Skip to main content
SpringerLink
Log in

Preventive aspectsregarding back pain

Präventive Aspekte bei Rückenschmerzen

  • main topic
  • Published:
Wiener Medizinische Wochenschrift Aims and scope Submit manuscript

Summary

Prevention, as the act of keeping from happening, aims to avert things that would occur if no intervention would be taken. From the epidemiology of back pain, consequences of the disease that are worth preventing can be derived. Biological, psychological, and social factors lead to back pain and chronification and ultimately to various adverse outcomes. The most important preventable consequences of back pain include loss of ability to function in daily life, loss of work productivity, sickness absence, and disability pension, excessive and inappropriate healthcare utilisation, impairments in quality of life, and disturbance of sexual life. The most important tools for prevention of back pain lie within rehabilitation after acute pain treatment and include exercise and physical training as well as health education and increasing health literacy. The bio-psycho-social nature of back pain must be taken into account in all preventive measures.

Zusammenfassung

Prävention „the act of keeping from happening“ beabsichtigt etwas zu verhindern, das eintreten würde, falls keine entsprechende Intervention erfolgt. Als Konsequenz der Epidemiologie von Rückenschmerzen versucht Prävention durch Modifikation von Faktoren, die Rückenschmerz begünstigen, das Eintreten von (Rückenschmerz-)Ereignissen zu verhindern. So können biologische, psychologische und soziale Faktoren zur Rückenschmerz führen und dessen Chronifizierung begünstigen. Schwerwiegende Konsequenzen von Rückenschmerz stellen eine Funktionseinschränkung in den täglichen Verrichtungen, Produktionsausfälle, Krankenstandstage, krankheitsbedingte Arbeitsunfähigkeit und Frühpensionierungen, eine inadäquate Inanspruchnahme des Versorgungssystems, Lebensqualitätseinschränkungen sowie Einschränkungen der sexuellen Gesundheit dar. Die wichtigsten Faktoren der Prävention von Rückenschmerz und Rückenleiden liegen (nach der Akutbehandlung) in der Rehabilitation mit Aspekten der medizinischen Trainings- und Übungstherapie und der Förderung der Gesundheitskompetenzen (Health Literacy). Die bio-psycho-soziale Natur von Rückenschmerz muss in Ansätzen zu dessen Prävention stets berücksichtigt werden.

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

Fig. 1

Similar content being viewed by others

References

  1. Dorner TE, Rieder A. Gesundheitsförderung und Prävention. In: Wittmann K, Schoberberger R, editors. Der Mensch in Umwelt, Familie und Gesellschaft. Wien: Facultas; 2014. pp. 197–202.

    Google Scholar 

  2. Burton AK, Balague F, Cardon G, et al. Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(Suppl 2):S136–68.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64:2028–37.

    Article  PubMed  Google Scholar 

  4. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287–333.

    Article  PubMed  Google Scholar 

  5. Klimont J, Kytir J, Leitner B. Österreichische Gesundheitsbefragung 2006/2007. Hauptergebnisse und methodischze Dokumentation. Wien: Statistik Austria im Auftrag von Bundesministerium für Gesundheit, Familie und Jugend; 2007.

    Google Scholar 

  6. Grossschadl F, Freidl W, Rasky E, Burkert N, Muckenhuber J, Stronegger WJ. A 35-year trend analysis for back pain in Austria: the role of obesity. PLoS One. 2014;9:e107436.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Kikuchi S. New concept for backache: biopsychosocial pain syndrome. Eur Spine J. 2008;17(Suppl 4):421–7.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between obesity and low back pain: a meta-analysis. Am J Epidemiol. 2010;171:135–54.

    Article  PubMed  Google Scholar 

  9. Denkinger MD, Lukas A, Nikolaus T, Peter R, Franke S. Multisite pain, pain frequency and pain severity are associated with depression in older adults: results from the ActiFE Ulm study. Age Ageing. 2014;43:510–4.

    Article  PubMed  Google Scholar 

  10. Reichborn-Kjennerud T, Stoltenberg C, Tambs K, et al. Back-neck pain and symptoms of anxiety and depression: a population-based twin study. Psychol Med. 2002;32:1009–20.

    Article  CAS  PubMed  Google Scholar 

  11. Hilderink PH, Burger H, Deeg DJ, Beekman AT, Oude Voshaar RC. The temporal relation between pain and depression: results from the longitudinal aging study Amsterdam. Psychosom Med. 2012;74:945–51.

    Article  CAS  PubMed  Google Scholar 

  12. Gerrits MM, van Oppen P, van Marwijk HW, Penninx BW, van der Horst HE. Pain and the onset of depressive and anxiety disorders. Pain. 2014;155:53–9.

    Article  PubMed  Google Scholar 

  13. Xanthos DN, Sandkuhler J. Neurogenic neuroinflammation: inflammatory CNS reactions in response to neuronal activity. Nat Rev Neurosci. 2014;15:43–53.

    Article  CAS  PubMed  Google Scholar 

  14. Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000;25:1148–56.

    Article  CAS  Google Scholar 

  15. Dorner TE, Muckenhuber J, Stronegger WJ, Rasky E, Gustorff B, Freidl W. The impact of socio-economic status on pain and the perception of disability due to pain. Eur J Pain. 2011;15:103–9.

    Article  PubMed  Google Scholar 

  16. Hurley RW, Adams MC. Sex, gender, and pain: an overview of a complex field. Anesth Analg. 2008;107:309–17.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Saastamoinen P, Leino-Arjas P, Laaksonen M, Lahelma E. Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees. Pain. 2005;114:364–71.

