CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2020; 12(02): 108-117
DOI: 10.4103/ijmbs.ijmbs_56_20
Original Article

Low back pain among healthcare personnel in Saudi Arabia: A systematic review

Alexander Woodman
1   Vice Deanship of Postgraduate Studies and Research, Prince Sultan Military College of Health Sciences, Dhahran
,
Mohammed Homan
2   Department of Neuroscience, King Fahad Specialist Hospital, Dammam
,
Asim Niaz
3   Department of Physical Medicine and Rehabilitation, King Fahad Specialist Hospital, Dammam
,
Lamiaa Al-Jamea
4   Department of Clinical Laboratory Sciences, Prince Sultan Military College of Health Sciences, Dhahran
,
Mahmood Akhtar
5   Department of Biomedical Research Administration, King Fahad Specialist Hospital, Dammam
,
Mohammed Sager
6   Department of Clinical Trials, King Fahad Specialist Hospital, Dammam
› Author Affiliations

Background: Low back pain (LBP) is a complex condition with several determinants contributing to its occurrence. LBP is defined as pain that persists for 12 weeks or longer. The prevalence of work-related LBP among health-care personnel in Saudi Arabia affects both the healthcare personnel and the quality of patient care. Aim: The aim of this study was to review the epidemiology of LBP among the healthcare personnel in Saudi Arabia and wellness programs aimed at decreasing the rate of LBP. Methods: A systematic literature search was conducted using relevant keywords to search for studies conducted in Saudi Arabia regarding LBP among healthcare personnel. After selecting the inclusion criteria and epidemiological measures of LBP for the current research as well as obtaining full texts for the study, a total of 13 articles were used. Results: Thirteen studies were included in the current systematic review. Nurses and dentists were among the most vulnerable groups, constantly experiencing LBP due to long working hours, standing, as well as stress. Physical and occupational therapists and surgeons were experiencing LBP and generalized myalgia due to the work stress caused by the overcommitment at work and a high number of treated patients. Emergency medical services personnel reported a very high prevalence of musculoskeletal disorders. Based on the results of the reviewed studies, most of the participants experienced the prevalence of the LBP within the last 12 months. Conclusion: LBP has multifactorial risks, etiology, and increased evidence and prevalence among healthcare personnel in Saudi Arabia. The results show that there is good reason to conduct an in-depth study of available best practice interventions aimed at preventing LBP among healthcare personnel. Future studies in Saudi Arabia should focus on creating workplace wellness programs and on assessing risk factors as well as preventing LBP.

Financial support and sponsorship

Nil.




