Title
A systematic review of the relation between physical capacity and future low back and neck/shoulder pain
Author
van Hamberg - Reenen, H.H.
Ariëns, G.A.M.
Blatter, B.M.
van Mechelen, W.
Bongers, P.M.
TNO Kwaliteit van Leven
Publication year
2007
Abstract
The results of longitudinal studies reporting on the relation between physical capacity and the risk of musculoskeletal disorders have never been reviewed in a systematic way. The objective of the present systematic review is to investigate if there is evidence that low muscle strength, low muscle endurance, or reduced spinal mobility are predictors of future low back or neck/shoulder pain. Abstracts found by electronic databases were checked on several inclusion criteria. Two reviewers separately evaluated the quality of the studies. Based on the quality and the consistency of the results of the included studies, three levels of evidence were constructed. The results of 26 prospective cohort studies were summarized, of which 24 reported on the longitudinal relationship between physical capacity measures and the risk of low back pain and only three studies reported on the longitudinal relationship between physical capacity measures and the risk of neck/shoulder pain. We found strong evidence that there is no relationship between trunk muscle endurance and the risk of low back pain. Furthermore, due to inconsistent results in multiple studies, we found inconclusive evidence for a relationship between trunk muscle strength, or mobility of the lumbar spine and the risk of low back pain. Finally, due to a limited number of studies, we found inconclusive evidence for a relationship between physical capacity measures and the risk of neck/shoulder pain. Due to heterogeneity, the results of this systematic review have to be interpreted with caution. © 2006 International Association for the Study of Pain.
Subject
Workplace
Veilig en Gezond Werken
Low back pain
Neck/shoulder pain
Physical capacity
Predictor
Clinical trial
Cohort analysis
Controlled clinical trial
Data base
Lumbar spine
Muscle exercise
Muscle strength
Physical capacity
Quality control
Risk factor
Shoulder pain
Spine mobility
Humans
Motor Activity
Muscle Strength
Neck Pain
Risk Factors
Shoulder
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DOI
https://doi.org/10.1016/j.pain.2006.11.004
TNO identifier
240084
ISSN
0304-3959
Source
Pain, 130 (1-2), 93-107
Document type
article