development and validation of a job exposure matrix for physical risk factors in low back pain开发和验证的工作接触矩阵物理风险因素在下腰痛.pdfVIP

Development and Validation of a Job Exposure Matrix for Physical Risk Factors in Low Back Pain 1,2 3 1,2 4 1,2 Svetlana Solovieva *, Irmeli Pehkonen , Johanna Kausto , Helena Miranda , Rahman Shiri , 5 ¨ 6 7 1,2 Timo Kauppinen , Markku Heliovaara , Alex Burdorf , Kirsti Husgafvel-Pursiainen , Eira Viikari- Juntura2 1 Centre of Expertise for Health and Work Ability, Finnish Institute of Occupational Health, Helsinki, Finland, 2 Disability Prevention Centre, Finnish Institute of Occupational Health, Helsinki, Finland, 3 Centre of Expertise for Human Factors at Work, Finnish Institute of Occupational Health, Helsinki, Finland, 4 Occupational Health Services, OP-Pohjola Group, Helsinki, Finland, and Department of Health Sciences, University of Tampere, Tampere, Finland, 5 Surveillance and Reviews Centre, Finnish Institute of Occupational Health, Helsinki, Finland, 6 National Institute for Health and Welfare, Helsinki, Finland, 7 University of Rotterdam, Rotterdam, The Netherlands Abstract Objectives: The aim was to construct and validate a gender-specific job exposure matrix (JEM) for physical exposures to be used in epidemiological studies of low back pain (LBP). Materials and Methods: We utilized two large Finnish population surveys, one to construct the JEM and another to test matrix validity. The exposure axis of the matrix included exposures relevant to LBP (heavy physical work, heavy lifting, awkward trunk posture and whole body vibration) and exposures that increase the biomechanical load on the low back (arm elevation) or t