Skip to main content
SpringerLink
Log in

Nationales Forschungsprogramm 26 Teil B: Chronifizierung von Rückenschmerzen

  • Published:
Sozial- und Präventivmedizin

Zusammenfassung

Zielsetzung des Teilprogrammes B des Nationalen Forschungsprogrammes Nr 26 ist es, den Prozess, welcher zur Chronifizierung von lumbalen Rückenschmerzen führt, zu erforschen. Ausgehend von den epidemiologischen Gegebenheiten werden die wichtigsten Risikofaktoren für die Chronifizierung nach systemischen Gesichtspunkten geordnet dargestellt. Die rapide Zunahme von invalidisierenden Rückenschmerzen in den letzten Jahrzehnten macht deutlich, dass für diese Entwicklung vor allem rückenfremde Faktoren verantwortlich sind: Veränderte Lebensformen, zwischenmenschliche, gesellschaftliche und medizinische Einflüsse. Daraus werden auch Ansätze für eine wirkungsvolle Prävention abgeleitet. Eine wichtige Rolle spielen dabei-neben psychologischen Faktoren-die allgemeine körperliche Leistungsfähigkeit und der Trainingszustand der Rumpfmuskulatur.

Résumé

Le but principal de la partie B du programme national de recherche no 26 est d'étudier le processus qui amène une personne à souffrir de manière chronique de mal de dos. Les données épidémiologiques permettent de décrire les facteurs de risques d'un point de vue systémique. L'augmentation rapide de la prévalence des lombalgies invalidantes dans les dernières décades montre clairement que les facteurs externes doivent être incriminés dans ce processus. Les changements dans le style de vie et les relations interpersonnelles, de même que les transformations dans la société et le système de santé, doivent être pris en compte. De la connaissance de ces facteurs peuvent être dérivés les moyens de prévention à mettre en oeuvre. A côté des facteurs psychologiques, la forme physique générale et l'exercice des muscles lombaires jouent un rôle important dans la prévention effective.

Summary

The main goal of part B of the National Research Program No 26 is to investigate the process leading to chronic low back pain. Starting from epidemiological facts the main risk factors are described from a systemic viewpoint. The rapid increase of disabling low back pain in the past decades makes it clear that factors outside the spine have to be made responsible for this process. These are changes in life-style and interpersonal relations, as well as in society and the health-care system. From these factors means of prevention are derived. Besides psychological factors general fitness and the training condition of the back muscles play an important role in effective prevention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literaturverzeichnis

  1. Abenhaim L, Belanger A, Bloch R, Bombardier C, Cruess R, Drouin G, Duval-Hesler N, Laflamme J, Gilles L, Nachemson AL, Pagé JJ, Rossignol M, Salmi LR, Salois-Arsenault S, Suissa S, Wood-Dauphinée S. Scientific approach to the assessment and management of activity-related spinal disorders. Spine 1987; 12, 7S.

    Google Scholar 

  2. Abenhaim L, Suissa S. Importance and economic burden of occupational back pain: a study of 2,500 cases representative of Quebec. J Occup Med 1987;29: 670–674.

    PubMed  Google Scholar 

  3. Abenhaim L, Suissa S, Rossignol M. Risk of recurrence of occupational back pain over three year follow up. Br J Ind Med 1988;45: 829–833.

    PubMed  Google Scholar 

  4. Ahern DK, Follick MJ. Distress in spouses of chronic pain patients. Int J Fam Ther 1985;714: 247–257.

    Google Scholar 

  5. Anderson JA, Otun EO, Sweetman BJ. Occupational hazards and low back pain. Rev Environ Health 1987;7: 121–160.

    PubMed  Google Scholar 

  6. Anderson LP, Rehm LP. The relationship between strategies of coping and perception of pain in three chronic pain groups. J Clin Psychol 1984;40/5: 1170–1177.

    Google Scholar 

  7. Andersson GB. Epidemiologic aspects on low-back pain in industry. Spine 1981;6: 53–60.

    PubMed  Google Scholar 

  8. Asfour SS, Ayoub MM, Mital A. Effects of an endurance and strength training programme on lifting capability of males. Ergonomics 1984;27: 435–442.

    PubMed  Google Scholar 

  9. Astrand NE. Medical, Psychological, and social factors associated with back abnormalities and self reported back pain: A cross sectional study of male employees in a Swedish pulp and paper industry. Br J Ind Med 1987;44: 327–336.

    PubMed  Google Scholar 

  10. Balagué F, Dutoit G, Waldburger M. Low back pain in schoolchildren. An epidemiological study. Scand J Rehabil Med 1988;20: 175–179.

    PubMed  Google Scholar 

  11. Bergenudd H, Nilsson B. Back pain in middle age; occupational workload and psychologic factors. Spine 1988;13: 58–60.

