Hebetraining und Hebehilfen und Rückenschmerz
Martimo KP, Verbeek J, Karppinen J, Furlan A D, Takala EP, Kuijer PPFM, Jauhiainen M, Viikari-Juntura E. Effect of training and lifting equipment for preventing back
pain in lifting and handling: systematic review.doi:10.1136/bmj.39463.418380.BE 2007
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http://www.bmj.com/cgi/content/full/bmj.39463.418380.BEv1
ABSTRACT
Objectives
To determine whether advice and training on working techniques and lifting equipment prevent back pain in jobs that involve heavy lifting. Data sources Medline, Embase, CENTRAL, Cochrane Back Group’s specialised register, CINAHL, Nioshtic, CISdoc, Science Citation Index, and PsychLIT were searched up to September-November 2005.Review methods
The primary search focused on randomised controlled trials and the secondary search on cohort studies with a concurrent control group. Interventions aimed to modify techniques for lifting and measurements for back pain, consequent disability, or sick leave as the main outcome were considered for the review. Two authors independently assessed eligibility of the studies and methodological quality of those included. For data synthesis, we summarised the results of studies comparing similar interventions. We used odds ratios and effect sizes to combine the results in a meta-analysis. Finally, we compared the conclusions of the primary and secondary analyses.Results
Six randomised trials and five cohort studies met the inclusion criteria. Two randomised trials and all cohort studies were labelled as high quality. Eight studies looked at lifting and moving patients, and three studies were conducted among baggage handlers or postal workers.Conclusions
There is no evidence to support use of advice or training in working techniques with or without lifting equipment for preventing back pain or consequent disability. The findings challenge current widespread practice of advising workers on correct lifting technique.