    Article  PubMed  Google Scholar 

  18. Dorner TE, Stronegger WJ, Rebhandl E, Rieder A, Freidl W. The relationship between various psychosocial factors and physical symptoms reported during primary-care health examinations. Wien Klin Wochenschr. 2010;122:103–9.

    Article  PubMed  Google Scholar 

  19. Stamm TA, Pieber K, Blasche G, Dorner TE. Health care utilisation in subjects with osteoarthritis, chronic back pain and osteoporosis aged 65 years and more: mediating effects of limitations in activities of daily living, pain intensity and mental diseases. Wien Med Wochenschr. 2014;164:160–6.

    Article  PubMed  Google Scholar 

  20. Froud R, Patterson S, Eldridge S, et al. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014;15:50.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Gustorff B, Dorner T, Likar R, et al. Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey. Acta Anaesthesiol Scand. 2008;52:132–6.

    Article  CAS  PubMed  Google Scholar 

  22. Pieber K, Stein KV, Herceg M, Rieder A, Fialka-Moser V, Dorner TE. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44:658–63.

    Article  PubMed  Google Scholar 

  23. Stein KV, Dorner TE, Ilias W, Rieder A. Chronic pain patients and their expectations towards physician care. Results from the Austrian patient report. Schmerz. 2010;24:468–73.

    Article  CAS  PubMed  Google Scholar 

  24. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8:8–20.

    Article  PubMed  Google Scholar 

  25. Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–54.

    Article  CAS  PubMed  Google Scholar 

  26. Wenig CM, Schmidt CO, Kohlmann T, Schweikert B. Costs of back pain in Germany. Eur J Pain. 2009;13:280–6.

    Article  PubMed  Google Scholar 

  27. Pieber K, Stamm TA, Hoffmann K, Dorner TE. Synergistic effect of pain and deficits in ADL towards general practitioner visits. Fam Pract. 2015;32:426–30.

    PubMed  Google Scholar 

  28. Hoffmann K, Peersman W, George A, Dorner TE. Associations and synergistic effects for psychological distress and chronic back pain on the utilization of different Levels of ambulatory health care. A cross-sectional study from Austria. PLoS One. 2015;10:e0134136.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Austria S. Statistisches Jahrbuch Österreichs. Wien: Statistik Austria; 2015.

    Google Scholar 

  30. Dorner TE, Alexanderson K, Svedberg P, Ropponen A, Stein KV, Mittendorfer-Rutz E. Sickness absence due to back pain or depressive episode and the risk of all-cause and diagnosis-specific disability pension: a Swedish cohort study of 4,823,069 individuals. Eur J Pain. 2015;19:1308–20.

    Article  CAS  PubMed  Google Scholar 

  31. Choi BK, Verbeek JH, Tam WW, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev. 2010:CD006555.

  32. Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009;143:21–5.

    Article  PubMed  Google Scholar 

  33. Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L. Physical activity and low back pain: a systematic review of recent literature. Eur Spine J. 2011;20:826–45.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Titze S, Ring-Dimitriou S, Schober PH, et al. Österreichische Empfehlungen für gesundhetiswirksame Bewegung. Wien: Bundesministerium für Gesundheit, Gesundheit Österreich GmbH, Geschäftsbereich Fonds Gesundes Österreich; 2010.

    Google Scholar 

  35. Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ. 2001;322:1516–20.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  36. Köppen P, Dorner TE. Gesundheitskompetenz (Health Literacy) bei Patientinnen und Patienten mit chronischen Schmerzen in Österreich. In: Dorner TE, editor. Gesundheitsziele – der Weg als Ziel oder Wege zum Ziel? 17 Wissenschaftliche Tagung der Österreichischen Gesellschaft für Public Health. St. Pölten: Österreichische Gesellschaft für Public Health; 2014.

    Google Scholar 

  37. Sahar T, Cohen MJ, Uval-Ne’eman V, et al. Insoles for prevention and treatment of back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 2009;34:924–33.

    Article  Google Scholar 

  38. van Duijvenbode IC, Jellema P, van Poppel MN, van Tulder MW. Lumbar supports for prevention and treatment of low back pain. Cochrane Database Syst Rev. 2008:CD001823.

  39. Roussel NA, Kos D, Demeure I, et al. Effect of a multidisciplinary program for the prevention of low back pain in hospital employees: a randomized controlled trial. J Back Musculoskelet Rehabil. 2015;28:539–49.

    Article  PubMed  Google Scholar 

  40. Kamper SJ, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015;350:h444.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute of Social Medicine, Centre for Public Health, Medical University of Vienna, Kinderspitalgasse 15/I, 1090, Vienna, Austria

    Thomas E. Dorner MPH

  2. Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Kinderspitalgasse 15/I, 1090, Vienna, Austria

    Richard Crevenna

Authors
  1. Thomas E. Dorner MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Richard Crevenna
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Thomas E. Dorner MPH.

Ethics declarations

Conflict of interest

Thomas E. Dorner and Richard Crevenna declare that there are no actual or potential conflicts of interest in relation to this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dorner, T.E., Crevenna, R. Preventive aspectsregarding back pain. Wien Med Wochenschr 166, 15–21 (2016). https://doi.org/10.1007/s10354-015-0413-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10354-015-0413-2

Keywords

Schlüsselwörter

Search

Navigation