    PubMed  Google Scholar 

  12. Biering-Sörensen F. A prospective study of low back pain in a general population. Scand J Rehab Medil 1983;15: 71–79.

    Google Scholar 

  13. Biering-Sörensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine 1984;9: 106–119.

    PubMed  Google Scholar 

  14. Biering-Sörensen F. A one-year prospective study of low back trouble in a general population. The prognostic value of low back history and physical measurements. Dan Med Bull 1984;31: 362–375.

    PubMed  Google Scholar 

  15. Bigos SJ, Battié MC. Acute care to prevent back disability. Ten years of progress. Clin Orthop 1987;221: 121–130.

    PubMed  Google Scholar 

  16. Bortz WM. The disuse syndrome. West J Med 1984;1410: 691–694.

    Google Scholar 

  17. Brendstrup T, Biering-Sörensen F. Effect of fork-lift truck driving on low-back trouble. Scand J Work Environ Health 1987;13: 445–452.

    PubMed  Google Scholar 

  18. Cabaud HE, Chatty A, Gildengorin V. Exercise effects on the strength of the rat anterior cruciate ligament. Amer J Sports Med 1980;8: 79–85.

    Google Scholar 

  19. Cady LD, Bischoff DP, O'Connell ER. Strength and fitness and subsequent back injuries in firefighters. J Occup Med 1979;21: 269–272.

    PubMed  Google Scholar 

  20. Caruso LA, Chan DE, Chan A. The management of workrelated back pain. Am J Occup Ther 1987;41: 112–117.

    PubMed  Google Scholar 

  21. Chaffin DB. Human strength capability and low-back pain. J Occup Med 1974;16: 248–254.

    PubMed  Google Scholar 

  22. Chaffin DB, Park KS. A longitudinal study of low-back pain as associated with occupational weight lifting factors. Am Ind Hyg Assoc J 1973; November: 513–525.

  23. Cremerius J. Ist die «psychosomatische Struktur» der fanzösischen Schule krankheitsspezifisch?. Psyche 1977;4: 294–317.

    Google Scholar 

  24. Deyo RA, Tsui Wu YJ. Descriptive epidemiology of low-back pain and its related medical care in the united states. Spine 1987;12: 264–268.

    PubMed  Google Scholar 

  25. Doxey NC, Dzioba RB, Mitson GL, Lacroix JM. Predictors of outcome in back surgery candidates. J Clin Psychol 1988;44: 611–622.

    PubMed  Google Scholar 

  26. Dvorak J, Valach L, Fuhrimann P. The outcome of surgery for lumbar disc herniation. A 4–17 years'follow-up with emphasis on psychosocial aspects. Spine 1988;13:1423–1427.

    PubMed  Google Scholar 

  27. Dwyer AP. Backache and its prevention. Clin Orthop 1987;222: 35–43.

    PubMed  Google Scholar 

  28. Feuerstein M, Sult S, Houle M. Environmental stressors and chronic low back pain: life events, family and work environment. Pain 1985;22/3: 295–307.

    Google Scholar 

  29. Flor H, Turk DC, Rudy TE. Pain and families. II. Assessment and treatment. Pain 1987;30/1: 29–45.

    Google Scholar 

  30. Fredrickson BE, Trief P, VanBeveren P, Yuan HA, Baum G. Rehabilitation of the patient with chronic back pain. A search for outcome predictors. Spine 1988;13: 351–353.

    PubMed  Google Scholar 

  31. Frymoyer JW, Pope MH, Clements JH. Risk Factors in Low-Back Pain. J Bone Joint Surg 1983;65 a: 213–218.

    Google Scholar 

  32. Garron DC, Leavitt F. Chronic low back pain and depression. J Clin Psychol 1983;4: 486–493.

    Google Scholar 

  33. Gatchel RJ, Mayer TG, Capra P. Quantification of lumbar function. Part 6: The use of psychological measures in guiding physical functional restoration. Spine 1986;11: 36–42.

    PubMed  Google Scholar 

  34. Griffin AB, Troup JD, Lloyd DC. Tests of lifting and handling capacity. Their repeatability and relationship to back symptoms. Ergonomics 1984;27: 305–320.

    PubMed  Google Scholar 

  35. Gschwend N. Kreuzsehmerzen. In: Grob D, ed. Zum Problem Kreuzschmerz. Basel: Ciba-Geigy,1989: 8–22.

    Google Scholar 

  36. Hall H, Iceton JA. Back School. Clin Orthop 1983;179: 10–17.

    PubMed  Google Scholar 

  37. Hazard RG, Fenwick JW, Kalisch SM. Punctional restoration with behavioral support. A one-year prospective study of patients with chronic low-back pain. Spine 1989;14: 157–161.

