventing back strain and resultant injuries in nurses. Safety Science 1997; 25(1-3):207–22.CrossRefGoogle Scholar
  25. 25.
    Dehlin O, Berg S, Andersson GBJ, Grimby G. Effect of physical training and ergonomic counselling on the psychological perception of work and on the subjective assessment of low-back insufficiency. Scandinavian Journal of Rehabilitation Medicine 1981; 13(1):1–9.PubMedGoogle Scholar
  26. 26.
    Feldstein A, Valanis B, Vollmer W, Stevens N, Overtson C. The back injury prevention project pilot study: assessing the effectiveness of Back Attack, an injury prevention program among nurses, aides, and orderlies. J Occup Med 1993; 35:114–20.PubMedCrossRefGoogle Scholar
  27. 27.
    Hartvigsen J, Lauritzen S, Lings S, Lauritzen T. Intensive education combined with low tech ergonomic intervention does not prevent low back pain in nurses. Occupational and Environmental Medicine 2005; 62(1):13–7.PubMedCrossRefGoogle Scholar
  28. 28.
    Walsh NE, Schwartz RK. The influence of prophylactic orthoses on abdominal strength and low back injury in the workplace. Am J Phys Med Rehab 1990; 69:245–50.CrossRefGoogle Scholar
  29. 29.
    Donchin M, Woolf O, Kaplan L, Forman T. Secondary prevention of low-back pain: a clinical trial. Spine 1990; 15:1317–20.PubMedCrossRefGoogle Scholar
  30. 30.
    IJzelenberg H, Meerding WJ, Burdorf A. Effectiveness of a back pain prevention program: a cluster randomized controlled trial in an occupational setting. Spine 2007; 32(7):711–9.PubMedCrossRefGoogle Scholar
  31. 31.
    Sjogren T, Nissinen KJ, Jarvenpaa SK, Ojanen MT, Vanharanta H, Malkia EA. Effects of a physical exercise intervention on subjective physical well-being, psychosocial functioning and general well-being among office workers: a cluster randomized-controlled cross-over design. Scand J Med Sci Sports. 2006; 16(6):381–90.PubMedCrossRefGoogle Scholar
  32. 32.
    Suni J, M. Rinne, A. Natri, M.P. Statistisian, J. Parkkari, H. Alaranta. Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: a 12-month randomized controlled study Spine, 31 (2006), pp. E611–E620.Google Scholar
  33. 33.
    Helmhout PH, Harts CC, Staal JB, Candel MJ, de Bie RA. Comparison of a high-intensity and a low-intensity lumbar extensor training program as minimal intervention treatment in low back pain: a randomized trial. Eur Spine J. 2004; 13(6):537–47.PubMedCrossRefGoogle Scholar
  34. 34.
    Larsen K, Weidick F, Leboeuf-Yde C. Can passive prone extensions of the back prevent back problems? A randomized, controlled intervention trial of 314 military conscripts. Spine. 2002; 27(24):2747–52.PubMedCrossRefGoogle Scholar
  35. 35.
    Horneij E, Hemborg B, Jensen I, Ekdahl C. No significant differences between intervention programmes on neck, shoulder and low back pain: a prospective randomized study among home-care personnel. J Rehabil Med 2001; 33:170–6.PubMedCrossRefGoogle Scholar
  36. 36.
    Gundewall B, Liljeqvist M, Hansson T. Primary prevention of back symptoms and absence from work: A prospective randomized study among hospital employees. Spine 1993; 18:587–94.PubMedCrossRefGoogle Scholar
  37. 37.
    Kellett KM, Kellett DA, Nordholm LA. Effects of an exercise program on sick leave due to back pain. Phys Ther 1991; 71:283–93.PubMedGoogle Scholar
  38. 38.
    Alexandre NM, M.A. de Moraes, H.R. Correa Filho, S.A. Jorge. Evaluation of a program to reduce back pain in nursing personnel. Rev Saude Publica, 35 (2001 Aug), pp. 356–361.PubMedCrossRefGoogle Scholar
  39. 39.
    Lonn JH, B. Glomsrod, M.G. Soukup, K. Bo, S. Larsen. Active back school: prophylactic management for low back pain. A randomized, controlled, 1-year follow-up study. Spine, 24 (1999), pp. 865–871.PubMedCrossRefGoogle Scholar
  40. 40.
    Maul I, T. Laubli, M. Oliveri, H. Krueger. Long-term effects of supervised physical training in secondary prevention of low back pain. Eur Spine J, 14 (2005), pp. 599–611.PubMedCrossRefGoogle Scholar
  41. 41.
    Soukup MG, B. Glomsrod, J.H. Lonn, K. Bo, S. Larsen. The effect of a Mensendieck exercise program as secondary prophylaxis for recurrent low back pain. A randomized, controlled trial with 12-month follow-up. Spine, 24 (1999), pp. 1585–1591.PubMedCrossRefGoogle Scholar
  42. 42.
    Lengsfeld M, Konig IR, Schmelter J, et al. Passive rotary dynamic sitting at the workplace by office-workers with lumbar pain: a randomized multicenter study. Spine J 2007;7:531e40.CrossRefGoogle Scholar
  43. 43.