Publication History

Received: 20 May 2020

Accepted: 17 June 2020

Article published online:
07 July 2022

© 2020. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Bernard P. Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Centers for Disease Control and Prevention. Natl Institute Occupational Safety Health 1997;97B141:1-12.
  • 2 Last AR, Hulbert K. Chronic LB. Evaluation and management. Am Fam Physician 2009;79:1067-74.
  • 3 Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. J Manipulative Physiol Ther 2010;24:769-81.
  • 4 National Institute of Neurological Disorders and Stroke. Low Back Pain Fact Sheet; 2019. Available from: https://www.ninds.nih.gov/Disorders/ Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet. [Last accessed May 03].
  • 5 Wyatt M, Underwood MR, Scheel IB, Cassidy JD, Nagel P. Back pain and health policy research: The what, why, how, who, and when. Spine (Phila Pa 1976) 2004;29:E468-75.
  • 6 Carey TS, Garrett JM, Jackman AM. Beyond the good prognosis. Examination of an inception cohort of patients with chronic low back pain. Spine (Phila Pa 1976) 2000;25:115-20.
  • 7 Vijay NJ, Brixner DI. Back pain and productivity. J Pain Palliative Care Pharmacother 2004;2:79-85.
  • 8 Ivanova JI, Birnbaum HG, Schiller M, Kantor E, Johnstone BM, Swindle RW. Real-world practice patterns, health-care utilization, and costs in patients with low back pain: The long road to guideline-concordant care. Spine J 2011;11:622-32.
  • 9 Williams JA. Health-related employer support, recurring pain, and direct insurance costs for a self-insured employer. BMC Public Health 2015;15:449.
  • 10 Patel AT, Ogle AA. Diagnosis and management of acute low back pain. Am Fam Physician 2000;61:1779-86, 1789-90.
  • 11 Bergman S. Management of musculoskeletal pain. Best Practice Res Clin Rheumatol 2007;21:153-66.
  • 12 Krisner M, van Tulder M. Low back pain (non-specific). Best practice Res Clin Rheumatol 2007;21:77-91.
  • 13 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;19:8-24.
  • 14 Chou R, Huffman L. Guideline for the Evaluation and Management of LBP: Evidence Review. Glenview, IL: American Pain Society; 2007.
  • 15 Vardeh D, Mannion RJ, Woolf CJ. Toward a Mechanism-Based Approach to Pain Diagnosis. J Pain 2016;17:T50-69.
  • 16 Hadjistavropoulos HD, Craig KD. Acute and chronic LBP: Cognitive, affective, and behavioral dimensions. J Consult Clin Psychol 1994:62;341-9.
  • 17 Abduljabbar TA. Musculoskeletal disorders among dentists in Saudi Arabia. Pakistan Oral Dent J 2008;28:135-44.
  • 18 Devreux IC, Al-Awa B, Mamdouh K, Elsayed E. Relation of work-related musculoskeletal disorders and over-commitment of rehabilitation staff in Saudi Arabia. Life Sci J 2012;9:781-5.
  • 19 Al Dajah S, Al Daghdi A. Prevalence and risk factors of low back pain among nurses in Sudayr region. Europ Sci J 2013:9: doi: https://doi.org/10.19044/esj.2013.v9n33p%p.
  • 20 Keriri H. Prevalence and risk factors of low back pain among nurses in operating rooms, Taif, Saudi Arabia. Am J Res Commun 2013;1:25.
  • 21 Attar SM. Frequency and risk factors of musculoskeletal pain in nurses at a tertiary centre in Jeddah, Saudi Arabia: A cross sectional study. BMC Res Notes 2014;7:61.
  • 22 Aljanakh M, Shaikh S, Siddiqui, AA, Al-Mansour M, Hassan SS. Prevalence of musculoskeletal disorders among dentists in the Ha'il Region of Saudi Arabia. Ann Saudi Med 2015;35:456-61.
  • 23 Al-Mohrej OA, AlShaalan NS, Al-Bani WM, Masuadi EM, Almodaimegh HS. Prevalence of musculoskeletal pain of the neck, upper extremities and lower back among dental practitioners working in Riyadh, Saudi Arabia: A cross-sectional study. BMJ Open 2016;6:e011100. doi: 10.1136/bmjopen-2016-011100.
  • 24 Alghadir A, Zafar H, Iqbal ZA, Al-Eisa E. Work-related low back pain among physical therapists in Riyadh, Saudi Arabia. Workplace Health Saf 2017;65:337-45.
  • 25 Algarni AD, Al-Saran Y, Al-Moawi A, Bin Dous A, Al-Ahaideb A, Kachanathu SJ. The prevalence of and factors associated with neck, shoulder, and low-back pains among medical students at university hospitals in central Saudi Arabia. Pain Res Treatment 2017;1235706 doi: https://doi.org/10.1155/2017/1235706.
  • 26 Aljerian N, Alshehri S, Masudi E, Albawardi AM, Alzahrani, F, Alanazi, R. The prevalence of musculoskeletal disorders among EMS personnel in Saudi Arabia, Riyadh. Egyptian J Hospital Med 2018;73:5777-82.
  • 27 Alsultan A, Alahmed S, Alzahrani A, Alzahrani F, Masuadi E. Comparison of musculoskeletal pain prevalence between medical and surgical specialty residents in a major hospital in Riyadh, Saudi Arabia. J Musculoskeletal Surg Res 2018;2:161.
  • 28 Al-Ruwaili B, Khalil T. Prevalence and associated factors of low back pain among physicians working at king Salman armed forces hospital, Tabuk, Saudi Arabia. Open Access Maced J Med Sci 2019;7:2807-13.
  • 29 Al-Mohrej OA, Elshaer AK, Al-Dakhil SS, Sayed AI, Aljohar S, AlFattani AA, Alhussainan TS. Work-related musculoskeletal disorders among Saudi orthopedic surgeons: A cross-sectional study. Bone Joint Open 2020;1:47-54.
  • 30 Waddell G, Burton AK. Occupational health guidelines for the management of low back pain at work: Evidence review. Occup Med (Lond) 2001;51:124-35.