    PubMed  Google Scholar 

  38. Hewson D, Halcrow J, Brown CS. Compensable back pain and migrants. Med J Aust 1987;147: 280–284.

    PubMed  Google Scholar 

  39. Hildebrandt VH. A review of epidemiological research on risk factors of low back pain. In: Buckle P, ed. Musculoskeletal disorders at work. London: Taylor & Francis,1987: 9–16.

    Google Scholar 

  40. Jamison RN, Matt DA, Parris WC. Effects of time-limited vs unlimited compensation on pain behavior and treatment outcome in low back pain patients. J Psychosom Res 1988;32: 277–283.

    PubMed  Google Scholar 

  41. Jamison RN, Matt DA, Parris WC. Treatment outcome in low back pain patients: do compensation benefits make a difference. Orthop Rev 1988;17: 1210–1215.

    PubMed  Google Scholar 

  42. Jayson MI. (ed.) The lumbar spine and back pain. Southport: Pitman, 1980.

    Google Scholar 

  43. Keel PJ. Psychosocial criteria for patient selection: review of studies and concepts for understanding chronic back pain. Neurosurgery 1984;15: 935–941.

    PubMed  Google Scholar 

  44. Keel PJ. Generalisierte Tendomyopathie: Psychologisches Profil einer Patientengruppe im Verlauf einer integrierten Behandlung. Z Rheumatol 1987;46: 322–327.

    PubMed  Google Scholar 

  45. Keel PJ, Calanchini C. Chronische Rückenschmerzen bei Gastarbeitern aus Mittelmeerländern im Vergleich zu Patienten aus Mitteleuropa: demographische und psychosoziale Aspekte. Schweiz Med Wochenschr 1989;119: 22–31.

    PubMed  Google Scholar 

  46. Kleinke CL, Spangler ASJr. Predicting treatment outcome of chronic back pain patients in a multidisciplinary pain clinic: methodological issues and treatment implications. Pain 1988;33: 41–48.

    PubMed  Google Scholar 

  47. Leavitt F, Garron DC. Rorschach and pain characteristics of patients with low back pain and «conversion V» MMPI Profiles. J Pers Assess 1982;46/1: 18–25.

    Google Scholar 

  48. Leino P, Aro S, Hasan J. Trunk muscle function and low back disorders: a ten-year follow-up study. J Chronic Dis 1987;40: 289–296.

    PubMed  Google Scholar 

  49. Mayer TG, Gatchel RJ. Functional Restoration for Spinal Disorders: The Sports Medicine Approach. Philadelphia: Lea, Febiger, 1988.

    Google Scholar 

  50. Mooney V. Where is the pain coming from? Spine 1987;12: 754–759.

    PubMed  Google Scholar 

  51. Nachemson AL. Work for All. For Those with Low Back Pain as Well. Clin Orthop 1983;179: 77–85.

    PubMed  Google Scholar 

  52. Nachemson AL. Advances in Low-Back Pain. Clin Orthop 1985;200: 266–278.

    PubMed  Google Scholar 

  53. Nachemson MD, Elfström G. Intravital dynamic pressure measurements in lumbar discs. Scand J Rehab Med 1970; Suppl.1: 3–40.

    Google Scholar 

  54. Nordgren B, Schele R, Linroth K. Evaluation and prediction of back pain during military field service. Scand J Rehab Med 1980;12: 1–8.

    Google Scholar 

  55. Oliveri M. Physikalische Therapie für Patienten in der Allgemeinpraxis. Schweiz Rundsch Med Prax 1989;11: 281–289.

    Google Scholar 

  56. Pope MH. Occupational low back pain: Praege,1984:

  57. Postacchini P, Ippolito E. Contractile filaments in cells of regenerating tendon. Experientia 1977;33: 957–959.

    PubMed  Google Scholar 

  58. Reisbord LS, Greenland S. Factors associated with self-reported back-pain prevalence: a population-based study. J Chronic Dis 1985;38: 691–702.

    PubMed  Google Scholar 

  59. Rippe JM, Ward A, Porcari JP. Walking for health and fitness. JAMA 1988;259: 2720–2724.

    PubMed  Google Scholar 

  60. Rohrer M. La prévalence des douleurs du dos et de ses facteurs de risque chez les citoyens suisses convoqués a leur recrutement en Suisse romande en 1985. Lausanne: Institut universitaire de médecine sociale et préventive, 1988.

    Google Scholar 

  61. Rohrer M, Paccaud F, Haller E. Dorsalgies lors du recrutement: une analyse de 1560 conscrits en 1985. Médecine militaire 1988;4: 110–111.

