Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers

Gabel, Charles Philip; Mokhtarinia, Hamid Reza; Hoffman, Jonathan; Osborne, Jason; Laakso, E-Liisa; Melloh, Markus

doi:10.21256/zhaw-4989

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4989

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers
Authors:	Gabel, Charles Philip Mokhtarinia, Hamid Reza Hoffman, Jonathan Osborne, Jason Laakso, E-Liisa Melloh, Markus
DOI:	10.21256/zhaw-4989 10.1136/bmjopen-2017-020946
Published in:	BMJ Open
Volume(Issue):	8
Issue:	8
Issue Date:	2018
Publisher / Ed. Institution:	BMJ Publishing Group
ISSN:	2044-6055
Language:	English
Subjects:	Functional exercises; Low back pain; Preventive medicine; Rehabilitation medicine
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	Objectives: Investigate the relationships between the ability/inability to perform five physical test exercises and the presence or absence of low back pain (LBP). Setting Regional Australian council training facility. Participants: Consecutive participants recruited during 39 back education classes (8–26 participants per class) for workers in general office/administration, parks/gardens maintenance, roads maintenance, library, child care and management. Total sample (n=539) was reduced through non-consent and insufficient demographic data to n=422. Age 38.6±15.3 years, range 18–64 years, 67.1% male. Methods: Cross-sectional, exploratory, observational investigation. LBP presence was ascertained from a three-response option questionnaire: 0=none/rarely (no) 1=sometimes (some), 2=mostly/always (most). Statistical correlation was performed with the number of the five test exercises the individual successfully performed: (1) extension in lying: 3 s; (2) ‘toilet squat’; feet flat, feet touched: 3 s; (3) full squat then stand up: 5 times; (4) supine sit-up, knees flexed: 10 times; and (5) leg extension, supine bilateral: 10 times. Interventions: Nil. Results: For the group ‘no-some’, 94.3% completed 4–5 test exercises, while for group ‘With’, 95.7% completed 0–1 test exercises. The relationship between LBP presence and number of exercises performed was highly significant (χ2 (10)=300.61, p<0.001). Furthermore, multinomial logistic regression predicting LBP (0=no, 1=some, 2=most) from the number of exercises completed, substantially improved the model fit (initial-2LL=348.246, final-2LL=73.620, χ2 (2)=274.626, p<0.001). As the number of exercises performed increased, the odds of reporting ‘some LBP’ or ‘most LBP’ dropped substantially (ORs of 0.34 and 0.17, respectively). Conclusion: The ability to complete/not complete five test exercises correlated statistically and significantly with a higher LBP absence/presence in a general working population. Training individuals to complete such exercises could facilitate reductions in LBP incidence; however, causality cannot be inferred. Randomised trials are recommended to establish the potential efficacy of exercise-based approaches, considering these five selected exercises, for predicting and managing LBP.
URI:	https://digitalcollection.zhaw.ch/handle/11475/14577
Fulltext version:	Published version
License (according to publishing contract):	CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Public Health (IPH)
Appears in collections:	Publikationen Gesundheit

Files in This Item:

File	Description	Size	Format
2018_Gabel_Does_the_performance_of_five_back_associated_exercises_relate.pdf		357.06 kB	Adobe PDF	View/Open

Show full item record

Gabel, C. P., Mokhtarinia, H. R., Hoffman, J., Osborne, J., Laakso, E.-L., & Melloh, M. (2018). Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers. BMJ Open, 8(8). https://doi.org/10.21256/zhaw-4989

Gabel, C.P. et al. (2018) ‘Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers’, BMJ Open, 8(8). Available at: https://doi.org/10.21256/zhaw-4989.

C. P. Gabel, H. R. Mokhtarinia, J. Hoffman, J. Osborne, E.-L. Laakso, and M. Melloh, “Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers,” BMJ Open, vol. 8, no. 8, 2018, doi: 10.21256/zhaw-4989.

GABEL, Charles Philip, Hamid Reza MOKHTARINIA, Jonathan HOFFMAN, Jason OSBORNE, E-Liisa LAAKSO und Markus MELLOH, 2018. Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers. BMJ Open. 2018. Bd. 8, Nr. 8. DOI 10.21256/zhaw-4989

Gabel, Charles Philip, Hamid Reza Mokhtarinia, Jonathan Hoffman, Jason Osborne, E-Liisa Laakso, and Markus Melloh. 2018. “Does the Performance of Five Back-Associated Exercises Relate to the Presence of Low Back Pain? : A Cross-Sectional Observational Investigation in Regional Australian Council Workers.” BMJ Open 8 (8). https://doi.org/10.21256/zhaw-4989.

Gabel, Charles Philip, et al. “Does the Performance of Five Back-Associated Exercises Relate to the Presence of Low Back Pain? : A Cross-Sectional Observational Investigation in Regional Australian Council Workers.” BMJ Open, vol. 8, no. 8, 2018, https://doi.org/10.21256/zhaw-4989.