    Cook C, Burgess-Limerick R. The effect of forearm support on musculoskeletal discomfort during call centre work. Appl Ergon 2004;35:337e42.Google Scholar
  44. 44.
    Brisson C, Montreuil S, Punnett L. Effects of an ergonomic training program on workers with video display units. Scand J Work Environ Health 1999;25:255e63.CrossRefGoogle Scholar
  45. 45.
    Haukka E, Leino-Arjas P, Viikari-Juntura E, et al. A randomized controlled trial on whether a participatory ergonomics intervention could prevent musculoskeletal disorders? Occup Environ Med 2008;65:849e56.CrossRefGoogle Scholar
  46. 46.
    Larsen K, F. Weidich, C. Leboeuf-Yde. Can custom-made biomechanic shoe orthoses prevent problems in the back and lower extremities? A randomized, controlled intervention trial of 146 military conscripts. J Manipulative Physiol Ther, 25 (2002), pp. 326–331.PubMedCrossRefGoogle Scholar
  47. 47.
    Milgrom C, A. Finestone, O. Lubovsky, D. Zin, A. Lahad. A controlled randomized study of the effect of training with orthoses on the incidence of weight bearing induced back pain among infantry recruits. Spine, 30 (2005), pp. 272–275.PubMedCrossRefGoogle Scholar
  48. 48.
    Schwellnus MP, Jordaan G, Noakes TD. Prevention of common overuse injuries by the use of shock absorbing insoles. A prospective study. Am J Sports Med 1990; 18:636–41.PubMedCrossRefGoogle Scholar
  49. 49.
    Linton, S.J. & van Tulder, M.W. (2001). Preventive interventions for back and neck pain problems: What is the evidence? Spine,26, 778–787.PubMedCrossRefGoogle Scholar
  50. 50.
    Shi l. A cost-benefit analysis of a California county’s back injury prevention program. Public Health Rep 1993; 108:204–11.PubMedGoogle Scholar
  51. 51.
    Karas BE, Conrad KM. Back injury prevention interventions in the workplace: an integrative review. AAOHN J 1996; 44:189–96.PubMedGoogle Scholar
  52. 52.
    King PM. Back injury prevention programs: a critical review of the literature. J Occup Rehab 1993; 3:145–58.CrossRefGoogle Scholar
  53. 53.
    Nordin M, Cedraschi C, Balague F, Roux EB. Back schools in prevention of chronicity. Baillieres Clin Rheumatol 1992; 6:685–703.PubMedCrossRefGoogle Scholar
  54. 54.
    Scheer SJ, Radack KL, O’Brien DRJ. Randomized controlled trials in industrial low back pain relating to return to work. Part 1. Acute interventions. Arch Phys Med Rehabil 1995; 76:966–73.PubMedCrossRefGoogle Scholar
  55. 55.
    Barron BA, Feuerstein M. Industrial back belts and low back pain: mechanisms and outcomes. J Occup Rehab 1994; 4:125–39.CrossRefGoogle Scholar
  56. 56.
    Hodgson EA. Occupational back belt use: a literature review. AAOHN J 1996; 44:438–43.PubMedGoogle Scholar
  57. 57.
    Lahad A, Malter AD, Berg AO, Deyo RA. The effectiveness of four interventions for the prevention of low back pain. JAMA 1994; 272:1286–91.PubMedCrossRefGoogle Scholar
  58. 58.
    Gebhardt WA. Effectiveness of training to prevent job-related back pain: a meta-analysis. Br J Clin Psychol 1994; 33:571–4.PubMedCrossRefGoogle Scholar
  59. 59.
    Frank JW, Brooker AS, DeMaio SE, et al. Disability resulting from occupational low back pain. Part II. What do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins. Spine 1996; 21:2918–29.PubMedCrossRefGoogle Scholar
  60. 60.
    Westgaard RH, Winkel J. Ergonomic intervention research for improved musculoskeletal health: a critical review. Int J Industr Ergonom 1997; 20:463–500.CrossRefGoogle Scholar
  61. 61.
    Gerdle B, Brulin C, Elert J, Eliasson P, Granlund B. Effect of a general fitness program on musculoskeletal symptoms, clinical status, psychological capacity, and perceived work environment among home care service personnel. J Occup Rehab 1995; 5:1–16.CrossRefGoogle Scholar
  62. 62.
    Hlobil H, Staal JB, Twisk J, Köke A, Ariëns G, Smid T, van Mechelen W. The effects of a graded activity intervention for low back pain in occupational health on sick leave, functional status and pain: 12-month results of a randomized controlled trial. J Occup Rehabil. 2005 Dec; 15(4):569–80.PubMedCrossRefGoogle Scholar
  63. 63.
    Linton SJ, Hellsing AL, Bergstrom G. Exercise for workers with musculoskeletal pain: does enhancing compliance decrease pain? J Occup Rehab 1996: 6:177–90.CrossRefGoogle Scholar

Copyright information

© Bohn Stafleu van Loghum 2013

Authors and Affiliations

  • M.W. van Tulder
    • 1
  • B.W. Koes
    • 2
  1. 1.AmsterdamNetherlands
  2. 2.’S-GravenhageNetherlands

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