    Google Scholar 

  62. Rossel R. Statistique de l'invalidité 1987 (Invaliditätsstatistik). Bern: Bundesamt für Sozialversicherung, 1987.

    Google Scholar 

  63. Rossignol M, Suissa S, Abenhaim L. Working disability due to occupational back pain: three-year follow-up of 2300 compensated workers in Quebec. J Occup Med 1988;30: 502–505.

    PubMed  Google Scholar 

  64. Sifneos PE. The prevalence of «alexithymix» characteristics in psychosomatic patients. Psychother Psychosom 1973;22: 255–262.

    PubMed  Google Scholar 

  65. Skovron ML, Nordin M, Sterling RC. Patient care and low-back injury in nursing personnel. Ergonomics 1987; 855–862.

  66. Spinhoven P, Ter Kuile MM, Linssen ACG, Gazendam B. Pain coping strategies in a Dutch population of chronic low back pain patients. Pain 1989;37/1: 77–83.

    Google Scholar 

  67. Sternbach RA, Timmermans G. Personality changes associated with reduction of pain. Pain 1975;1: 177–181.

    PubMed  Google Scholar 

  68. Suzuki N, Endo S. A quantitative study of trunk muscle strength and fatigability in the low-back pain syndrome. Spine 1983;8: 69–74.

    PubMed  Google Scholar 

  69. Svensson HO, Andersson GB. Low-back pain in 40- to 47-year-old men: work history and work environment factors. Spine 1983;8: 272–276.

    PubMed  Google Scholar 

  70. Svensson HO, Andersson GB. The relationship of low-back pain, work history, work environment and stress. A retrospective cross-sectional study of 38- to 64-year-old women. Spine 1989;14/5: 517–522.

    Google Scholar 

  71. Svensson HO, Andersson GB, Johansson S. A retrospective study of low-back pain in 38- to 64-year-old women. Spine 1988;13: 548–552.

    PubMed  Google Scholar 

  72. Tipton CM, Matthes RD, Maynard JA. The influence of physical activity on ligaments and tendons. Med Sci Sports 1975;7: 165–175.

    PubMed  Google Scholar 

  73. Troup JD. Causes, prediction and prevention of back pain at work. Scand J Work Environ Health 1984;10: 419–428.

    PubMed  Google Scholar 

  74. Turk DC, Flor H, Rudy TE. Pain and Families. I. Etiology, maintenance, and psychosocial impact. Pain 1987;30/1: 3–28.

    Google Scholar 

  75. Valach L, Augustiny KF, Dvorak J. Coping von rückenoperierten Patienten — psychosoziale Aspekte. Psychother Med Psychol 1988;38: 28–36.

    Google Scholar 

  76. Van der Linden SM, Fahrer H. Occurrence of spinal pain syndromes in a group of apparently healthy and physically fit sportsmen (orienteers). Scand J Rheumatol 1988;17: 475–481.

    PubMed  Google Scholar 

  77. Villard HP, Imbeault J, Duguay M. Low-back pain: A psychosomatic clinical study. Psychother Psychosom 1986;45: 78–83.

    PubMed  Google Scholar 

  78. Waddell G. A new clinical model for the treatment of low-back pain. Spine 1987;12: 632–644.

    PubMed  Google Scholar 

  79. Walsh K, Varnes N, Osmond C, Styles R, Coggon D. Occupational causes of low-back pain. Scand J Work Environ Health 1989;15: 54–59.

    PubMed  Google Scholar 

  80. White AA, Gordon SL. Symposium in idiopathic low back pain.: The C.V. Mosby Company, 1982.

  81. Woo Savio LY, Buckwalter JA. Injury and repair of the musculoskeletal soft tissues. Illinois: Park Ridge. American Academy of Orthopaedic Surgeons, 1987.

    Google Scholar 

  82. Yu TS, Roht LH, Wise RA, Kilian DJ, Weir FW. Low-back pain in industry. An old problem revisited. J Occup Med 1984;26: 517–524.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Programmleitung NFP 26B, Felix Platter-Spital, CH-4012, Basel

    Peter Keel

  2. Institut für Hygiene und Arbeitsphysiologie, ETH-Zentrum, Zürich

    Thomas Läubli

  3. Rheumaklinik und Institut für physikalische Therapie, Universitätsspital, Zürich

    Michael Oliveri

  4. Institut universitaire de médecine sociale et préventive, Lausanne

    Brigitte Santos-Eggimann

  5. Psychiatrische Universitätspoliklinik, Bern

    Ladislav Valach

Authors
  1. Peter Keel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Thomas Läubli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael Oliveri
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Brigitte Santos-Eggimann
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ladislav Valach
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Keel, P., Läubli, T., Oliveri, M. et al. Nationales Forschungsprogramm 26 Teil B: Chronifizierung von Rückenschmerzen. Soz Präventivmed 35, 46–52 (1990). https://doi.org/10.1007/BF01367520

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01367520

Search

Navigation